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      <image:title>Contact</image:title>
      <image:caption>CLINIC DETAILS: London Medical 49 Marylebone High Road London W1U 5HJ www.londonmedical.co.uk 08000 483 330 EMAIL: eyecare@samirjivanjee.co.uk GETTING HERE London Underground The clinic is within walking distance of Baker Street and Regent’s Park tube stations, serving the Bakerloo, Circle, Hammersmith &amp; City and Metropolitan lines. Parking Parking is available in Beaumont Street and behind Waitrose. Alternatively, metered parking may be found in the immediate vicinity. London Medical is located within the London Congestion Charge Zone.</image:caption>
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      <image:title>Eye Examinations</image:title>
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    <lastmod>2022-09-27</lastmod>
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      <image:title>Case Studies - Post LASIK Ectasia, Mr AG, Oct 2021</image:title>
      <image:caption>A good friend and old colleague of mine came to see me as he had been having some problems with his RE for the past 3 years, and it had been getting progressively worse. He had had refractive surgery in 2010 and thought his myopia was now beginning to regress. His examination revealed reduced vision and a very large amount of astigmatism. His scans (image on the left) showed steepening of the inferior cornea as well as corneal thinning. His prescription in the RE was: +3.50/-4.75 x 155 VA 6/15 Suspecting Post LASIK Ectasia, I referred him to a corneal consultant for confirmation of diagnosis (it was confirmed), followed by corneal cross linking to stabilise the cornea. Following his treatment, he returned to me for a contact lens fitting. Given the low nature of the corneal steepening, I fitted him with a large diameter RGP lens: Rose K2 IC Optimum Comfort 7.20/10.40/-2.00 EL +1, ACT grade 1 6/6 He successfully wears the lens everyday with great comfort and has wonderful vision.</image:caption>
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