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Showing posts with label plastic surgery staten island. Show all posts
Showing posts with label plastic surgery staten island. Show all posts

Wednesday 6 June 2012

LASIK Eye Surgery (cont.)

Am I a good candidate for LASIK?

Refractive surgery is not for everyone. In addition to having a complete eye exam to find out if you are a candidate for surgery, there are certain questions you should ask yourself before considering LASIK or other refractive procedures.
    1. Am I willing to accept a low but real risk of surgical complications? Even though modern LASIK is extremely safe with rare complications, there are still times when unavoidable complications occur that can negatively affect your vision. 2. Does my career allow me to have LASIK? Although there are now very few organizations that prohibit their employees or members to have refractive surgery, if there is any doubt, then it is important to ask your employer, professional society, or military service whether or not it is allowed for you to undergo refractive surgery. 3. Has my vision been stable long enough to have LASIK? While minor changes in your prescription are not uncommon from year to year, if your prescription continues to get progressively stronger (for example, more myopic, more hyperopic, or more astigmatism) each year, then you may not yet be a good candidate for refractive surgery. 4. Do I have any health conditions that make me a poor surgical candidate? Certain advanced autoimmune diseases, such as lupus and rheumatoid arthritis, may influence postoperative healing. 5. Do my recreational activities make me a bad surgical candidate? There is a lifelong risk of LASIK flap dislocation if there is significant trauma to the eye, so people who participate in contact sports such as boxing, martial arts, or wrestling are not likely not be a good candidate for LASIK. In these instances, other refractive procedures, especially surface ablation, may be more appropriate choices. 6. Am I too young or too old to have LASIK? There are no hard and fast rules about the appropriate age to have LASIK. However, patients under age 18 are rarely stable enough for LASIK, and older patients may begin to develop cataracts or other eye health issues that preclude them from undergoing LASIK. Again, the best way to determine these things is have a complete eye exam. 7. Do I have keratoconus?Keratoconus is a corneal disease resulting from decreased corneal strength that can be detected as an abnormal curvature on testing. Patients that have evidence of keratoconus are not candidates for LASIK or surface ablation, but new technologies may become available for these individuals.

What is my doctor looking for during my evaluation?

Your eye doctor should look for risk factors prior to surgery that may make you a less than ideal candidate for surgery and discuss any abnormal findings with you at length. The following are considered to be risk factors for refractive surgery.
    1. High prescriptions: Patients with extreme eyeglass prescriptions (high myopia or high hyperopia) may not be good candidates for LASIK because too much corneal tissue would need to be removed to safely perform the procedure. 2. Thin corneas: Because all excimer laser surgery (LASIK and surface ablation) requires the removal of small amounts of corneal tissue to correct your refractive error, the thickness of your corneas must be measured before surgery. Patients who have very thin corneas are at risk for excessive corneal weakening after surgery and may not be good candidates for LASIK. In these cases, surface ablation or other procedures may be more appropriate. 3. Abnormal corneal curvature: There are many devices used today to measure the overall shape and curvature of your cornea. These devices are called topographers and are an essential part of your initial evaluation. Abnormalities in the shape and curvature of your cornea may indicate that your cornea is weaker than that of the average person, and this will exclude you from having LASIK safely. 4. Dry eyes: Patients with dry eye symptoms, such as burning, redness, and tearing may have worse symptoms after LASIK surgery. This occurs because corneal nerves are cut during this procedure, and these nerves are partly responsible for stimulating tear secretion. Most patients have a full return back to their baseline state after surgery; however, patients with significant dry eye before surgery may not be appropriate surgical candidates 5. Large pupils: Although less common today, some patients still notice glare, halos, or other night vision issues after LASIK. Patients with larger pupils may be more prone to noticing these things, so your screening evaluation should include measurement of your pupil size in a dark room. 6. Previous refractive surgery: Prior corneal surgery or other types of refractive surgery, especially radial keratotomy (RK), may complicate additional procedures. You should talk to your eye doctor about this situation in order to make the best decision possible about your ability to be corrected with further surgery. 

What are the risks of LASIK?

LASIK has been shown to be a very effective procedure, and most patients are very happy with their vision following the procedure. However, like any surgical procedure, LASIK does come with some risks. In order for you to decide whether LASIK surgery is right for you, you need to be aware of potential risks and complications and weigh these carefully before proceeding with surgery.
    1. You may be over-corrected or under-corrected. Most patients are satisfied with their vision after a single treatment, but in some cases, you may not achieve quality vision initially and need a second surgery, called an enhancement, to sharpen your vision. Patients with more extreme prescriptions are at higher risk for needing an enhancement. This enhancement cannot be performed for many months after your initial surgery to allow for your eyes to heal appropriately from the first surgery and for your eyeglass prescription to stabilize. In some rare cases, you may not be able to have an enhancement if your corneas are too thin or abnormally shaped after surgery. 2. You may still need glasses or contact lenses after surgery to achieve your best vision. This is extremely rare for the average person; however, it is something you should discuss with your surgeon. In addition, if both of your eyes are corrected for good distance vision, you will still need glasses for close work when presbyopia develops as a part of normal aging process. 3. Your results may not be permanent. Although uncommon, some patients do experience a regression of their desired treatment effect many years after the surgery. This is more common in patients with hyperopia, or farsightedness. Those who need reading glasses are especially prone to having changes in their vision after LASIK surgery. If regression does occur, it may be possible for you to have an additional surgery many years after your initial LASIK. 4. You may experience visual aberrations, especially in low light. Visual effects that can occur with LASIK and decrease visual quality include: anisometropia (difference in refractive power between the two eyes), aniseikonia (difference in image size between the two eyes), double vision, hazy vision, fluctuating vision during the day and from day to day, increased sensitivity to light, glare, shadows, and seeing halos around lights. These visual aberrations are extremely unusual; however, they may be incapacitating for some time and may not ever go away completely. 5. Dry eye symptoms may persist or get worse. Most people experience some dry-eye symptoms immediately after surgery. In some cases, people may develop worsening of dry-eye symptoms, such as burning and redness, or even decreased vision, after surgery. This condition is occasionally permanent and may require medication to improve tear production or punctal plugs, which temporarily close off the drainage system for tears. 6. You may lose vision. Rarely, LASIK may result in worse vision that cannot be corrected with glasses or contact lenses. This could result from flap-related complications, equipment malfunction, infection, scarring, or extreme changes in corneal shape postoperatively.
     
     

Lecture: Doctor Teaches Medical Ethics in the Light of Islam at BUC

SE Michigan, Vol. 8 Iss. 39

September 21, 2006 by TMO

Doctor Teaches Medical Ethics in the Light of Islam at BUC


Bloomfield Hills–September 15–Dr. Mashhad al-Allaf, Professor of Philosophy at the University of Toledo, taught a brief seminar on the medical ethics of plastic surgery in the light of Islam this past Friday night at the Bloomfield Unity Center.

Prof. Mashhad al-Allaf, PhD, is a professor of philosophy at the University of Toledo, holder of the Imam Khattab Endowed Chair of Islamic Studies. He earned a PhD from the University of Tennessee with a concentration in Science and Metaphysics, and taught at both Washington University in St. Louis and Baghdad University.

The event had about 70 attendees, many of them practicing physicians, who gathered at the Bloomfield Unity Center to engage the subject of Islamic ethics and plastic surgery.

Professor Al-Allaf began by speaking briefly on the prevalence of plastic surgery in the United States, explaining that last year 9.2 million plastic surgeries had been performed.

He explained his fundamental distinction between reconstructive surgery and cosmetic or psychological surgery, explaining basically with reliance on Islamic sources that his view is that cosmetic surgery is haram and reconstructive surgery is halal. As a principle which underlies this, he said that “removing harm” is one of the usul-al-fiqh (principles underlying Islamic law) that justifies many plastic surgeries. While there exists no bright line distinction between cosmetic and reconstructive surgery, in many cases it is clearly performed for reasons related to vanity while in other cases it is performed in order to be able to live a fuller life.

He started with a painful picture of a child born with a deformity, a cleft lip, who had undergone plastic surgery in order to be able to live out a normal life. He said that in this case plastic surgery was recommended under Islamic law (by consensus), based on the subject’s genetic abnormality or having suffered from a terrible accident, in order to avoid psychological or physical harm.

He gave another example of a woman having undergone surgery in order to reduce the size of her nose, and showed pictures of prominent celebrities who had undergone repeated surgeries in order to “become someone else,” saying that in fact these surgeries were intended more to address psychological injuries to the subjects rather than physical illness or deformity.

The professor then explored a series of different themes and thinking strategies regarding plastic surgery.

For instance, he explained that the essence of a human is not what is on the surface—that for instance gold is yellow but its essence is related to its atomic place on the chart of the elements, at number 79—other objects may be yellow but they do not have the tremendous value placed on gold.

Discussing the casual nature of plastic surgeries, he said that people in a quest to determine “who am I” might one day choose blue hair or earrings or other changes and can now instead simply do a complete makeover by surgery. By doing this, people incur sometimes great injury to themselves. He said that young people should not engage in cosmetic surgery too early because they have not yet grown into their final form—so it can be
An important theme he engaged was the idea that in fact human beings only gradually come to their final form, and from the point of reaching that form at about age 21 they decay—slowly slowly but nevertheless irreversibly. This should encourage us to examine and develop our internal rather than external character because internal beauty is a force which fundamentally alters the external beauty of a person.

By fighting against nature’s slow decay, he argued, a person is in fact fighting God’s will, swimming against the current, fighting the impossible, trying to maintain his own perfection when the entire force of the universe is fighting in the other direction—he said that the only place where a person can attain perfection is in his internal life—a beautiful intellect and heart. External perfection is unattainable and even our conceptual models of human perfection are unreal creatures—the most beautiful of the beautiful among women, airbrushed to perfection by photographers and artists.

Another important theme he touched on was the pursuit of illusion. Plastic surgery can be an attempt to follow hawa (vain desires), which are categorized by Islamic scholars among 4 different kinds (food, sex, authority, and knowledge)—much plastic surgery is in fact done in seeking these vain desires. He explained that hawa in Arabic is like air, ungraspable, or like a feather in the wind—the only one of these kinds of hawa which is valid and worth seeking is knowledge.

Another important theme he mentioned was that of uncertainty of results—he cited many cases of people who underwent plastic surgery for either bizarre goals or even for typical goals, but which surgery had unforeseen consequences which required follow-up surgeries restorative to the health of the subject. Another example he cited was that of breast enlargement, which frequently has the unintended consequence of making the woman insensitive to feeling and thus transforming her more into an instrument for the pleasure of another person rather than the kind of person that God intended.

This speech was an interesting exploration of different implications of plastic surgery, and of different principles of Islam and Islamic law which apply to plastic surgery, by a professor who has deeply studied plastic surgery, Islam, and Islamic law.