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Laser Eye Surgery/Post lasik internal swelling in an eye

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Question
Hello Doctor,
I had a combination no. cylindrical & spherical in both eye. I got the wavefront lasik done in June 2012. Since the number still remained he performed a corrective surgery in July 2012.
After that I was told that there are some creases in the flap in the left eye. To correct this in Aug 2012 the doc performed a procedure where in he removed the flap and straightened it in distilled water and then re-fixed it. This badly affected my vision. Everything became cloudy and unclear. The doctor noticed severe internal swelling & immediately advised me to start putting steroid drops. Since then I am putting Pred forte drops with refresh tears drops as advised but the vision is still very dull. Do you think I will ever get my vision back?

Answer
Dear Heena,

LASIK in general is meant to treat both spherical plus cylindrical powers.
I am not sure of the status of your cornea today.

Usually any re treatment is done after a period of 3 months, allowing the initial treatment to stabilize. However, this is not a thumb rule set down, but a general practice. Some doctors may decide to re treat earlier than this time.

The flap striae need to be cleared up as soon as they are noticed, as the longer they stay, the more settled and difficult they get to treat.

Steroid eye drops are used to quieten the cornea, and definitely used for 7 days post LASIK or a re treatment. If they are advised for a longer time, then it is possibly due to delayed healing.

Unless examined, it is difficult to answer what can be the case in you. You can always seek a second opinion. I'm not sure which city you are in, or where you did the treatment. Speak to your treating surgeon for an expectation on the same, or let me know if you are in Mumbai?

Best,
Anand Shroff

Laser Eye Surgery

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Dr Anand Shroff, MD, FICS

Expertise

I am happy to answer any questions on eye care. My expertise is in Laser Eye surgery (LASIK, Epi LASIK), Multifocal Implants, Cataract, Glaucoma and procedures for Corneal abnormalities like Keratoconus - Corneal Collagen Crosslinking C3R

Experience

OF LASIK, We are one of the first centres to use the wavefront guided LASIK or custom LASIK procedures and the only center in India using the most safest,accurate and fastest excimer laser in the world- 'The Wavelight Concerto, 500 Hz laser'. Doctors from various parts of the world train with me and few other experts in Germany each year on our wavefront procedures. Our centre is the first eye hospital to be awarded the highest certfication in healthcare- the Joint Commission International (JCI from USA) and is also the referral centre for our Wavelight Laser Technologies, Germany in India. We have treated patients from 89 countries and this list keeps growing as more and more patients are getting increasingly aware of the benefits of treatment with advanced technology in laser eye surgery.

Organizations
ASCRS [American Society of Cataract and Refractive Surgery]certified by USA- Joint Commission International

Publications
http://www.shroffeye.org

Education/Credentials
MD Ophthalmology and FICS [Fellow of the International College of Surgeons]

Awards and Honors
please see http://www.shroffeye.org and www.lasikindia.in

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