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Jingthing

New Laser Assisted Cataract Surgery Is Superior -- Where In Thailand?

48 posts in this topic

The downside of Indian medical procedures is that is one is more likely to have complications and a serious secondary infection.

There is no need to go to India for the procedure and the existing procedures are tried and true. The improvements claimed from the new "laser" approach are not clinically significant. Cataract surgey is relatively cheap in Thailand and even in the west. In Canada it is available as a private option for $2000- $2500 at private outpatient clinics (or for free under the medicare system if you don't mind waiting 6 months or so.) In the EU, the procedure is readily available with minimal wait times. Why then would anyone even consider India? The laser procedures are backed by the equipment manufacturers that push their products like car manufacturers tout their new models. In any case, who wants to be one of the 1st patients? I'd rather wait a couple years and see if there are complications. Of more importance is that the replacement lenses used can now include corrective construction so that eyesight is improved more.

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Well as they will now have this technology in Thailand, I see no reason to consider India. I agree waiting some time until the docs are up to speed would be wise. I also think choosing a good surgeon in the first place is still very important, no matter what technology used. I think there are pros and cons to the femtosecond but I do believe it's going to become widely used.

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A friend had cataract surgery for one eye at Rutnin this past Thursday, 21 June, here's his note:

"Total out the door today 73,600THB Lens was 26,000THB. Lots of take home meds as well. The lens is the newest single vision (Toric) lens available for my astigmatism. The Dr cost 18,700THB."

Mac

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They have this in BPH , it is 200,000 baht ; promotional price

Dutch guy I know did it and it and is having complications with dry eyes and night halos.

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ID: 25   Posted (edited)

They have this in BPH , it is 200,000 baht ; promotional price

Dutch guy I know did it and it and is having complications with dry eyes and night halos.

I am pretty certain you're not talking about what I'm talking about. I'm talking about femtosecond laser assisted cataract surgery. (It's only used for the first part of the surgery.) I'm guessing you're talking about a popular procedure at BPH -- Super Sight Surgery. Dr. Somchai has been doing what he calls "Super Sight Surgery" for many years, even before the technology for femtosecond laser assisted cataract surgery even EXISTED. He seems to be promoting it mostly to people in their 40s who are starting to need reading glasses, no the usual patient profile for cataract surgery. Edited by Jingthing

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ID: 26   Posted (edited)

A friend had cataract surgery for one eye at Rutnin this past Thursday, 21 June, here's his note:

"Total out the door today 73,600THB Lens was 26,000THB. Lots of take home meds as well. The lens is the newest single vision (Toric) lens available for my astigmatism. The Dr cost 18,700THB."

Mac

An excellent place to go. It will be interesting to know when Rutnin adopts the femtosecond laser for cataract. I say when because I'm certain they will eventually. I'd expect places like Bumrungrad to be earlier though. Edited by Jingthing

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Lasic laser surgury works just fine ..... no need to pay up for a newer version

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ID: 28   Posted (edited)

Lasic laser surgury works just fine ..... no need to pay up for a newer version

Laser lasic surgery is an excellent technology. It has NOTHING to do with initial treatment for cataracts! I think many people are confused about that. But believe me, it doesn't.

That said, many cataract patients (having the new permanent implanted lens now) need a SECOND procedure later to zap out some post surgery clouding. Typically a year or two later if needed. That IS done with laser tech. Nothing new about that.

Edited by Jingthing

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The downside of Indian medical procedures is that is one is more likely to have complications and a serious secondary infection.

There is no need to go to India for the procedure and the existing procedures are tried and true. The improvements claimed from the new "laser" approach are not clinically significant. Cataract surgey is relatively cheap in Thailand and even in the west. In Canada it is available as a private option for $2000- $2500 at private outpatient clinics (or for free under the medicare system if you don't mind waiting 6 months or so.) In the EU, the procedure is readily available with minimal wait times. Why then would anyone even consider India? The laser procedures are backed by the equipment manufacturers that push their products like car manufacturers tout their new models. In any case, who wants to be one of the 1st patients? I'd rather wait a couple years and see if there are complications. Of more importance is that the replacement lenses used can now include corrective construction so that eyesight is improved more.

Just a simple question,...please supply information or tags where information can be gleaned that you are more likely to have complications or serious secondary infections having this (eye) or general surgery in India,as you have stated

You also state "why anyone would consider India"?, probably costings ,if you wish to compare, why would anybody go elsewhere? Go compare

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How much does regular cataract surgery cost here in Thailand?

RAM Hospital Chiang Mai

A little while ago I had this procedure performed to remove the cateract and replace an artificial lens in one of my eyes. Still have to get he other sorted - but in time.

For those of you who may be in the same situation the following is the cost that I incurred but subject your own situaion it may differ according to your own circumstances.

I acknowledge that there are other hospitals where this procedure may be performed at a cheaper price but I am a long time user of RAM and have confidence in the surgeons and the facilities.

Both my age and possession of a VIP card attracted a discount but the overall cost was 43,000 baht for the procedure to be performed on one eye. This included a full physical examination before the surgery. The operation lasted approximately 30 minutes and although uncomfortable, I experienced no pain.

The following morning I returned to the Eye Specialist and was able to read the eye chart with my right eye from top to bottom without difficulty.

Gladiator

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How much does regular cataract surgery cost here in Thailand?

RAM Hospital Chiang Mai

A little while ago I had this procedure performed to remove the cateract and replace an artificial lens in one of my eyes. Still have to get he other sorted - but in time.

For those of you who may be in the same situation the following is the cost that I incurred but subject your own situaion it may differ according to your own circumstances.

I acknowledge that there are other hospitals where this procedure may be performed at a cheaper price but I am a long time user of RAM and have confidence in the surgeons and the facilities.

Both my age and possession of a VIP card attracted a discount but the overall cost was 43,000 baht for the procedure to be performed on one eye. This included a full physical examination before the surgery. The operation lasted approximately 30 minutes and although uncomfortable, I experienced no pain.

The following morning I returned to the Eye Specialist and was able to read the eye chart with my right eye from top to bottom without difficulty.

Gladiator

Thank you. You must be very happy about the result.

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The prices of the lenses varies greatly and there are different levels of quality and features. These lens implants are intended to hopefully last for life. Interestingly, there is a great doctor in Nepal who has developed a wonderful program of doing free field surgery for poor people, often restoring the sight of people who have been totally blind for five years. He couldn't afford commercial lenses for this program so he led a program to produce his own which are now sold to other poverty programs around the world. The cost of the lenses -- about ONE U.S. dollar. I know, incredible when many of us might spend 1,500 USD for one lens. No, I don't want the dollar lenses but I wonder how the quality compares to an expensive (single focus) lens.

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Firstly I would like to thank Jingthing for his efforts in sorting through various info re Cataract Surgery as I too have a personal interest in his efforts.(JT-- Keep up the good work!)

Re: Femtosecond laser in cataract surgery.

Like Jingthing I have been researching Surgeons and methodologies -- I came across this:

Cataract Surgery Complications for Femtosecond Laser Surgery

Posted on September 29, 2011 by Administrator

Early reports from the first centre in Australia to offer femtosecond laser assisted cataract surgery (“lacs”) have shown an exceptionally high rate of minor and major cataract surgery complications, contrary to claims that this technology is safer than traditional cataract surgery. The reported rate of complications is much higher than traditional cataract surgery; in particular there have been at least four cases of “dropped nuclei” from the group of surgeons using the first installed femtosecond laser cataract machine in Australia. Currently there are only two femtosecond cataract lasers in Australia, both located in Sydney. This is a major complication of cataract surgery requiring further surgery by a vitreo-retinal specialist to remove the cataract from the back of the eye. This complication has the potential to adversely affect the patient’s vision. So far there is no published data to support the visual acuity outcomes being better than non-laser assisted cases. There should soon be some early results data from reports from the European society of cataract and refractive surgeons annual meeting in Vienna.

http://www.cataract-...emid=13〈=en

Further:

Cataract Surgery Complications

Posted on June 2, 2011 by Administrator

There continues to be a huge amount of controversy over the place of the new femtosecond laser in cataract surgery in the correspondence of the American society of cataract and refractive surgeons.

American surgeons who have used the laser (many of whom have financial interests in the laser companies) are very enthusiastic about it. Many other surgeons in the USA are very concerned that the laser is more about marketing than real surgery benefits.

There is still no clear evidence that the enormous cost of these machines (half a million dollars) is reflected in the improved results that the laser is supposed to produce. One of the main advantages is said to be a reduction in cataract surgery complications, but with so little data it really is not clear whether the laser does represent a meaningful reduction in the complications of cataract surgery. It is also possible that the laser may cause some new complications itself that have not been seen with current “state of the art” phacoemulsification cataract surgery.

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ID: 34   Posted (edited)

OK, finally I have some news about progress in Thailand with this new technology.

I am not one of the skeptics. I reckon in 10 years in advanced countries, most cataract procedures will be using this laser assisted technology.

It is clear that RUTNIN has a machine now.

http://www.rutnin.com/eng/ophthalmologist.php

They are not yet advertising this new technology.

There are two other machines in Thailand but I don't know where yet.

If anyone else knows where the two other machines are, please post.

Anyway, I wouldn't want to be among the first practice patients with this.

But within a year or two, there will probably be some very practiced Thai doctors in this.

http://www.visioneyeinstitute.com.au/thai-surgeons-vision-vision-eye-institute-chatswood/

There are now three laser cataract devices in Thailand that have been installed in the last two months. Having hands-on experience with the procedure, the surgeons at Rutnin Eye Hospital will now begin to perform laser cataract surgery in clinic.

There are currently a number of options for this in Singapore, Malaysia, India, and the Philippines.

Edited by Jingthing

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Bear in mind that when new technologies like this come out, there is a learning curve...and they are only as good as the operator.

Personally I would opt for conventional laser removal of cataract with a very experienced doctor than to be among the first 50 cases someone did with the new machine.....

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ID: 36   Posted (edited)

JT, I think the place where I got my lasik has this, TRSC in Bangkok.

http://www.lasikthai.com/cms.php?ref=do:read/id:68

This is an important topic to me as I have had early onset of cataracts due to an eye surgery last year. I have already contacted TRSC about coming in for consultation, and they encouraged me to do so. My opthamologist who did my surgery has not yet commented on this, but I will be looking into it in the next 6 months or so. I will remember this thread and post my findings.

* I may have spoken too soon, this from their website on cataracts:

Cataract surgery is a two-part process. The natural cloudy lens must first be removed, and then a new lens must be implanted. At TRSC, we perform cataract surgery using a method called Phacoemulsification (phaco) to remove the natural lens and then replace it with an intraocular lens (IOL) of your choice. This type of removal requires smaller incisions than traditional cataract surgery, and the entire process is completed in less than 30 minutes. This is the most common form of cataract removal performed around the world today.
Edited by keemapoot

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Bear in mind that when new technologies like this come out, there is a learning curve...and they are only as good as the operator.

Personally I would opt for conventional laser removal of cataract with a very experienced doctor than to be among the first 50 cases someone did with the new machine.....

I totally agree. Maybe that's why they're not advertising anything yet. How do they get people to pay full retail for docs who are practicing?

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JT, I think the place where I got my lasik has this, TRSC in Bangkok.

http://www.lasikthai.com/cms.php?ref=do:read/id:68

This is an important topic to me as I have had early onset of cataracts due to an eye surgery last year. I have already contacted TRSC about coming in for consultation, and they encouraged me to do so. My opthamologist who did my surgery has not yet commented on this, but I will be looking into it in the next 6 months or so. I will remember this thread and post my findings.

* I may have spoken too soon, this from their website on cataracts:

Cataract surgery is a two-part process. The natural cloudy lens must first be removed, and then a new lens must be implanted. At TRSC, we perform cataract surgery using a method called Phacoemulsification (phaco) to remove the natural lens and then replace it with an intraocular lens (IOL) of your choice. This type of removal requires smaller incisions than traditional cataract surgery, and the entire process is completed in less than 30 minutes. This is the most common form of cataract removal performed around the world today.

Very different than Lasik lasers. These new machines represent a MASSIVE investment.

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Always ,but always go to India for treatment, depending on day and time of season,can get return air fare for something like 250 bucks. While there get bowel screening,heart stress tested,blood testing, prostate anything that you can think of. Just had op there magnificent,damned cheap too to Thailand.

Contact manufacturer of this machine,ask them other places where they are located, tell the Indians you are a resident of India, they will have a ton of differing prices also medical visa is OK ,bit cheaper

did you have a heart op?if yes rerport which town which hospital do you recommend?

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Always ,but always go to India for treatment, depending on day and time of season,can get return air fare for something like 250 bucks. While there get bowel screening,heart stress tested,blood testing, prostate anything that you can think of. Just had op there magnificent,damned cheap too to Thailand.

Contact manufacturer of this machine,ask them other places where they are located, tell the Indians you are a resident of India, they will have a ton of differing prices also medical visa is OK ,bit cheaper

did you have a heart op?if yes rerport which town which hospital do you recommend?

Do not think he did. If you go on Wiki or type in the guys name on the internet ,look for heart surgeons in India by the name of Shetty (maybe Bangalore). He is regarded as one of the best heart surgeons there and in the UK . He did work at Guys hospital in London,quite famous for low cost surgery Was recommended to this surgeon at ex pats club meeting a week or so ago by another member. Not in for heart surgery yet,but monsoon season there at the moment,do not like getting my feet wet

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