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Dr. Chynn on besivance

Q:

Anyone had issues with poor epithelial healing (or even corneal melts) with Besivance?

A:

I’ve heard of this but think it’s BS because I’ve done literally 1,900 LASEKs using Besivance so if there was a true association I’d notice it by now as melts would be more common in ASA than in LASIK

The only thing that makes sense is you shouldn’t apply it under the BCL after LASIK BC it’s so lubricating BC of vehicle that it causes flap slippage. Even that’s not a problem if you apply it on top of the BCL

Q2:

I have taken care of two patients s/p PRK who had severely delayed epithelial healing with consequent haze and loss of BSCVA. Both patients were on Besivance and healed within four days once the Besivance was stopped. Both required retreatment. I do not use Besivance in the presence of an epi defect regardless of etiology. I believe ASCRS issued a warning about Besivance and other meds that were implicated in a delay of healing.

A2:

With all due respect I think the warning is BSI’m performing about 1000 ASAs per year. So my yearly experience exceeds the entire lifetime experience of the MDs who issued that warning

If Besivance caused delayed reepithelialization I’d have noticed that when I switched from another fluroquinolone in the 1-eyed trial I conducted with my fellows before we deemed it safe enough to switch

Please forgive me for not taking 100 hrs to publish that as I don’t have a base income provided by an academic position or consulting retainers

No other laser vision correction surgeon in New York….

No other laser vision correction surgeon in New York....

...offers you the opportunity to have a Free Remote Consultation with the surgeon! Ask Dr. Chynn your main question or concern, and will answer, personally, within 2 business days!

Unsure whether you're a good candidate because of a lot of astigmatism? Large pupils? Dry eyes? Maybe you were rejected by LASIK surgeons due to a “thin cornea” or high prescription.

Take advantage of this incredible opportunity to find out if LASEK is an option for you from Dr. Chynn, our famous, cornea fellowship-trained, Columbia & Harvard graduate who’s in MENSA & was the 1st eye surgeon in NY, NJ, CT & PA to get LASIK, & has performed 1,000 PRKs, 5,000 LASIKs, 10,000 LASEKs, and 5,000 epiLASEKs

But please be considerate. Dr. Chynn gets paid $1,000/hour as a consultant for expert networks & expert witness, so please limit yourself to your most pressing question or concern, as he’s doing this for free on a trial basis to help interested patients.

Please include the information below in your email so Dr. Chynn can answer your question specifically.

Age:
Approximate prescription (if known):
Occupation (the more specific the better):
Main barrier or concern:

  • This field is for validation purposes and should be left unchanged.

No other laser vision correction surgeon in New York….

No other laser vision correction surgeon in New York....

...offers you the opportunity to have a Free Remote Consultation with the surgeon! Ask Dr. Chynn your main question or concern, and will answer, personally, within 2 business days!

Unsure whether you're a good candidate because of a lot of astigmatism? Large pupils? Dry eyes? Maybe you were rejected by LASIK surgeons due to a “thin cornea” or high prescription.

Take advantage of this incredible opportunity to find out if LASEK is an option for you from Dr. Chynn, our famous, cornea fellowship-trained, Columbia & Harvard graduate who’s in MENSA & was the 1st eye surgeon in NY, NJ, CT & PA to get LASIK, & has performed 1,000 PRKs, 5,000 LASIKs, 10,000 LASEKs, and 5,000 epiLASEKs

But please be considerate. Dr. Chynn gets paid $1,000/hour as a consultant for expert networks & expert witness, so please limit yourself to your most pressing question or concern, as he’s doing this for free on a trial basis to help interested patients.

Please include the information below in your email so Dr. Chynn can answer your question specifically.

Age:
Approximate prescription (if known):
Occupation (the more specific the better):
Main barrier or concern:

  • This field is for validation purposes and should be left unchanged.