3 Months PO - Corneal Edema developed overnight

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3 Months PO - Corneal Edema developed overnight

Postby slee104611 » Mon Mar 12, 2007 4:18 pm

I had wavefront LASIK on December 1st. Since then, my vision has been steadily improving as it went through the normal healing process. Suddenly 2 weeks ago, I woke up and for no reason my right eye was blurry. Since I had a Drs appointment already scheduled I figured I'd wait the week and see if it cleared up. It did not so when I went to the Drs they examined my eye and ran tests.

Apparently my eyes have healed perfectly, no wrinkles, tear production improving, no haze or cloudiness. The orbscan test showed that I had corneal swelling (edema) and they gave me drops but were at a loss to explain how or why this would happen suddenly at 3 months. At my 6 week check up I was at 20/40 and now I'm at 20/90. They re-tested for my "best correctable vision"and it was 20/25 so whatever was causing this was temporary or correctable.

Has anyone had any experience with this? What concerns me is the suddeness (overnight) of the swelling and the lack of a medical explanation other than "it may be just how your eye is healing - let's wait and see."


Thank you
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Postby LasikExpert » Tue Mar 13, 2007 11:27 pm

Edema is a wound response. It may be impossible to know exactly what caused the response. It could have been allergy, response to medication, dry eyes, or even rubbing or scratching your eyes in your sleep, or a partner inadvertently causing trauma to the eye.
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Postby slee104611 » Thu Mar 15, 2007 2:09 pm

Thank you for your response. I must have wounded it in some way during the night without knowing. My Dr gave me Alrex to use twice a day for a week and I have to go back in 3 weeks. Worst case scenario is doing a touch-up in a few months, best case, it clears on it's own. Either way I'll be happy in the end so I guess all I need is patience. It's just hard sometimes with the ping-pong like healing process :)
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Postby LasikExpert » Thu Mar 15, 2007 3:44 pm

The ups and down during the normal six month healing period can be very frustrating, especially when it seems everyone you know who had Lasik or similar surgery had little or no problems at all. That is the majority, but the majority result does not help the minority with problems.

The cornea is very good at healing scratches - the epithelial cells are the fastest reproducing cells in the human body - and from what you have described it seems you should fully resolve with healing.

Alrex is a corticosteroid, commonly used to treat ocular inflammation.
Glenn Hagele
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Postby slee104611 » Tue Mar 27, 2007 11:10 pm

Went to the eye doctor and nothing changed in the right eye. The Dr. said I have to wait until 6 months post operative and if the vision does not improve, they will have to re-do the right eye which makes me really angry and upset.

I told my friend who is a cardiac surgeon what was happening and he advised me to immediately run and get another doctor because any surgeon who can't get it right the 1st time should not even be in practice. I have to say, what he says makes perfect sense but it seems that there are a lot of instances where touch ups are necessary so I'm not sure what I should do.

Any advice? I'm scared and confused. Thank you.
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Postby LasikExpert » Thu Mar 29, 2007 2:58 am

I believe your cardiologist, while meaning well, does not understand the limitations of laser eye surgery. Enhancement surgery is realitively common and is almost guaranteed to be necessary for some patients.

For peace of mind, seek a second opinion from a corneal specialist. Either you will know your current doctor is on the right track, or you will be evaluated by a doctor who can put you there.
Glenn Hagele
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USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
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