pinguecula - argon laser.

[realMadridFTW]

Hello everybody,


Hello everyone,
I found a doctor who can remove me pinguecula using an argon laser.
I've found this study :

http://www.ncbi.nlm.nih.gov/pubmed/23449487

but, i want to know if anyone here has already benefited from this chirurgy?

[Spoon]

Hi. Who have you found that does this procedure? Thanks

[limited733]

Any experiences yet?

[limited733]

anyone tried this yet?

[realMadridFTW]

Hi. Who have you found that does this procedure? Thanks

Dr Marc Timsit Paris

[cathy8889]

Hi, I read about this a while ago and I have read someones posts online (cant find where now, not on here) about how they had their pings lasered and things turned out worse. I dont think there is enough research regarding how pingueculas form, their histology or for what reason they form to say that laser surgery is a good way to remove them. I am not sure but to me it seems the pinguecula becomes a part of the the conjunctiva and is not just sitting on top of the conjunctiva, I would like to know how a laser can remove pinguecula successfully if the pinguecula is essentially the conjunctiva without leaving a hole in it or not removing the pinguecula completely.

I would not have laser surgery on my pinguecula, if I was going to have them removed i'd save up and have surgey with the best surgeon out there, usually in America or New Zealand, I definitely would not have surgery in the UK as I dont think surgeons have enough experience over here as cases are a lot rarer.

Best wishes

Cath x

[littlemermaid]

I was going to have them removed i'd save up and have surgey with the best surgeon out there, usually in America or New Zealand, I definitely would not have surgery in the UK as I dont think surgeons have enough experience over here as cases are a lot rarer.

You're kidding - why USA or NZ? why not London?

[cathy8889]

Hi Little mermaid

Pinguecula are more common in countries with warm sunny climates, therefore surgeons will have had more experience performing the surgery and more time to master their technique. I probably should have mentioned Australia aswell. American doctors have set the standard for pinguecula removal and the technique to be used. There arent many ophthalmologists in London who do the surgery either. I would want to know that I was in the best hands possible and I dont know if i'd trust anyone with limited experience. I would like to meet with an ophthalmologist in London who looks reputable, some ophthalmologists who peform pinguecula surgery also offer botox for crows feet and skin enhancement, I wouldn't feel comfortable being operated on by someone who has spent the last two weeks performing botox or skin enhancement treatment. Surgeons in America, like John Hovanesian perform pinguecula surgery regularly as does Lawrence Hirst (http://pterygium.info/en/) who has dedicated himself to pinguecula and pyterygium surgery solely. I would want someone like this to perform my surgery.

I couldnt even have surgery now anyway as i'm still trying to deal with my dry eye. I dont think there is any point having them removed with dry eye symptoms still present as they'd just grow back.

Best wishes
Cath

[littlemermaid]

I would like to meet with an ophthalmologist in London who looks reputable

Don't you like any of these http://www.moorfields-private.co.uk/Consultants, or an independent, or someone in Manchester? I'm thinking if they are cornea specialists skilled at eg removing tumours, patch with AMT and use lasers anyway, plus they are convenient for after-care, what's not to like? I would not go to cosmetic botox and blepharoplasty private practice people either, plus no NHS guarantee. If we ring up MP, what they offer is sales 'book an appointment, it's up to you, kerching', so in the past, I have emailed optometrist eye surface photographs to individuals for suggestions and questions, which they have replied on. Some other London numbers are agencies on payment for referral. The best contact has been the consultant's personal secretary.

Very reasonable, if we are shopping around at these prices, to clarify cost, procedure and after-care up front. We can't trust internet advert testimonials without knowing what happens to people long-term and when it doesn't work out, risks, med side effects etc. And if that's not tracked and published up-front, surely there's something to hide? Medical tourists sometimes don't even realise they have to pay for follow-up problems. It's amazing the surgeons don't always make all this clear and we have to ask ourselves why.

We need to declare 100% what treatments we are using and have used in the past before consenting. If ever worried about long-term dipyridamole and want someone non-judgemental who has access to NHS confocal microscopy and knows a lot about surface and limbal cells, I would try Alex, who is primarily research #justsayin Hate me now, but it might help one day.

The best people I've asked have been the experienced NHS cornea specialists. They are surprisingly honest because there's no vested interest. There's lots of flow between countries now, esp US, Aus, NZ, so may be good advice!

[cathy8889]

Hi little mermaid,

Thanks for suggesting private consultants based in UK. The problem with approaching uk consultants is they are very reluctant to perform surgery on an eye purely for cosmetic purposes, if a pinguecula was raised and causing a lot of irritation then they might be persuaded but you'd have a battle on your hands. Whenever I go to see an ophthalmologist my pinguecula aren't even mentioned they are just concerned about the dry eye, they really don't see them as an issue. I saw one ophthalmologist on the wirral who is a well respected corneal surgeon (became Vice President of the royal college of ophthalmologists in 2013) about my pinguecula and dry eye in March last year, he failed me greatly, misdiagnosed me with mild anterior blepharitis(didn't even flip my top lids on examination) and didn't even bat an eyelid at my pinguecula which were extremely inflamed at the time. I really feel that the only ophthalmologists I could trust removing my pinguecula are those that perform it regularly or at least have researched the technique without stitches. Thanks for your suggestions. There is one surgeon in London who lists pinguecula removal on his cv who I might contact in future. If I could get my dry eye under control I don't think my pings would bother me so much, had them for 8 years and it's only been since posterior bleph kicked in last 2.5 years that they have effected me.

I have not tried the dypridamole eye drops yet, trying to get this mgd under control, got an appointment at dry eye centre in London on Tuesday, going to see if candidate for ipl, I'm really convinced demodex are one of my main problems.

Cath x

Don't you like any of these http://www.moorfields-private.co.uk/Consultants, or an independent, or someone in Manchester? I'm thinking if they are cornea specialists skilled at eg removing tumours, patch with AMT and use lasers anyway, plus they are convenient for after-care, what's not to like? I would not go to cosmetic botox and blepharoplasty private practice people either, plus no NHS guarantee. If we ring up MP, what they offer is sales 'book an appointment, it's up to you, kerching', so in the past, I have emailed optometrist eye surface photographs to individuals for suggestions and questions, which they have replied on. Some other London numbers are agencies on payment for referral. The best contact has been the consultant's personal secretary.

Very reasonable, if we are shopping around at these prices, to clarify cost, procedure and after-care up front. We can't trust internet advert testimonials without knowing what happens to people long-term and when it doesn't work out, risks, med side effects etc. And if that's not tracked and published up-front, surely there's something to hide? Medical tourists sometimes don't even realise they have to pay for follow-up problems. It's amazing the surgeons don't always make all this clear and we have to ask ourselves why.

We need to declare 100% what treatments we are using and have used in the past before consenting. If ever worried about long-term dipyridamole and want someone non-judgemental who has access to NHS confocal microscopy and knows a lot about surface and limbal cells, I would try Alex, who is primarily research #justsayin Hate me now, but it might help one day.

The best people I've asked have been the experienced NHS cornea specialists. They are surprisingly honest because there's no vested interest. There's lots of flow between countries now, esp US, Aus, NZ, so may be good advice!

[realMadridFTW]

Dr Marc Timsit Paris

It cost 600 euro (per eye ).
He said that the aesthetic results were good.
But I still hesitate.

[limited733]

Is this argon photocoagulation or excision with laser?Did you ask him?Sorry i do not speek french.

[realMadridFTW]

Is this argon photocoagulation or excisiokn with laser?Did you ask him?Sorry i do not speek french.

photocoagulation

[limited733]

Any other info?How did you find him?

[realMadridFTW]

Any other info?How did you find him?

I've find him on his (french) forum, in this thread :

http://www.ophtalmologie.fr/operatio...72.html#p21374

He looks very professional.
I totally trust him because he has a forum with testimony of patiens and answer the questions.