When it comes to comparing transPRK to LASIK today, things have certainly changed. Modern bladeless and touch-free transPRK is not comparable to the original PRK method from the 1990s. Also, a transPRK is safer than LASIK surgery.
Пікірлер: 255
@YoungBlaze2 жыл бұрын
I just got PRK 5 days ago and I gotta be honest the recovery on the 2 and 3rd day SUCKS my eyes were burning so bad, but then on the 5th day it was like a switch and everything stopped burning and my vision started to instantly improve, such a crazy process
@snowglider4002 жыл бұрын
Thank you so much. You made my decision making process easier.
@Louis877772 жыл бұрын
Thank you so much for this explainer! Having the development of the field and techniques laid out like this helps make sense of the options available now. I learned my cornea isn’t thick enough for Lasik and have access to transPRK (with Streamlight). I still wonder about hazing during the recovery process and beyond. I was told the first months are critical to shield the eyes from UV light, but also that one needs to be careful for 1-2 years afterwards, and that always wearing sunglasses on sunny days should be best practice for the rest of one’s life. Am I simply overreacting and overthinking how careful one must be, and / or how sensitive are the eyes to hazing after the first months of the surgery? Apologies if you already have a video answering this question, thank you already for this one.
@abdesamad6616 Жыл бұрын
woooooow. what an amazing explination. you just conviced me doctor to get trans PRK surgery. I wish u were close to me you would be my top doctor to go to. You ara an amazing person. ❤
@fahimmohameds3 жыл бұрын
That is what my ranking too 1.transprk 2.relex smile 3.lasik Thank you doctor for the information and clarity
@ELZA-Institute3 жыл бұрын
Thanks for your feedback.
@rohiarain37333 жыл бұрын
@@ELZA-Institute dr plz rep this if transprk better than lasik than what is the recovery time after transprk
@zaidarif55003 жыл бұрын
@@rohiarain3733 4 days max
@nozmulm6 ай бұрын
1. TransPRK 2. PRK 3. Relax Smile
@DavidKristen2 жыл бұрын
I did PRK last week and KZfaq suggested this video now🙂
@da_great_mogul2 жыл бұрын
You lucky, lucky boy!!!
@da_great_mogul2 жыл бұрын
How are you now?
@DavidKristen2 жыл бұрын
@@da_great_mogul I'm good and I can see the things that I can't see before 😀
@da_great_mogul2 жыл бұрын
@@DavidKristen so happy for you, you made the right moves.
@DavidKristen2 жыл бұрын
@@da_great_mogul thanks and God bless you
@kalyanirajalingham12863 жыл бұрын
Thank you for this video.
@ELZA-Institute3 жыл бұрын
My pleasure!
@kamleshjangid3372 жыл бұрын
Sir I'm glad that you uploaded such kind of helpful video for us. As my surgeon suggested me to go for PRK Over LASIK as my both eye numbers r -5.25 and cornea thickness is 515-520...but at somewhere i still confused to go for it or not,for future it will be okay for me? There is any risk for vision or anything,m afraid. Could you give me your opinion sir?
@meleesaclarin73673 жыл бұрын
Hi! My doctor was also suggesting trans PRK for me. I'm very nervous for the procedure because of the healing time but thank you for your informative video I have less doubts now.
@lililiz78692 жыл бұрын
How did the procedure go? I''m so anxious because my surgery is in 2 weeks now
@meleesaclarin73672 жыл бұрын
@@lililiz7869 the procedure was very quick. As for me since I have high grade, my right eye took about less than a minute whereas my left eye took 1minute more or less. After 5 months now, no regrets for the procedure. It's okay to feel nervous but always remember it is always a step towards a clearer sight for a long time. Bye glasses or contacts soon for you.
@aleenah39214 ай бұрын
@meleesaclarin7367 Hiii hoep you're okay, how are your eyes now? Also what was your initial prescription and do you have any regrets?
@mohammadkhaled432 Жыл бұрын
As a martial artist and footballer, I had to undergoe transprk 6 days ago in order to continue playing the sports I love. Indeed it's much safer than all Lasik-Smile surgeries but it takes longer to recover and was very painful during the first 48 hours after surgery, other than that, I have had good vision and I even ordered a fancy monochromatic sunglasses 🕶️🕶️
@ELZA-Institute Жыл бұрын
Great to hear: we have developed a new postoperative pain regimen that substantially reduces postop pain. We have been using it without issues since 2015, see here: pubmed.ncbi.nlm.nih.gov/35887874/
@heraldolizama80664 жыл бұрын
Doctor, first I want to congratulate you on your excellent work. Is there currently a therapeutic surgery for Post Lasik ectasia? I developed corneal ectasia only in my left eye 5 years ago. I had Crosslinking in 2016 and it has been stable since then.
@ELZA-Institute4 жыл бұрын
Great to hear. In fact, we developed cross-linking for ectasia after LASIK and were the first to treat, see here: pubmed.ncbi.nlm.nih.gov/18053900/ And yes, there are options on how to improve vision after cross-linking in ectasia, see here: www.elza-institute.com/cross-linking/improve-vision-after-cxl-cross-linking/
@sloboz82453 жыл бұрын
Hello Doctor - I am a candidate for both SBK and PRK, however leaning more towards the latter treatment. If you can provide some insight for the following: 1) Is there a risk of significant vision loss as a direct result from the PRK laser treatment? 2) Would you recommend undergoing the PRK surgery one eye at a time? Thank you!
@da_great_mogul2 жыл бұрын
Dear Doctor This was very insightful and I only wish I'd saved myself one month of research and seen this sooner! I agree that the advantages of trans PRK (as known as streamlight PRK that I'm booked in for this week) outweighs any negatives. However, I believe that trans PRK destroys Bowman's layer in a way LASIK does not. Whilst I appreciate that there is no medical evidence that supports the role of this layer, is this something to be overly concerned with? Is there anything I can do to ensure the surgeon enlisted for the procedure has the required skill and success rates? Thanks again and I hope to hear back from you before my streamlight PRK procedure on Thursday!
@mikeag3 жыл бұрын
Thank you, sir! Very helpful and informative. I am still considering ICL vs transPRK, however I am now leaning towards tPRK due to the halos side effects and abrasion risk of ICL. I'm still considering ICL due to its reversibility as opposed to laser options due to the risk of severe chronic dry eye. My mother and uncle both had LASIK, and still have severe dry eye 10 and 14 years later, so I am very afraid of laser eye surgery.
@ELZA-Institute3 жыл бұрын
Hello! Indeed, LASIK may lead to dry eye, because the nerve endings of the corneal nerves are compromised. This may also occur in transPRK, but much less.
@mikeag3 жыл бұрын
@@ELZA-Institute Thank you for the reply sir. I just had standard modern PRK (brush epithilial ablation) on May 3rd. So far my eyes are still stabilizing other than night time dry eye is my only issue.
@icdlight92842 жыл бұрын
@@mikeag how you doing with dry eyes now hope youre going better
@mikeag2 жыл бұрын
@@icdlight9284 my eyes are slightly noticeably dryer and more sensitive to light. That's to be expected and recovery is stated to take a full year. It's not bad at all and God blessed me with a miraculous recovery; even yhe Doctors thought my surgery date was incorrect in the file becasue I was so ahead of schedule in recovery. If you do PRK be absolutely sure to protect your eyes from UV for at least a full year. Absolutely would do it if I had it to do again. The hardest part was my eyes are 10x more sensitive to touch and I am immune to the effects of tranquilizers so no calming or sedation for the surgery and it was nearly impossible to hold still and not blink.
@da_great_mogul2 жыл бұрын
@@mikeag how are you now Michael? Sorry to ask and I know it isn't so important now you've had your procedure but why did you opt for standard PRK over the Trans PRK (AKA streamlight PRK), as advised by Doctor Farhad in the video?
@humantorchid3 жыл бұрын
I got my FEMTO LASIK done 3 days back but I wish I had watched your video before it as you mention TRANS PRK is more stable long term, and your logic does make sense. I was turned off by it due to my nature of work and the doctor mentioning that PRK takes about 1 month to show full results while LASIK shows results instantly and full recovery in 1-2 weeks.
@ELZA-Institute3 жыл бұрын
I would not worry too much. Femto-LASIK also is very safe. When I say that transPRK per se is safer than Femto-LASIK, then we speak of two methods that both are safe, but one is even safer than the other. Because in medicine, it is all about making good therapies even better.
@humantorchid3 жыл бұрын
@@ELZA-Institute Thank you for the prompt response. I am a bit relaxed now with what you've said, however, could you also clarify if the effects of Femto LASIK wear off faster than PRK and will my flap dislodge anytime in the future considering I will be getting into combat sports like MMA or Boxing?
@trixieec2 жыл бұрын
@@humantorchid i wonder about the same thing.. 😅
@da_great_mogul2 жыл бұрын
@@humantorchid you make sure that for 3 years you limit all extreme sports, sir.
@humantorchid2 жыл бұрын
@@da_great_mogul Noted, I've avoided getting into MMA for now. And even if I do, I'll limit it to everything except face.
@Peterlusg2 жыл бұрын
Dear Doctor, I have done Lasik in my early 20s and now in my early 50s. I couldn't do the Femto-Lasik due to my thin cornea. Due to aging, my Myopic power has increased since my last Lasik and now with Hyperopia, and possibly of Cataract in the near future, would you suggest it would be good to go for TransPRK ? Can TransPRK solve the thin cornea issue to correct both my Myopia and Hyperopia?
@MD-yd6xw Жыл бұрын
Thank you 😍
@bismillahchannel57313 жыл бұрын
Thank you for your video, it is very informative and helpful in understanding the procedures. What is the difference between trans prk and Lasek procedure?
@ELZA-Institute3 жыл бұрын
LASEK has been more or less abandoned in the past years because the epithelium is not really viable after the alcohol treatment.
@Skeetah31133 жыл бұрын
@@ELZA-Institute when you say no longer viable, is it just that it takes longer to recover? I am in the US so it seems like the best option (ASA or Lasek), if I can’t get transprk.
@ranausman41272 жыл бұрын
Hi
@heyhello74532 жыл бұрын
Hello doctor could you please share the things that should not be done after C10 procedure and to be avoided. Also after 3 days does the vision go back to normal? I have heard cases where peoples vision still stays blurry. Also will there be migraines or sharp headaches after it? Also would really appreciate if you guide me whether C10 is the right procedure or not as that is the only one available in Kenya.
@LadyBovine2 жыл бұрын
Do you have a maximum negative diopter you treat with tprk? Edit: given a corneal thickness you would deem thick enough.
@vishalbhardwaj18922 жыл бұрын
Hi Doctor, I got my trans PRK done 5 days back ( goes by the name T.E.S.T at the clinic), but they used a SOLID STATE CUSTOMVIS PULZAR Z1 machine and not SCHWIND. They said it had more advantages in terms of temperature and no excimer. Is it true ? Or Schwind is the best machine in current times? Which one do you recommend?
@nicolagonda89602 жыл бұрын
Hello Dr.Hafezl i would like to ask you something and i would really appreciate it if you could help me.i have 1.5 myopia and 0.25 astigmatism,do you think its worth it to have an eye surgery for this amount of myopia? i would really appreciate your help! looking forward for you reply! Thank you!
@jont.32433 жыл бұрын
Hello Doctor, thank you for this informative video. I have a 2 part question. I am 2 weeks away from getting laser surgery. I was not quite sure if I would prefer LASIK or PRK ...but after this video I think I will go with PRK. My question is, being that I apparently have thick cornea tissue (in the 500s), is PRK still a better option? And if so, is transPRK an even better option than PRK? I am not quite sure of which my doctor uses. Thank you.
@ELZA-Institute3 жыл бұрын
Hi. Please note that PRK and transPRK are quite different. A PRK procedure can also be performed on a 15 year-old-technology with older ablation algorithms and poorer outcome. Similar in LASIK: a modern Femto-LASIK shares the name with LASIK with a blade system, but is quite a different procedure.
@da_great_mogul2 жыл бұрын
@@ELZA-Institute Dr. Farhad, this patient asks some good questions. In cases where a healthy thickness of cornea is identified and the procedure will not render a post operative coronal thickness of less than 300 microns, is your logic of Trans PRK instead of LASIK still valid? Also, is Trans PRK greatly more advisable than PRK (I think you did answer this in your reply in fairness)?
@Gaddafied232 жыл бұрын
Hi Doctor. I'm convinced that trans PRK is the best option and I'm undergoing the surgery (smartsurface trans prk) in Singapore in two weeks. Due to the high correction required, (-500 + 200 astigmatism), my doctor recommended corneal cross linking. Is there anything I should take note with regards to recovery? For example, I've read that consuming flaxseeds and more omega 6 can help with recovery though it might be a placebo effect. Thanks for reading :)
@jorgearreaza4623 Жыл бұрын
-500?!
@TrueMathSquare3 жыл бұрын
Great video. I subed.
@ELZA-Institute3 жыл бұрын
Thanks for the sub!
@fardinchowdhury49572 жыл бұрын
My eye prescription right eye: spherical: -5.50, cylindrical: -0.50, axis: 15°, acuity: 6/6P Left eye: spherical: -5.75, cylindrical: -2.00 axis: 5° , acuity: 6/6P Had my pre LASIK test. The surgeon said that the cornea is thin, about 508 um so 6/6 couldn't be possible with LASIK, I may need to wear -1 glasses after LASIK. He suggested me ICL which is very very expensive here. My question is, Can PRK correct my vision around 6/6 with this thin cornea? Am I a good candidate for PRK? Can PRK correct my astigmatism?
@casudeep2 жыл бұрын
Thanks 😊
@gurkamalbal41132 жыл бұрын
Hello doctor. How common is corneal neuralgia after lasic or prk ?
@cheeky17583 жыл бұрын
Doctor which is better relex smile or schwind amaris 500 touchless for myopia-2.5
@NEdumpling3 жыл бұрын
Hi, is implantable contact lens even better than trans prk in terms of biochemical stability? thank you so much for this informative video!
@ELZA-Institute3 жыл бұрын
Hi, yes, absolutely. But ICLs come with other risks including increased intraocular pressure or early cataract formation. Please consult with your treating surgeon.
@wewillnotbebroken2 жыл бұрын
I did PRK about 6 weeks ago, so I am interested because I can not find information anywhere, when can I go back to lifting weights at gym and doing strength exercises?
@yua80872 жыл бұрын
Hi Doctor, I'm currently considering Smile and transPRK but still don't know which to choose. My eyesight is -5.00 with 1.25 and 1.50 astigmatism, and the cornea thickness is around 530. I prefer transPRK but I'm also concerned about getting haze, also I've got acnes before and may I know will it increase the possibility of getting haze post operation, please? I'm thinking about Smile as well but I'm also worried it will leave my cornea too thin and would cause keratoconus, especially in the long term. May I ask which one would you recommend, please? :))
@1953childstar Жыл бұрын
Why don't you find a good Dr. and have yourself fit with proper contact lenses..
@SuperSpee3 жыл бұрын
In case someone has acne that affects the eye making it look red(small veins visible around the cornea) and is advised not to wear contacts as they can lead to an infection, as long as they are totally viable for the upcoming procedure, would trans prk be a good option over the femto lasik procedure? I'm making this question as post trans prk you got to have contacts for a couple of days constantly.
@ELZA-Institute3 жыл бұрын
This is a special bandage contact lens and it cannot be compared to the usual contact lens wearing.
@torontogamerz7943 жыл бұрын
Hey doc my doc also suggest me for trans prk I have myopia -2.5 so should I go for that?
@nozmulm6 ай бұрын
Thank you
@keshavgupta34012 жыл бұрын
I am software engineer can I go back to work on laptop after 10 days of trans-prk?
@Henry-kw5ic3 жыл бұрын
Hello dear doctor, I want to ask you 2 questions, I will be very happy if you answer my first question. Is there a difference in success percentage between the transprk and the prk made by scraping? my other question is whether prk or smile will be more successful in moderately myopic eyes
@ELZA-Institute3 жыл бұрын
Hi. transPRK is touchless so there is no interference from a blade. In moderately myopic eyes, I would prefer transPRK because whenever there is an additional step (pocket and lenticule creation in SMILE), there is room for additional complications.
@cicicai24212 жыл бұрын
Thank you so much for the video! I had lasik 14 years ago and it went well. However I feel the results are worn off... I wanted to ask for people who had the Lasik surgery can do Prk for enhancement or can just do Lasik again?
@tess20822 жыл бұрын
If you can have lasik again depends on the residual thickness of your cornea, people on youtube can't tell you that
@matheuszanelladias3 жыл бұрын
Thanks for the information doctor! I had iLASIK 7 years ago, but my right eye got a bit worse in the past few years. Now I have about 0.75 of astigmatism. My doctor recommended TransPRK over lasik, since my flap is probably too healed to lift it up again. Do you think I have a higher chance of side-effects or failure in the TransPRK procedure since I had ilasik in the past?
@ELZA-Institute3 жыл бұрын
It is typical to perform a second procedure as transPRK, this is what I do in most cases of older LASIK, too.
@evafraga17062 жыл бұрын
How did it go?
@matheuszanelladias2 жыл бұрын
@@evafraga1706 It went really well. The recovery from the TransPRK was much slower than with lasik, but I recovered well anyway with 20/20 vision.
@trixieec2 жыл бұрын
@@ELZA-Institute hello doctor, your channel is really helping and informative. I will have my ReLex SMILE procedure next week, but now I have cold feet haha what if i develop miopi again, I cant do another ReLex SMILE procedure again since i will have thinner cornea. If this happens, is it possible to do transPRK after you’ve gone through ReLeX SMILE?
@DdumoChannel3 жыл бұрын
Hi doc, my diopter is -7.0 ,cyl -2.75 axis 15 on left and -6.0,cyl -2.75 axis 170 on right eyes. I also realize that my pupil is larger a bit. What is the best procedure should i go. At my place they only have lasik,smile, and prk..
@ELZA-Institute3 жыл бұрын
If transPRK is not available, then standard PRK is not really a good option with these values. The rest depends a lot on your individual topographical and refractive data.
@keshavgupta34012 жыл бұрын
Which is better epi-contoura or epi- hdv2.0
@genesis_cr2 жыл бұрын
درود آقای دکتر بسیار مفید بود🇮🇷🇮🇷👌🏻👌🏻
@paolapedroza19802 жыл бұрын
Any idea why transPRK hasn't been approved by the FDA?
@GinyBerry3 жыл бұрын
Hello professor, I have -4.5 and -4.75 with cornea thickness of 485mm. My surgeon recommended me Relex over Lasik to ensure cornea stability because of the thinness of my cornea. Unfortunately she does not offer TransPrk. Even though I paid for all the initial exams I now look for a surgeon who offers transPrk after watching your videos. What is the min thickness of the cornea transPrk is performed? Thank you so much for this informative video!
@ELZA-Institute3 жыл бұрын
Depending on which country you live in, you should have steady access to this technology, with the exception of the USA.
@sakbc12 жыл бұрын
So you can’t get transPRK in America?
@shrutiagarwal80964 жыл бұрын
Hello doctor. I am planning to get my surgery done in next few days. I wanted to understand if I should choose prk over smile ? I am eligible for all techniques. I have tried to understand the pros and cons of each technique. Smile being the advanced version and eliminates the risks of other techniques and still retain the advantages. Is it a better option ? Or I should still stick to trans prk (being painful and slow recovery) ?? Waiting to hear from you ASAP cz I am getting it done in next couple of days. Regards.
@ilsevdb3 жыл бұрын
Which one did you choose?
@shrutiagarwal80963 жыл бұрын
@@ilsevdb hey , am sorry for replying real late. I chose smile. It's been like 8.5 months now I have gotten it done.
@trixieec2 жыл бұрын
@@shrutiagarwal8096 how are you feeling now?
@syedumer361911 ай бұрын
Is touchless lasik same as prk My no is -3. 75 sp -2. 00 cy 5 axis right eye In lef eye -3. 25 sp and -1. 50 cy axis 175 and my corneal thickness is 571 both eyes ... What could be the procedure to remove my glasses
@pavantejatula4 жыл бұрын
I have -9 and -7 and thickness of 540 mm which one is better for me prk or contoura vision please suggest me
@ELZA-Institute4 жыл бұрын
If your cornea allows for it regarding topography, I would do a transPRK, because your corneal biomechanics will be much better.
@marclissoway26382 жыл бұрын
Have you heard about a method called the Bionic Eye, by Dr Garth Webb. From Vancouver Canada?
@DK-wn3zl3 жыл бұрын
Hi Professor, My both eyes sight is -3..they had done all the tests and doctor said that I am eligible for PRK/LASIK/FEMTOLASIK. which one would be a good option? thanks.
@ELZA-Institute3 жыл бұрын
I would always prefer a surface treatment via transPRK, if the examination is in fav our of it.
@gauru23033 жыл бұрын
i did prk 3 yrs back basis studying the pros and cons... absolutely loving it since 3 yrs...
@torontogamerz7943 жыл бұрын
Is it worth thr risk?
@rizwanhussain6453 жыл бұрын
@@torontogamerz794 Their is risk in all refractive surgery, however TransPRK is the safest method, their are alternatives you could also consider such Visian ICL surgery (if you have a prescription that is higher than -8).
@torontogamerz7943 жыл бұрын
@@rizwanhussain645 I have -2.5 now
@rizwanhussain6453 жыл бұрын
@@torontogamerz794 Ok this is a minor prescription that can easily be dealt with, I would suggest you avoid Lasik and pursue surface treatment such as TransPRK or LASEK (They are essentially the same procedure but TransPRK gives quicker and arguably safer results). Visian ICL is not performed on eyes that are below -3.
@torontogamerz7943 жыл бұрын
@@rizwanhussain645 yes rizwwn my dr also suggest me this trans prk here in hyd but I have a doubt weather it is safe for eyes I mean huhhhhh plzzz do motivate me or something
@michaelbrink85322 жыл бұрын
Do you feel the streamlight system is a safe and effective alternative to the Schwind Amaris system? Or would you try to find a clinic using the latest Schwind Amaris system? I am only aware of one clinic in my current country (Colombia) that has the system you are using.
@ELZA-Institute2 жыл бұрын
I have no experience with that Alcon system and method because it is new to the market.
@da_great_mogul2 жыл бұрын
Michael, the Schwind Amaris is the machine used to correct your vision. You can pair trans (streamlight) PRK with a customised treatment laser all with the Schwind Amaris machine. Likewise, the same can be said for the Alcon EX500 machine also. These are machines, not techniques. Think of BMW or Mercedes-Benz driving you to the next city. They're both making the same journey but it's via two differing motor vehicle manufacturers.
@sushmajpreddy90773 жыл бұрын
Hello doctor. I had prk surgery the older version in 2015 my cornea thickness was 530mm. I was 22 yrs when I did prk. I had cyl -3 both eyes. Got pregnant at 25 yrs n my vision started becoming blurr, now at 28 I have 0.75 cyl power, -1.75 sph power I'm wearing spectacles again, now my corneal thickness is 457 mm . Feel like the surgery went for a toss. Kindly suggest what should I do?
@da_great_mogul2 жыл бұрын
You were far too young to do anything on eyes that were clearly still not stable. Would you cut a newly laid grass lawn? You might be OK for trans PRK given you only need a very small amount of tissue removing from your cornea. However, please wait until you're 32 to 35 for that.
@SergeyTheBold3 жыл бұрын
Dear Sir, thank you for this very informative video. I have a couple of questions. What are the advantages of trans prk compared to relex smile if we exclude the price aspect? In what cases a patient with high myopia and astigmatism, who is a good candidate for both relex smile and trans prk, should choose trans prk and not relex smile?
@ELZA-Institute3 жыл бұрын
Hello: for myopia and astigmatism as well as for slight hyperopia (up to +2 diopters), I would choose transPRK. For higher hyperopia with astigmatism, I would choose Femto-LASIK.
@SergeyTheBold3 жыл бұрын
@@ELZA-Institute Thank you! I had femto-lasik two weeks ago with great results. Had high myopia and astigmatism. Not according to your recommendation, but thanks for your opinion anyway.
@ELZA-Institute3 жыл бұрын
@@SergeyTheBold great to hear. Femto-LASIK Is a safe method. TransPrK is just even safer. But you can excellent results with both. Again, it is a safety assessment.
@rohiarain37333 жыл бұрын
@@ELZA-Institute hell I'm-2.5 myopia so which is better for me plz rep dr
@Aisha-sh2un2 жыл бұрын
@@ELZA-Institute Hi, what to chose when a doctor is telling me I’m suspected of keratoconus … Second doctor told me I don’t have keratoconus but step cornea and he can do PRK or old lasik( what is old lasik ), and if any problem he will do cross linking. 3rd doctor told me to repeat the topography after 6 month… and she might do trans PRK with cross linking … but second doctor said trans PRK it’s same as PRK… I’m confused . Pls give your opinion . Thank you so much
@user-xp6on8um5h3 жыл бұрын
Except safety, in which transprk is superior to lasik, what is your personal experience about efficacy? Does it work as effectively as lasik in terms of correcting myopia and astigmatism?
@ELZA-Institute3 жыл бұрын
Yes, absolutely, but in very deep ablations, the time to healing is longer. Up to -8D, the precision is very high, then it is lower without an increased risk profile.
@krysrus111 Жыл бұрын
Good to know after i chose PRK :D
@AnkitSharma-bb6ln2 жыл бұрын
Hello Doctor, My eye sight is still 6/9 and little hazy after 2 weeks of trans PRK. Is it normal? Also near vision is slightly blurred when using mobile phone
@ELZA-Institute2 жыл бұрын
Hi. Yes, petfectly normal after 2 weeks. Make sure to see your surgeon in the next 2 weeks.
@kelchenc81994 жыл бұрын
Hello sir, i want to ask about trans PRK i learned that it is laser your outter layer through cornea to fix it. my question are 1. people says that laser destroy your cells rather than with blade so the chance of ingrow risk are high is it true? 2. what do you think about smartsurface transPRK ops do you recommend it? i am a nearsighted -3 both with little astigmatism
@ELZA-Institute4 жыл бұрын
Hello 1. in PRK, there is no risk of ingrowth, because there is no flap under which cells can grow 2. I use transPRK since 2010 and my video describes the advantage of transPRK over LASIK.
@zarayousuf81033 жыл бұрын
@@ELZA-Institute dr plz reply transprk healing time
@rizwanhussain6453 жыл бұрын
Hello Dr Hafezi I am considering TransPRK, I am -8.5 in both eyes and age 43, as of yet I am not experiencing Presbyopia so should I avoid any monovision treatment and is it better to leave my soft contact lenses out 2 months prior to consultation or two weeks , would it make any difference to the final outcome of surgery.Regards Dr Hafezi
@ELZA-Institute3 жыл бұрын
Hello! Please understand that I cannot give medical consultations over the web, please discuss these issues with your treating ophthalmologist. Thanks
@rizwanhussain6453 жыл бұрын
@@ELZA-Institute Noted.Thank you for the response Dr Hafezi.
@sivakrishnareddyk55893 жыл бұрын
Dear sir, My eye error is -7, and corneal thickness is less than 500 microns. Doctors said With this features LASIk is not suitable. Is there any eye surgery for thinner corneal??
@ELZA-Institute3 жыл бұрын
In such a case, and if all other factors are in favour of it (symmetric topography of anterior and posterior corneal surface, age, etc), then a transPRK makes much more sense than LASIK because one spares a lot of precious tissue with it.
@harshitsoora13133 жыл бұрын
That was a wonderful video !! I was just confused as I didn’t find any procedure named Trans PRK in my country (India) instead I got to know about some other blameless procedure like Contoura Vision and zLasik / iLASIK / Femto LASIK Can you give a simple difference among these... Please :)
@ELZA-Institute3 жыл бұрын
I know that a number of surgeons use transPRK in India, i.e. those who use the Schwind Amaris platform.
@ELZA-Institute2 жыл бұрын
Thanks! The laser in question is the AMARIS from Schwind and to my knowledge there are a number of clinics in India using that laser.
@Psychiatry.3212 жыл бұрын
Mac Mini Running Windows 7 using Apple BootCamp Assistant
@maximumlegends78112 жыл бұрын
What about evo visian icl?
@zainabsh82043 жыл бұрын
Hi Doctor what about Smart Surface vision correction
@ELZA-Institute3 жыл бұрын
Hi. SmartSurface is the most modern version of transPRK and is used on the Schwind Amaris laser system. This is the system that I am using and is the most advanced surface system in my eyes. The system is available globally with the exception of the USA.
@KL-jr2kj3 жыл бұрын
Hello Doctor. Would you still recommend Trans PRK over SBK? I qualify for both, but I am getting really scared of the bad stories that I am hearing from those who have done Trans PRK and their eyesight still isnt 100% recovered for months. Thank you
@ELZA-Institute3 жыл бұрын
Hi. SBK is a good option whenever a transepithelial excimer laser is not available. A modern transPRK laser makes the SBK obsolete.
@natecavenagh63463 жыл бұрын
What SBK mean ?
@da_great_mogul2 жыл бұрын
@@natecavenagh6346 I believe it's another name for LASIK but specifically, when creating the "flap" with a laser and not mechanically with a blade.
@natecavenagh63462 жыл бұрын
@@da_great_mogul isnt the PRK that one?
@da_great_mogul2 жыл бұрын
@@natecavenagh6346 no prk has no flap
@MasonRaika4 жыл бұрын
Could women's eyes be affected if they have pregnancy within 5 years after surgery (either TransPRK or Smile)? Many thanks for making human life better.
@ELZA-Institute4 жыл бұрын
Theoretically yes, but the number of ectasias reported after PRK is extremely low. To my knowledge have ever been reported a few years after PRK or SMILE during pregnancy. However, we published on a number of ectasia-after-LASIK cases in pregnant women, that started even 9 years after LASIK. pubmed.ncbi.nlm.nih.gov/22496434/
@harshitsoora13133 жыл бұрын
Hello, can you list possible pricing of the procedure as the same procedure is not available in India right now .... they are just selling Contoura Vision at top pricing which is specialised version of LASIK
@ELZA-Institute3 жыл бұрын
Sorry, I focus on the medical and scientific aspects, cannot give any advice here.
@da_great_mogul2 жыл бұрын
You can have Contoura with trans PRK too. Contoura is simply put, the second treatment laser.
@roytull75282 жыл бұрын
i did relexsmile in 2020 and transprk few days ago, because my eyes were so bad i had to do it in 2 times
@vaniset4 жыл бұрын
Where can i go to have trans prk done
@jonathanpayne2543 жыл бұрын
Ventura dr. Shapiro
@priyanshutripathi77383 жыл бұрын
Hello doctor could you please take a min to answer my query I had my prk done a month ago I am having 6 by 6 but i m seeing floaters and flashes my surgeon examined my retina and said that there is no tear or Detachement is it because of my prk I m seeing floaters and how long would I have to deal with them thank you
@ELZA-Institute3 жыл бұрын
Hi. If you did not notice floaters before the surgery, then they will typically disappear within a few months after surgery. Please have them checked regularly,
@priyanshutripathi77383 жыл бұрын
@@ELZA-Institute thank you for your reply sir it is depressing to know that they aren't going is there any scientific explanation to why am I having them after the operation.
@manojkp92093 жыл бұрын
@@priyanshutripathi7738 Hi bro how is your vision
@beatrizsenciales7584 жыл бұрын
Hi! So would you recommend transPRK even over femtoLasik for 7 diopters of myopia? Does the risk of cornea opacity exist in transPRK?
@ELZA-Institute3 жыл бұрын
Hi. If the specifics of your cornea allow for it, I would choose transPRK over LASIK. We can control haze up to 12 D of myopia.
@Meghaansh20193 жыл бұрын
Sir ...I had prk in 2019 pre prk I had simple myopia and my corneal thickness is 499 microns in right and 489 in left ..after surgery I achieved 20/20 vision but I saw floaters little bit ...I have an experience with that floaters since my childhood but post prk one year later it was very noticeable and dryness is also increased when I woke up....upto one year my vision is perfect and no dry eyes and issues but after completion of one year I facing the so many minor complications my night vision is also very disturbing seeing stars and glare .....why all this was happening to me....please help Dr.
@ELZA-Institute3 жыл бұрын
Hi, if you see glare and halos then
@Meghaansh20193 жыл бұрын
Is another surgery is require for this complications? Dr. But iam weird about this floaters ...
@da_great_mogul2 жыл бұрын
@@Meghaansh2019 go back to the same surgeon and insist that they treat you again.
@caffeinefreemtndew3 жыл бұрын
where is transPRK available? is the price similar to PRK?
@ELZA-Institute3 жыл бұрын
transPRK has been in clinical use in Europe and most parts of the world since 2005. For now, to my knowledge,it is not available in the US yet.
@priyanshutripathi77383 жыл бұрын
What about corneal haze isint prk have that disadvantage over lasik
@ELZA-Institute3 жыл бұрын
Hi. It used to until last year when we presented our result of 7 years of research: the extremely smooth surface in transPRK allows us for the treatment of extremely high myopia without significant haze. www.elza-institute.com/laser-eye-surgery/transprk-very-high-myopia/
@stupidmilkshake48873 жыл бұрын
Would you saw its safe for someone with custom intralase lasik to participate in water sports like water tubing and water skiing? It seems like the flap is pretty weak after surgery. I am not confident that a lasik flap can withstand a hard impact on the water like what is common with these sports. My surgeon says otherwise.
@stupidmilkshake48873 жыл бұрын
*say
@ELZA-Institute3 жыл бұрын
Hi. Let me answer in a general way. The flap has good adhesion to the underlying wound bed, but biomechanically, it takes very long to contribute to biomechanics. And I had a patient of mine 15 years ago who unfortunately received a leaf of a plant into her eye 3 years after Femto-LASIK. The leaf went into the interface and sheared off the lamella. So mechanical stress can, under certain circumstances, become a real danger to the integrity of the flap. This is why, i.e. in Switzerland, professional pilots cannot have LASIK surgery. PRK (and transPRK) are ok to perform. So if you have a profession or are performing a sport that runs the risk of mechanical impacts, a surface ablation, if applicable, is potentially safer.
@stupidmilkshake48873 жыл бұрын
Oh okay. So as long as a solid object doesnt get under, or sheer the flap it shouldnt be a problem for the most part. Also, i can only assume that a patient you may have seen 15 years ago probably received bladed lasik, instead of the more modern all laser lasik. Im kindof amazed that it only took a leaf to dislodge her cornea regardless of what procedure she received. Would you say that the technological advancements from bladed lasik to intralase lasik help keep the flap down when it is undergoing abuse from blunt impacts?
@ELZA-Institute3 жыл бұрын
@@stupidmilkshake4887 I was looking for the right term: it was a leaf from a yucca, so definitely a very robust leaf. Whenever there is a chance of a blunt impact, I would not opt for LASIK.
@stupidmilkshake48873 жыл бұрын
That is good information. It seems i made a terrible mistake then as my surgeon assured me of its safety. I am into contact sports and such. He never mentioned PRK to me despite him knowing I am a younger man that has a rougher lifestyle. That is very upsetting to hear how fragile my eyes are now. Thank you for being honest. I wish you were my surgeon
@MarkDavis-pp1kh3 жыл бұрын
So PRK is better ?
@ttulasi17212 жыл бұрын
Hi sir i got prk on October 7 my eyes are not clarity when did I get clarity sir pls tell me
@vishalvashisht14502 жыл бұрын
Hello, did u get clear vision??
@whiitly3 жыл бұрын
I don’t understand … i thought Relex smile is the state of d art now ? (And the most expensive now due to very fast recovery)
@ELZA-Institute3 жыл бұрын
SMILE was the last method that came to market. transPRK is the newest version of the method that started the whole field.
@ultraegovegeta2671 Жыл бұрын
My doctor choos PRK but I choose femto lasik.. Best decision of my life No dry eyes no halos Perfect eyes🥰 From pakistan
@ELZA-Institute11 ай бұрын
Great, there is no right or wrong: in quite a few patients, both are viable options.
@mazhussain34704 жыл бұрын
Is corneal neuralgia a possible side effect of TransPRK ?
@ELZAInstituteAGDietikon4 жыл бұрын
maz hussain i haven‘t seen corneal neuralgia following PRK since I perform them (since 2002)
@ravenmilian634 жыл бұрын
So ecstasia wont come up with in several years of PRK?
@ELZA-Institute4 жыл бұрын
@@ravenmilian63 It can. It always is a question of the dosage, as Paracelsus said. So when a surgeon exaggerates by removing too much tissue, then even a PRK may develop ectasia. But the relative risk for ectasia is far lower in PRK when compared to LASIK or SMILE. And in surgery, it is always about reducing the risk.
@ELZA-Institute4 жыл бұрын
@Salty Kraken Bowman's membrane does not contribute to corneal biomechanics. We have done the research and the manuscript has recently been submitted. For all other issues, I strongly suggest to talk to your treating surgeon. You must be comfortable and he/she should answer all open questions. Regarding epithelial removal: this is a standard in Europe since 2008, it is called transPRK.
@ELZA-Institute4 жыл бұрын
@Rock Band, Drums, Guitar Reiser Music Studio Reiser will do, thanks!
@keshavgupta34012 жыл бұрын
Is streamlight and trans prk are same?
@koziolek72 жыл бұрын
yes
@da_great_mogul2 жыл бұрын
Excellent question... I wish there were generic terms to cover all procedures as it would stop us needing to know the different terms each manufacturer uses.
@brianmurphy53134 жыл бұрын
Hi. I'm considering to have PRK in only one eye, to correct astigmatism of -2.50 , with no spherical correction. I realize PRK is less invasive than LASIK and doesn't have the potential risk with the flap that comes with LASIK. My question is, once healed, is the epithelium/eye as strong after PRK as it is naturally before surgery - in terms of possible injury, wind, sun etc? I mean after fully healed, 6 month post-op onward. Also, while I realize PRK is less apt to cause dry eye than LASIK, would someone having PRK only on one eye generally experience more dry eye in that eye than in the eye not operated on? Again, I mean after the eye is fully healed, after 6 month. Thank you.
@amilkarcamacho60843 жыл бұрын
I had PRK done and both eyes healed in different way. My left eye was very dry while my right eye i didn't experienced any dryness at all. Was 20/15 after 3 weeks with my right eye and 20/30 with my left. After time (3 months) my left pair out with my right eye at 20/15. So I guess if you're having the procedure in only 1 eye it would be hard to compare how fast or slow your eyes are healing. Dryness went away after 8 weeks. My prescription was -6.00 right and -5.50 left. Just make sure you get the procedure done with an eye doctor that doesn't work in a lasik institution those places are shaddy!
@alihussein41334 жыл бұрын
What type of lasik did you had to yourself??
@ELZA-Institute4 жыл бұрын
This was back in 2008, so I had LASIK with a mechanical blade for 7 diopters of myopia. Today, I would rather choose transPRK. LASIK is safe, but transPRK is even safer.
@Hzim0074 жыл бұрын
@@ELZA-Institute prk or trans prk which is safer
@zhaounixdf99584 жыл бұрын
when the laser work, then our eyes moved, what will happened? I ever had this surgery. about 3 month ago. and now my left eyes still got the double shadow. I've worried that I made a mistake when the laser work. Im sure that my eyes moved down when the green light is off. Hopefully its not my problem then my eyes still on recovery progress.
@ELZA-Institute4 жыл бұрын
Modern-day lasers have eye trackers that are faster than any inadvertent eye movement can be, so if you were operated with a modern laser, this cannot be the reason for a double shadow. This shadow could rather be due to prolonged healing, or something in the ablation profile "increased" your wavefront errors.
@samkitbarbhaya46982 жыл бұрын
Hello sir. I have a corneal thickness of 512mm and -8 on both eyes. My doctor recommended me not to go for LASIK as well as PRK, instead he suggested me to go for ICL. However, i thought minimum thickness required is 500mm. Could you please share some insight? Also could you share your email id if possible: I'll share you my Pentacam reports. Thank you
@da_great_mogul2 жыл бұрын
It's 500 microns, not millimetres! Are you aware that 500 millimetres is half a metre? I'm no surgeon but I can tell you that no one has a corneal thickness of half a metre.
@samkitbarbhaya46982 жыл бұрын
@@da_great_mogul hey yeah my bad, but you got my point right 😂
@samkitbarbhaya46982 жыл бұрын
@@da_great_mogul also I had my PRK done one month ago, everything is going great as of now
@josenunez3506 Жыл бұрын
@@samkitbarbhaya4698 any pain?
@samkitbarbhaya4698 Жыл бұрын
@@josenunez3506 pain was there only for the few initial days, after that my eyes are fine af... No issues as such... Prk is a blessing for me!!
@L11ghtman3 жыл бұрын
If you can afford to take a week or two off work, PRK is a no-brainer. Yes, it takes longer to recover. But it keeps your eye much, much healthier.
@da_great_mogul2 жыл бұрын
But unlike LASIK, you lose Bowman's Layer forever as it'll never regenerate.
@L11ghtman2 жыл бұрын
@@da_great_mogul That doesn't really mean anything. It's a layer of cells that perform no critical function. Hell, their most important function is to be removed to have PRK done.
@da_great_mogul2 жыл бұрын
@@L11ghtman are you a qualified Doctor?
@L11ghtman2 жыл бұрын
@@da_great_mogul Nope, but I've read all the research papers and talked to my surgeon before choosing PRK. Bowman's Layer does not regenerate, but the other cell layers do, and they regenerate over where Bowman's membrane was. Effectively they replace it, and so far, nobody has any idea what Bowman's membrane does. Altering your eyes has repercussions either way--LASIK creates a permanent flap and cuts deeper into the tissue, resulting in the risk of less eye tensile strength. Both procedures are overwhelmingly safe and effective though.
@da_great_mogul2 жыл бұрын
@@L11ghtman I'm not sure about the permanent flap created by lasik to be honest. It's a tissue so the slit will surely heal.
@Alexander-iy6qk3 жыл бұрын
What’s the probability of having permanent dry eyes
@ELZA-Institute3 жыл бұрын
There always is a chance of dry eye after refractive laser surgery, but the risk is much smaller in PRK. In contrast to LASIK, the nerve endings are not cut by the flap, which is a driving force for dry eye.
@MetallicReg10 ай бұрын
@@ELZA-Institute And compared to the newest Smile (Smile pro 2022) with 1,8mm cut? I mean SmartSurf tPRK vs SmilePro?
@mohammedhussein3762 Жыл бұрын
Is Trans PRK just LASEK?
@ELZA-Institute11 ай бұрын
These 2 methods are fundamentally different in their approach to precision of the surgical result and healing.
@stupidmilkshake48873 жыл бұрын
I made an uniformed decision and decided to go with LASIK. I regret my decision.
@user-of4lq6sz1c Жыл бұрын
PRK disrupts corneal structure affecting epithelium, Bowman's membrane (never grows back), and anterior stroma (never grows back). Epithelium healing is a complex process. With corneal regeneration many inflammation and complications can occur through the life but with flap dislodge its extremely rare less complication. ( if occurred also its again its very very rare). If you touch or poke with finger or sky dive still flap wont move after 6 months. And by the time you damage flap your eyes structure will be deeply damaged by all means. Whether u had lasik flap or not, in accidents your eyes will be damaged. In healing process if small accident occurred also flap portion can be easily placed on eye with eye drops The other problem associated with the PRK, is the increase in a corneal haze with the treatment of higher refractive errors. It is because the epithelium cells can never be removed completely, by either alcohol or laser and these tend to grow more haphazardly. There is also an increased risk of infectious keratitis or corneal ulcer with surface ablation compared to LASIK due to the longer epithelial healing period since the protective epithelium has been removed. Remember, everytime you get a corneal ulcer, you are going to get another scar. And the next scar might be in the central cornea, if you are unlucky enough, and that would permanently affect vision. The eye is a pretty fragile thing, and some things, once they happen, may not be reversible. The most important thing is to prevent such things from ever happening again.
@ELZA-Institute11 ай бұрын
You are right, It all is a question of assessing the individual risk.
@elishalush92953 жыл бұрын
thank you for this video ,very informative and to the point
@moonshine36572 жыл бұрын
i cant even hear you? speak louder
@manngros63292 жыл бұрын
Hello Dr.Hafezl i would like to ask you something and i would really appreciate it if you could help me.i have 1.5 myopia and 0.25 astigmatism in both eyes,do you think its worth it to have an eye surgery for this amount of myopia? i would really appreciate your help! looking forward for you reply! Thank you!