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Dr. Chynn’s comments on CXL

Q:

Dear

Not sure if this topic has already been discussed (and if so, can somebody please forward me the conclusion of that discussion?)

If you receive a post LASIK Ectasia in one eye after bilateral LASIK treatment, would you do CXL only in the affected eye or would you do it “prophylactically” also in the unaffected eye, assuming that the “unknown” ectatic factor might be present in both eyes and hasn’t manifested yet (or never will…)Let me know what you think.Best!

A:

i think bc kc is often highly asssymetric (so it appears unilateral, but may in fact be bilateral), it’s probably safer to do CXL in the other eye, especially since the downside to doing so is very low

for that same reason, it is probably more medically and legally defensible doing an ASA/LASEK/epiLASEK on the fellow eye (although in canada you’ve not had the multi-million dollar jury awards for post-LASIK ectasia that have become frequent in the US)i do some medial malpractive review, and want to point out that you need 3 things to lose medical malpractice in the US:

1. negligence (= departure from care, meaning from the community standards/what a reasonable practitioner would do)

2. causation

3. damagestherefore, if you do a LASIK in the other eye and he gets KC, a JD can easily find some MD who said you did wronghence you might be screwed on 1and on 2 and 3 also (so you might lose)if you, in contrast, did a CXL + LASEK on the fellow eye, the JD might have a hard time getting a MD to say 1 was offso then even if 2 and 3 exist, you get off the hook (since you need 1 + 2 + 3 to lose, ie all 3 of 3 are necessary to lose)

i don’t know about the canadian system specifically, but i would imagine it is pretty similar to the US systembut in any case, this is the way the US system works, which might be somewhat illuminating to the younger MDs on Knethope this helps, and stay out of trouble!:)

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.

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Tell Dr. Chynn your main barrier so he can help overcome it😉👌 Email us at dr@ParkAvenueLASEK.com Text us at (212) 691-4221

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.