AboutDr.Manu C.Rajnani Expertise I am a Laser Eye Surgeon specializing in LASIK-Excimer Laser to remove glasses permanently, Phacoemulsification-No stitch surgery to remove Cataract and insertion of Intraocular Lens, Glaucoma, Squint Surgeries, Laser for retina for hypertension and diabetes
Experience Practicing since more than 20 years now and conducted thousands of surgeries for LASIK (waveguide), Cataract,Phacoemulsification, Glaucoma and Squint in anterior segment of the eye
Organizations DR.MANU'S LASER EYE SURGERY CENTER at Saraswati Society,Plot 433,TPS3,Khar(west),Bombay,India,Tel: 91-22-26006801-26004467&26007828 Mobile:91-9821032072 and my 2nd laser center at SOMIKA LASER EYE SURGERY CENTERS PVT.LTD.Ramtirth Society, Rammaruti Road, Naupada, Thane(West)-400601 Tel:253 Bombay Ophthalmological Association, Maharashtra Ophthalmology Association,All India Ophthalmology Association
Question QUESTION: Dear Sir,
Today is the eighth day after i had the zyoptics surgery at chennai. After all the pre surgery investigation i was counselled to undergo intralace surgery to bring down my eye power from -7 to 0 depending on the results of the investigation. I was also told that the zyoptics surgery will only bring down the power to 1 to 1.5 possibly.
As i was depending on the Mediclaims, i cudn go for intralace surgery and opted for zyoptics and i agreed the i may have to wear thin glasses.
Soon after the zyoptics surgery i was called in to the operation theatre again for washing the flaps created on my left eye. Is it quiet normal for the flaps to get folded during the surgery and requires washing with saline water?
After washing the eye for folded flaps the surgeon was not 100 satisfied at my left eye when examined with the light and telescope like instrument.Then they put an eye drop and asked me to leave for the day
Next morning i got a clear vision on my right eye which was perfectly fine but the left eye had a comparitively low vision.After checking my eyes i was asked toi revisit on seventh day for checkup.
Now there is no glaring / watering on my both the eyes but left eye comparitively has very poor vision. When i close the right eye i ve a very blurred vision and it is more during the evenings or dim light areas.
Very much frustrated that the doctors didnt find time to hear to my words about this problem, but i was asked to revisit on 30 th day saying that the vision will be gradually enhanced and i may have to wear a thin glass of power -1.
My questions are;
1, Is it normal the flaps might get folded during the surgery and isn there any problems related to the vision?
2, Is intralace more effective and accurate than zyoptics?
3, Will my left eye improve in its vision? If yes why this had happened only with my left eye?
4, will i get the residual power of -1 to -2?
5, can i go for a second surgery for fine tuning if it is required? is it possible ?
6, is this problem on my left was due to the flaps problem during the surgery?
7, During surgery i heard surgeon asking other helping doctors 'how much'? and a reply ' it is 69' , and then after my left eye was operated the surgeon again asked 'how much?' the other one replied '69 again' and the surgeon wondered '69 again'
i dont know what are those technical numbers but are they related to my vision problem on my left eye. ( before surgery my laft eye had very high power than right one)
8, can i undergo intralace again in near future?
9, Can i check my eyes with different hospital ?
Awaiting ur response, thanks in advance!!!
ANSWER: Dear GOPINATH,
Thanks for asking such elaborate and interesting question
1] YES it is normal for flaps to get folded post operatively and No it doesn't cause problem as it can be just washed and put in position
2] intralase or zyoptic matter only if you have thinner corneas otherwise both are no problem at all with good results
3] one cannot compare both the eyes it depends on corneal thickness available and each eye behaves in different way and i dont have your exact parameters so cannot guide you completely
4] residual power depends on availability of corneal thickness if your corneal thickness was sufficient there was no need to keep the balance power
5] if sufficient corneal thickness available yes you can go for recorrection
6] no flaps folding doesn't cause long term problems
7] i cant opine what 69 they were talking about
8] only if parameters sufficient yes
9] why you want to check different hospital trust your doctor and go back if you have any doubts
If you any further questions please revert back to me
Thanking you
Dr.Manu C.Rajnani, Dr.Manu's Laser Eye Surgery Center
Saraswati Society, Plot 433, TPS 3, 15th Road, Khar (West),
Mumbai 400052.INDIA. Tel: 91-22-26006801-26004467 & 26007828
Tel: Mobile: 91-9821032072.
---------- FOLLOW-UP ----------
QUESTION: Thanks for your answers! am really glad that i got all my questions answere and never knew i can avail an option online to get all my questions answered.
Well, now i just wanna be more cleared on this,
The vision on my left is very blurred, coagulated, night vision is to poor just on left eye and of all when i look at the computer just with my left eye i have to lean front with a 15cm distance from the computer screen to have a legible vision of the letters of a normal font.
What would u advice me to do further?
Wait for 30 th day next visit for a check on this?
What parameters wud u need to answer me more relevant?
( left eye was washed for folded flaps )
Thanks in advance!
Answer Dear GOPINATH,
Thanks for asking such elaborate and interesting question
Trust your doctor and go back to him immediately tell him your dificulties and ask him what is remedy for that and once you have done that please get back to me and then we will decide what next to be done
please forget about left eye washed with folded flaps that is not big thing if that is always at back of your mind
If you any further questions please revert back to me
Thanking you
Dr.Manu C.Rajnani, Dr.Manu's Laser Eye Surgery Center
Saraswati Society, Plot 433, TPS 3, 15th Road, Khar (West),
Mumbai 400052.INDIA. Tel: 91-22-26006801-26004467 & 26007828
Tel: Mobile: 91-9821032072.
