Robert Kahn

robert-kahn-tok-cten-oyelaser-referanse-3Robert Kahn, journalist fra Queens i USA, er en av flere pasienter som har reist langt for å få behandling av vår Dr. Aleksandar Stojanovic. Her kan du lese Kahns egen beretning om hvorfor han valgte å reise helt til Norge for å få cTEN laserbehandling. Vi har valgt å ikke oversette denne til norsk, da vi føler noe av innholdet muligens ville bli «lost in translation».

In 2008, Dr. Stojanovic at SynsLaser in Norway helped restore the vision in my left eye to 20/12, with no aberrations.

I was an early LASIK patient in the USA, in 1996. A decade after, I sought treatment for «an enhancement.» Unfortunately, that procedure involved cutting a second LASIK flap in both eyes. The «enhancement» left the surface of my eyes rippled, «like a lake on a windy day,» as one doctor put it. The resulting aberrations made it hard to see in low-light conditions, such as subways or theaters. Light appeared as «starbursts.» Most objects had a «ghost» image. I was diagnosed with severe «irregular astigmatism» that could only be controlled with a large and uncomfortable hard scleral contact lens.

Glasses – once, all that I had wanted to be rid of – were now all that I hoped to be able to some day wear again.

On Web sites such as «D’eyealogues» (lasermyeye.org <http://lasermyeye.org> ), I read about people traveling all over the world to resolve their post-LASIK complications. It was frightening to realize that I might need to do that … even as a resident of New York City, with its respected ophthalmology institutions. One New York eye doctor told me that if I pursued further surgery on my more severely damaged left eye, «I would almost certainly need a full cornea transplant.»

On «D’eyealogues,» I began to read about iVis technology and heard about a patient from the U.S. who had traveled to Tromso, Norway, for surgery with Dr. Stojanovic. I approached Dr. Stojanovic by e-mail with a brief description of my problem and later supplemented that with topographies and a sonogram of my eye. I learned that Dr. Stojanovic would be at a conference in Chicago in April 2008, and he agreed to meet me there in person to discuss my case. One of the major issues you discuss in a situation like this is whether your problems originate inside the flap «interface,» or on the eye’s surface. Dr. Stojanovic felt that a good deal of my difficulty could be managed by a targeted surface treatment more specific and sophisticated than the «wavefront» treatments available in the U.S. Most attractive to me was that the surgical plan would be created with the goal of preserving as much corneal tissue as possible – after two LASIK procedures, I had precious little cornea to spare.

I made plans to travel to Tromso for surgery on my left eye in September 2008.

I kept telling my friends I was «going to the North Pole» for an operation, and it wasn’t far from the truth. After I recovered from the 4,000-mile journey, we spent a day doing tests and I had the operation on my second day in the beautiful, crisp-aired city. The goal was to widen the earlier treatment zone and «regularize» the surface. We intentionally allowed for some «regular astigmatism» to remain in the surgical plan, in an effort to save additional corneal tissue. Once my epithelium had regrown, after about a week, I was given the «OK» to fly back home. Topography-guided ablation, like any PRK, is a weird beast: it takes a lot of patience to wait for the outcome. The weeks ticked off and my vision slowly stabilized. I went for bi-weekly topography scans in New York and the changes were becoming apparent. Ultimately, the eye settled in with small degrees (less than -1 each) of nearsightedness and «regular» astigmatism. (Boy, is «regular» astigmatism a lot easier to handle than «irregular» astigmatism …) In January 2009, three months after the surgery, my ophthalmologist put me back in glasses. I remember he said: «Rob, you sure dodged a bullet,» and he was right. I remember leaving his office, walking down 5th Avenue in glasses, and feeling so overjoyed that I could not find the words to describe my happiness.

I returned to Norway a second time in 2009 for an iVis treatment on my right eye. We are awaiting the results of that procedure. Given advances in the clinic practice at SynsLaser, we were able to do this procedure in Oslo, so I’ve now had quite the comprehensive tour of Norway. It would be an understatement to say that I could not be more thrilled with the treatment and attention I received from Dr. Stojanovic, and his colleagues Dr. Chen, Stian and the people at the SynsLaser clinic.