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Brian Boxer Wachler, MD

Board Certified Ophthalmologist

465 N. Roxbury Dr. , Suite 902, Beverly Hills, California

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11 Questions Answered

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Before and After Photos

QUESTIONS ANSWERED

Is it true that red eyes can be made white again, as in this picture?

Asked By:AnonymousANSWERS (1)

I developed a procedure that is a modification of procedure performed over 30 years. This procedure is called I-BRITE Eye whitening. You can see several before and after pictures if you Google Eye Whitening. Not everyone is a candidate, it depends on the cause of the red eyes and overall health.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

My eyesight is -8.5 both. My age is 17 years. What may be the suitable treatment for my eyes?

Asked By:AnonymousANSWERS (1)

Given your prescription and your age, it is best you probably wait until 22-25 to make sure your vision is stable. The Visian ICL is a great option for high prescriptions.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

My initial test of Pachymetry shows the cornea thickness of 498 for both eyes & adv.topography test shows thickness 521...

Asked By:AnonymousANSWERS (1)

It would be advised to have the pachymetry repeated. Discuss with your surgeon Visian ICL or PRK if your cornea is 498 thickness. Also, given your age discuss with your surgeon if you might consider evauluating stability in 6 months to 1 year prior to considering surgery.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

Why was I rejected and accepted in different offices for PRK surgery?

Asked By:AnonymousANSWERS (1)

Yes, it is possible that the Visx laser may not be advised if your corneas are thin; the Visx laser removes a little more tissue; Visian ICL might be a better option; this is a small permanent lens placed inside the eye

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

I wasn't a candidate for the eye surgery? I have thin corneas. Am I a candidate for PRK?

Asked By:AnonymousANSWERS (1)

You may be a candidate for PRK, it depends on some other factors such as prescription, tear film, and cornea health. Given you are in the Army, PRK tends to be a better option. In my office, when individuals in the military seek vision correction, typically we perform PRK. The recovery period is longer for PRK versus LASIK, however the safety profile can be considered safer since their is no flap. It seems the paperwork for clearance with the military prefers PRK in many cases. Another option may be the Visian ICL lens. This is an excellent option and can provide very good vision with patients who are between -3.00 and -16.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

Does HRT MTF effect on POST-OP LASIK? Does anyone know if the cornea changes are progressive or reversible.

Asked By:AnonymousANSWERS (1)

Cornea Collagen Crosslinking might be something to explore to stabilize the cornea if you have signs of cornea steepening. I would suggest having a cornea topography (cornea color map) and 6 months later have a map to see if there are signs of steepening. Then have a mapping on a yearly basis. Cornea collagen crosslinking stabilizes the cornea and cause some slight flattening to a cornea.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

May I RESTART wearing my RGP contact lenses between the time I completed my ICL consultation/exam, and ICL surgery?

Asked By:AnonymousANSWERS (1)

This can be surgeon dependent on the answer, but I think most agree that you can resume. In my office, once all your preoperative tests are complete for the Visian ICL we advises patients they can resume contact lens wear up tot he day of the procedure.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

I'm 23, right eye 6.25 myopia & 0.75 astigmatism, left eye 6.00 myopia & 0.75 astigmatism. Candidate for Refractive surgery?

Asked By:AnonymousANSWERS (1)

In most cases with a prescription and thinner cornea I prefer the VIsian ICL. The quality of vision is excellent with the VIsian ICL and this avoids possible risk of you developing ectasia. Ectasia is a condition that develops after PRK or LASIK and weakens the cornea. Usually presents in patients who had thinner corneas prior to PRK or LASIK. Ectasia can cause a progressive steepening of the cornea, which can leads to decreased quality of vision and a return to needing contacts, usually RGP. In patients with your prescription if they prefer to opt for PRK, then I would recommend a cornea collagen crosslinking treatment performed in combination. Cornea Collagen Crosslinking, also know as Holcomb C3-R or CXL, helps to strengthen the cornea and avoid weakening of the cornea structure after LASIK or PRK. In my office, I call this procedure Fortified PRK or Fortified LASIK. Basically helps to lock in the treatment of PRK or LASIK and reduce the risk of developing ectasia.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

I Had Lasik Surgery 3 Weeks Ago.my Number Was -8.after Lasik I Still Have -1.75.can I Have Lasik Again?

Asked By:AnonymousANSWERS (1)

It is still very early to consider a repeat LASIK. You will continue to heal over the next 8-12 weeks.

Once you are fully healed you might be able to consider additional LASIK. It depends on your cornea thickness.

Many times with patients who had a higher correction, we will opt for PRK (surface laser treatment) for an enhancment 6 mo to 1 year after LASIK, if they do not have enough cornea thickness.

The key is finding our your cornea thickness and if there is enough cornea bed to perform additonal LASIK, if not ask your doctor to condier PRK.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist

Is LASIK Safe or Helpful 15yrs After PK Eye Correction? (photo)

Asked By:AnonymousANSWERS (1)

After PK usually we would recommend PRK. We have found creating the LASIK flap on a cornea post PK can cause some shift in the astigmatism. We have found more reliable results with PRK. PRK does take a little longer to heal over LASIK. On average we perform 3-4 PRK per month on post PK patients. Be sure to find a surgeon who is frequently performing PRK after PK.

Brian Boxer Wachler, MD

Board Certified Ophthalmologist