Hello,
My story:…read more
I had a 4 year journey, starting in 2018, to have my left eye cornea repaired by Dr Motwani, as I was experiencing visual disturbances and irregular astigmatism for over 15 years after a botched Lasik procedure by another surgeon in 2002.
For correction, I gave up on Scleral lens fittings, back in 2003, that tried to vault over the issue of a central island and irregular shape cornea because the lense would cloud up after 4 hours of use, and besides still needed glasses over the lense to see.
Dr Motwani gave me hope after a long search for a possible solution. In 2010, the famous Dr Wang of Nashville informed me that my hope for correction to my situation was topography guided and that the laser hadn't been approved yet in USA. So, I patiently waited year after year for approval.
In 2018. I learned of Dr Motwani's new protocol, LYRA, and he had 2 years experience on this laser, the Alcon EX500 (former Wavelight) to perform topography guided Lasik, which was finally approved for USA by FDA in 2016, but was being used in Europe successfully for over 10 years prior.
Dr Motwani tried his best to repair; however, the first Lasik attempt he performed in 2018 resulted in disaster, 5 days later, leaving me with epithelial ingrowth nightmare.
Had I known prior that there was a 50/50 risk of 'epithelial ingrowth' by lifting up an existing Microkeratome created flap, that is over 3 years old, I may have declined to proceed with Lasik surgery, and gone with PRK instead.
Dr Motwani, if you're reading this review, please inform patients of this risk of epithelial ingrowth, as I read other reviews with the same nightmare outcome. Thank you in advance for this consideration, sir!
I had a local surgeon in Oklahoma who agreed to see me but was reluctant to lift the flap to try to wash away some of the cell invasion (epithelial ingrowth) with saline squirts.
After Motwani consultation with the Oky surgeon, he agreed to attempt the cleanup of cells; however, peripherally, he was to afraid to, siting that to risky, that there would be a good chance of additional cell invasion if he lifted the flap too much, in the initial area of intrusion. It's these remaining cells that have caused my grief and aggravation.
In the meantime, I continued to see my corneal specialist locally as Dr Motwani had insisted. This corneal specialist noticed that the epi ingrowth cells outside were still linked underneath the flap, that the colonization had to be unlinked, so I flew back to San Diego for another procedure.
Back in California, Dr Motwani attempted to clean up, the best he could, these now solified colony of epithelial cells, alongside the flap edge, that left me with a shim of cells, raising the edge of the flap of my cornea, and now I realize that scaring must have ensued later, as a result, which I learned from my latest doctor, over 4 years later.
Back home, my corneal specialist seemed pleased with the results of the cleanup. Hey, Dr. Motwani, that was great advice to keep following up with my specialist.
To Dr Motwani's credit, he never abandoned me throughout this 4 year ordeal, and I owe him a debt of gratitude for that.
Ironically, I don't think he would ever admit that the high spot and scaring from epi-ingrowth would have this adverse lingering effect on my vision today, which, if so, would be quite bewildering, whilst the evidence is clear that only a Scleral lense can resolve.
In summary, in this bad eye, I endured in total, 2 Lasik and 5 PRK surgeries between 2018 - 2022 with Dr Motwani, and he was able to eliminate virtually all the astigmatism, on the last retry; however, visual disturbances and irregular astigmatism persists due to the remaining high spot alongside the edge of the flap with scaring, resulting in a lost of 2 lines of vision.
After each surgery, I always followed up with my local specialist, bewildered that I had lost 2 lines of vision - yet I kept hoping that each additional surgery would restore it, not realizing that over coming the epithelial ingrowth was really an exercise in futility.
Still looking for a solution to my dilemma, I learned that soft contact and spectacle correction was an exercise in futility, too, so I thought I would try my last hope to inquire about Scleral lenses again.
So, in Oct 2022, just 4 months after my last PRK surgery with Motwani, I was informed that Scleral technology has really evolved in the last 19 years, since the last time I tried, in 2003.
Well, I'm happy to report - the good news is that custom scleral lenses have advanced, and I've found a local doctor who has given my vision back. I'm so grateful! I can drive at night again!
So, my advice would be, for others, considering an enhancement or repair, if you have an old flap, created with a Microkeratome, is to not lift it, IT'S NOT WORTH THE RISK, but instead have Dr Motwani consider custom trans-epi PRK, 2 stage, as he is the best in my opinion.
Kind regards