Corneal specialist's opinion about my "dots"

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Corneal specialist's opinion about my "dots"

Postby freakonaleash » Mon Apr 30, 2007 3:10 pm

Well I went to the corneal specialist on Friday. He says I have 3/4 of a diopter (sp?) of astigmatism in the 120 degree meridian of my right eye. This was not present before my Lasik surgery. His theory is that when the flap was relaid after surgery a bit of a "wrinkle" formed in it which is causing this distortion of light and thus the dot pattern. He thinks that *maybe* the flap could be pulled and smoothed underneath with some diamond-tipped instrument and relaid and perhaps that will fix the situation. Does this sound feasible to you, Glenn? It's hard to diagnose and treat something you cannot see, I know. Should I give it a try? Thanks!!
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Postby JPD » Mon Apr 30, 2007 6:57 pm

If I was you I'd have a lot more faith in the opinion of a corneal specialist then that of Glenn. If he says so, that's probably what's up. What is the alternative? If their is no alternative then I'd say, yes, you have to give it a shot.
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Postby LasikExpert » Tue May 01, 2007 1:22 am

What the specialist described is a proceedure often and relatively simply performed - flap lift. I am surprised that a fold in the flap (macrostriae) would not have been noticed by your Lasik doctor.
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Postby freakonaleash » Tue May 01, 2007 4:19 am

It has been 1 year since my Lasik procedure. Can a striae still be smoothed out, or has it been too long?
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Postby LasikExpert » Tue May 01, 2007 3:20 pm

The success of a flap lift for macrostriae depends greatly upon the exact nature and position of the fold. As a general rule it is better to respond early with macrostriae (microstriae are the opposite).

The epithelium (soft outermost layer of corneal cells) works very well at reducing irregularities. It is likely that the effect of macrostriae would be masked by epithelium healing response. After a flap lift and repositioning the epithelium will remodel to resolve whatever problems it finds. This process can take a few days to weeks, but it is truly amazing what the eye can do to heal itself.
Last edited by LasikExpert on Tue May 01, 2007 10:56 pm, edited 1 time in total.
Glenn Hagele
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USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
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Postby freakonaleash » Tue May 01, 2007 9:49 pm

Thanks, Glenn..thanks, JPD. I'll let you know how it turns out!
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