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Ophthalmology & Optometry/Corneal Abrasion and long healing


5 months ago I injured my eye in what turned out to be a corneal abrasion with the injury in the axis of vision.  I got treated appropriately and quickly by an ophthalmologist who prescribed Muro 128 after a week of antibiotics.  My vision was blurry for a week and then I saw double, everything had a shadow.  I then got diagnosed with an irregular astigmatism caused by the injury.  It was at 1.25d at that time but went down to 0.75 2 months later.  The abrasion healed perfectly according to the doctor and didn't leave and scar although I had a haze for about 3 months.  Everything was healing smoothly but very slowly.  Up to a week ago I thought I was on the right path to a slow but certain full recovery.  The corneal is smart enough to go back to its initial shape said the doctor.  However, and about 5 days ago, the ghosting vision came back.  Without any pain, any discomfort, any injury, my vision is once again impaired as it were 3 months after my injury.  I doubt it's a recurrent abrasion as I don't have any listed symptom.  No tears, no redness, no pain, nothing.  As I am writing on my screen I can see by closing the 'healthy' eye that my vision is not as good as a week ago when I thought I was recovering although very slowly.  I could go back to the doctor but first I wanted to know if it's common or not unusual for the vision to fluctuate like that or for the blurry/double vision to come back before the full recovery?

It isn't rare to have a corneal abrasion weaken over time and reopen. These are called recurrent corneal erosions.  There is a chance you're in the process of having an early erosion that isn't 'open' yet, so it's not painful, etc.  I wouldn't hesitate to see the doctor again, but in the meantime you may consider getting back on the muro128, if it is an early erosion or swelling (edema) then this will help stop it / reverse it.
Good Luck!

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John M. Dovie, OD, FAAO


As a residency-trained Fellow of the American Academy of Optometry I am able to answer most questions regarding eye and vision health. Anything is welcome, ranging from dry or allergy eyes, bifocal contact lenses, or thoughts on LASIK surgery. As I am not a surgeon, detail-oriented surgical-related questions may be better answered by an ophthalmologist.


Selected to participate in the PCO residency program in Philadelphia at The Eye Institute, where I worked OD and MD specialists gaining invaluable experience in various clinics including glaucoma, cornea and cataract, oculo-plastics, retinal disease, neuro-ophthalmic disease, primary care, emergency medicine, and special populations. Have practiced and trained in numerous settings including hospital, academic, retail and private practice. I earned my Fellowship in the American Academy of Optometry (FAAO). There are currently only about 3000 active fellows worldwide, and there are only about 70 Fellows in the state of Virginia. I currently own and operate my own optometric practice/clinic.

American Academy of Optometry, American Optometric Association (Contact Lens/Cornea Section member since 2001), Southwest Virginia Optometric Association, Virginia Tech Alumni Association

“Nyctalopia as the Presenting Sign of Vitamin A Deficiency: A Late Complication of Gastric Bypass Surgery.” Clinical Case Study Poster presented at The American Academy of Optometry Denver, Colorado, December 2006, co-authored with Bradley Lane, OD.
“The Importance of Considering Paranasal Sinus Mucocele as a Differential Diagnosis in Diplopia.” Clinical Case Study Poster presented at The American Academy of Optometry San Diego, California, December 2005, co-authored with Kelly Malloy, OD, FAAO and Cherie Farkash, OD.
“Acute Onset of Halos and Glare: Bilateral Keratitis—An Atypical Presentation of Amiodarone Keratopathy.” Clinical Case Study Poster presented at The American Academy of Optometry Tampa, Florida December 2004. Also Presented to New Jersey Academy of Optometry, Neptune, New Jersey March 2005.
“The Opportunity for an Optometrist to Save a Life.” Clinical Case Study and Grand Rounds Presentation presented at The Pennsylvania College of Optometry, Philadelphia, Pennsylvania, September 2004.
“Corneal whorls cause wonder.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 10/15/2006.
“Acute onset of halos and glare: bilateral corneal epithelial edema with cystic eruptions--atypical presentation of amiodarone keratopathy.” Co-authored with Andrew Gurwood, OD, FAAO. Published February, 2006, Optometry.
“Pondering the posterior polka-dots.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 5/15/2005.
Professional Involvement:
“AION: Amiodarone-Induced or Anterior Ischemic Optic Neuropathy?” Participated as a peer-review referee for Expert Review of Ophthalmology (London, UK); refereed 10/2006.

Bachelor of Science, Cum Laude, Virginia Tech. Bachelor of Science, Pennsylvania College of Optometry. Doctorate (OD), Pennsylvania College of Optometry Residency, Pennsylvania College of Optometry Fellow of the American Academy of Optometry

Awards and Honors
Winner, First Place, "Best Beside Manner" by Our Health Magazine: 2012, 2013, 2014 Winner, First Place, "Best Eye Doctor" by The Roanoke Times: 2013, 2014 Recognized as a Fellow of the American Academy of Optometry, December, 2006 Recipient of the Onofrey G. Rybachok Memorial Scholarship, 2000-2001 Member: The Golden Key International Honor Society Member: The National Biological Honor Society Member: The National Honor Society Eagle Scout awarded 1994

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