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  • Something Under Flap After Lasik Enhancement, Please Advise

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    Old 02-22-2016, 07:20 PM   #1
    nealk
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    Unhappy Something Under Flap After Lasik Enhancement, Please Advise

    Background:

    I'm 34 and in generally good health. In April of 2015, I had bladeless LASIK performed on both eyes by very reputable (and expensive) doctor in Nashville. Before surgery, I was -5.5 in left eye, -5.25 in right eye. After surgery, the right eye was perfect, no problems from day one. The left eye never quite sharpened up (borderline -0.75 / -0.5), and so I had an enhancement done last month (January of 2016) on the left eye.

    The day after the surgery, the vision in the enhanced left eye was perfect -- until the doctor removed the contact lens. Now I've got problems. Ghosting is bad -- I see three copies of traffic lights and text on screens in the left eye. Some of the ghosts are smeared. If I can get past the ghosting, the vision is still somewhat blurry. Condition is better in brighter light settings but not acceptable.

    I've gone back to the surgery doctor. He sees spots around the lower part of the pupil that he says are globs of oil trapped under the flap. Says they might or might not go away after anywhere from two to six months. The spots are only in the middle of the eye, not toward the edge. It doesn't make sense to me how they could get to the middle and not also be at the edges.

    There is also a small amount of epithelial ingrowth at 6 o'clock but it maybe seems to have stopped growing.

    I'm scheduled to see another LASIK surgeon next week for a second opinion.

    Has anybody heard of oil trapped under the flap? I can see how it would cause the ghosting but not the blurry vision. Any chance the oil will be dissipated and go away anytime soon? What else could these spots be? Trapped air. Other physical debris? I'm worried they're going to have to go back in and lift the flap to clean it out -- but then what's the chance the same problem occurs again??

    Thanks,
    -Neal

     
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    Old 12-18-2016, 11:17 PM   #2
    slyronit
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    Re: Something Under Flap After Lasik Enhancement, Please Advise

    Did he measure your prescription?

    Is your blurriness better with correction glasses? If it is, then you still have some myopia/astigmatism left. If not, it might be the globs.

     
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    Old 07-31-2017, 08:18 AM   #3
    mjonis
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    Re: Something Under Flap After Lasik Enhancement, Please Advise

    Definitely get a 2nd opinion. I'm kinda surprised you found a surgeon that would do Lasik twice.

    Nobody in our area will do Lasik a 2nd time (regardless of how much cornea you have). PRK is the only thing they'll do.

    Supposedly if you had Lasik done more than 10 years ago and your vision was worse than -10, you had a good chance of needing an enhancement. Supposedly with the newer lasers, that chance has gone down.

    So it sounds like you have a flap complication? (that's why nobody here would do it a 2nd time). Hopefully if it's epithelium growth they can fix it (sometimes they can't, and sometimes they can, although depends on if its internal or external growth).

    Good luck!

     
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