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Monocular diplopia after lasik


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Monocular diplopia after lasik, Bev - Hortonville, WI, 3/13/2001
Second opinion, William B. Trattler, MD Miami, FL 3/13/2001, (#1)
Contac Lenses, Bev - Hortonville, WI, 3/15/2001, (#2)
second opinion, William B. Trattler, MD Miami, FL 3/17/2001, (#3)

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"Monocular diplopia after lasik"
Posted by Bev - Hortonville, WI on 15:21:18 3/13/2001
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I am 6 months post-lasik, using the Visx. Pre-op my correction was:
R -5.25, -1.75, 06
L -5.00, -3.00, 166

I am currently wearing glasses full-time again with the following correction:
R -1.50, -.50, 20
L -.50, -1.00, 10

The problem is since having the procedure done I am seeing a double image on everything. One just above the other. It seems to be worse when outdoors and it is bright and sunny. I have been checked for central islands and or irregular astigmatism, but nothing shows up. So far I feel I am being put off for what has happened and we are waiting to see if it will go away on its own as a type of healing process. I am not sure what to do, but it is very bothersome to continue this way much longer. The glasses help with the right eye, and within a 20 foot range, but the left eye (my dominate eye) still sees two objects.

I am getting the impression that no-one knows what happened or even how to correct it. Can anyone shed any light on this for me? It's like having two focal points and it has occurred with both the left and the right eye. Could it be my focal point is not perfectly centered and the lasik correction didn't take that into account?

I am sorry if this subject has been discussed before, but I haven't been able to locate anything, anywheres. So thanks for providing this Bulletin Board.

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1. "Second opinion"
Posted by William B. Trattler, MD on 18:48:59 3/13/2001
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Bev,
You clearly need a second opinion from a doctor who is not affiliated or who does not know your surgeon.
There is always a cause of double vision, and I have never seen a "mysterious case" that did not have an obvious answer.

So please see a second opinion doctor to find out what the cause of the double vision is. They will need to perform a refraction and topography to look at the shape of the cornea, plus they may need to try contact lenses to smooth out the cornea or treat any residual astigmatism you may have.
Again - I can't tell the cause via the internet, but a thorough exam should reveal what is going on. Please let us know the result.

Thank you

Bill Trattler, MD
Miami, FL

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2. "Contac Lenses"
Posted by Bev - Hortonville, WI on 11:21:49 3/15/2001
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We did try using the gas permeable lenses to see what happened. But it was to hard to tell, I was never able to wear contacs before and so when putting it on, my eye was so stressed that I couldn't tell anything. Plus the optomotrist did not use the correct rx to begin with, and held up another lense to view through. Not a good indications of what it could do.

I just had my six month check-up yesterday and wanted to know if my pupil size was a problem. But he couldn't give me what size they were measured at, or he wouldn't. I don't know.

However I am leaning towards the idea that my double vision and ghosting problems are from the left over astigmatism because it occurrs all day long and not just in the evenings when it gets darker outside. Any thoughts on this?

I do agree with you, that it is time to seek an outside second opinion. thanks...

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3. "second opinion"
Posted by William B. Trattler, MD on 11:32:20 3/17/2001
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I am sure that you are spending time trying to research the cause of your problem - but your best bet is to see an independent doctor to figure out what is causing your visual problems. I wonder why your doctor could not tell you your pupil size??? - this is a simple test and can be done at any time.

Please let us know what your find

Bill Trattler, MD
Miami, FL

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