Complete Eye Examinations Questions and Answers Archive

Sep
2001

Q&A: What is next for my husband who has moles that are malignant melanoma and what about my children with moles?

Question:

My husband has had many atypical moles removed over the years, its been about 5 years since he has been seen by the doctor until last week. the doctor removed 3 more and called us 3 days later telling us one was malignent melanoma. He also has some on his scalp that he forgets to show the doctor, and he is supposed to have 4 more removed in december, my questions are 1.. how would we know what stage he is in, and 2. we go to the surgeon in two days, but what else will they do for him.and 3. two of our four children are very moley and one had a mole removed last year, how often should they be checked now? thanks!! amy

Answer:

 Amy Forman Taub, M.D. - LocateADoc.com

First of all, you should go to a dermatologist who is thorough. You shouldn't have to ask to have his scalp looked at. His doctor should look everywhere- his scalp, between his toes and even at his scrotum. Second of all, your doctor should tell you what the depth of the melanoma is, called the Breslow depth. The dermatopathologist should measure the melanoma under the microscope. This is the most important piece of information you can get. This measurement is the most important predictor of future biological behavior of his tumor. You should ask your doctor if the mole was sent to a board certified dermatopathologist for this diagnosis. If not, seek out a second opinion. Finally, ask the surgeon whether they can do a sentinel lymph node biopsy. This involves injecting a dye at the site of the melanoma and then removing the first lymph node at the time the melanoma is re-excised. Again, if this node is negative, it is a very good sign that the melanoma has not spread. If this lymph node has melanoma, then you should consult an oncologist experienced in the treatment of melanoma. When you get all of this information back, write to me again. Your husband definitely should have surgery, which in many cases can be curative. You should take your children to a dermatologist experienced in this area for a total body examination. Although melanoma is rare in children, it does occur, and melanoma is partially an inherited disease. Finally, your husband should see an ophthalmologist for a complete eye exam as occasionally moles are present on the back of the eye. Good luck!!

-- Amy Forman Taub, M.D.
Lincolnshire, Illinois



Jan
2001

Q&A: I've never worn glasses but think I may need them or possibly LASIK surgery. Who do you recommend I see?

Question:

I am 34 years old and have never worn prescription glasses. (Although I think I needed them.) I had a complete eye exam 10 years ago and had like 20/40 vision at the time. I was still able to pass my drivers test without corrective lenses. My vision (nearsightedness)seems even worse lately with all the computer work I do. I am considering the Lasik procedure, but am wondering if there will be any issues since I don't have any history with prescriptions and vison stability. I would say both of my eyes see about about equally well and there has been no dramatic vision changes in the past 10 years. Anyone you can recommend in the Saint Paul, MN or Western Wisconsin area?

- Steve

Answer:

Byron Stratas, M.D., F.A.C.S. - LocateADoc.com

You should have a LASIK consult. Then, repeat it again next year to see if you have a stable prescription. I recommend Dr. Ralph Chu.

--Byron Stratas, M.D., F.A.C.S.
Wilmington, North Carolina



Oct
2000

Q&A: How important are free for 6 months or 2 years or lifetime enhancement programs for LASIK surgery?

Question:

How important are the enhancement programs offered at each center, as I have noticed some free for 6mo. 2yrs. and one for lifetime.

- craig

Answer:

Byron Stratas, M.D., F.A.C.S. - LocateADoc.com

Lifetime enhancements are only good if the corporation is in business when you need one and if you follow their rules(e.g. paying for a complete eye exam with them each year). Look for someone who lives and practices in your community and plans to be there for you in the future.

--Byron Stratas, M.D., F.A.C.S.
Wilmington, North Carolina



Jan
2000

Q&A: How long before laser correction surgery should a person stop wearing soft contact lenses?

Question:

How long before surgery should a person not wear soft contact lenses?

- John

Answer:

John D. Zdral, M.D. - LocateADoc.com

We recommend to our patients that they should be out of their soft contact lenses for a total of 2 weeks before surgery is done. After 1 week, we perform a complete eye examination and then wait 1 week to repeat the exam to assure stability. Assuming that all is stable we then proceed with the surgery.

--John D. Zdral, M.D.
Fullerton, California



Sep
1999

Q&A: My husband was born with underdeveloped optic nerves. Is there anything other than glasses to help him?

Question:

My husband was born with underdeveloped optic nerves. This causes him to have severe nystagmus. His vision is 20/80 and can not obtain his drivers license this year. Is there a surgery or other medical way to improve his vision besides corrective lens?

- Chris

Answer:

John D. Zdral, M.D. - LocateADoc.com

There is no medical treatment since his eyes never developed completely, based on the history. If his vision has decreased, however, then something may have changed recently and a complete eye examination is in order.

--John D. Zdral, M.D.
Fullerton, California



Aug
1999

Q&A: Can you get bouts of dizziness and nausea from RK surgery 4 years ago?

Question:

My son had RK surgery approximately 4 years ago, now he has developed severe bouts of dizziness, accompanied by nausea. could this be due to his surgery?

- Euna

Answer:

John D. Zdral, M.D. - LocateADoc.com

Possibly, if his symptoms are related to eye strain. I recommend a complete eye examination as soon as possible. IF eye strain is ruled out as the cause, then a further medical work up would be indicated. To schedule an eye exam please call our office at 1-800-824-1073.

--John D. Zdral, M.D.
Fullerton, California