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Cataracts After Lasik


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Cataracts After Lasik, Phil - Ballwin, MO, 8/05/2005
Cataracts after lasik, Phil - Ballwin, MO, 8/05/2005, (#1)
answer, William B. Trattler, MD Miami, FL 8/06/2005, (#2)

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"Cataracts After Lasik"
Posted by Phil - Ballwin, MO on 13:46:19 8/05/2005
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I had lasik surgery performed in Januray of 2005. My vision was immediately corrected to 20/20 in my left eye and 20/30 in my right eye. The right eye was purposely undercorrected to allow me to see things like the dashboard on the car etc.
In May, 2005 I began to notice my left eye vision was deteriorating and blurring. I was told to use more drops and might possibly need Restasis.
In July of 2005 I could wait no longer and went to see my regular O.D. who informed me I had a refractive error in my left eye. Three days later I went back to my Lasik surgeons office and was told my vision had deterioriated and was given a prescription for Restasis. I pressed the issue for enhancemnt which was scheduled for August 4, 2005. I went for new measurements and wave fronts etc, on August 1 and was told to return on August 4, 2005 for my enhancement surgery.
When I returned on August 4, 2005 I was told out of the clear blue sky that I had "oil drop cataracts". My left eye was "diagnosed" as a 2+ and my right eye as trace. I was told to wear a contact for six to eight weeks and return for a checkup. However, my lasik surgeon does not do cataract surgery.
Does this whole experience seem odd to any of you M.D.s on this site. If I had not pressed the issue for enhancement I would still be using enough eye drops to float a boat and restasis. I have read that trauma and steroids can cause sudden onset of cataracts. Could either be the cause? I went to my primary care physician and requested screening for diabetes and was reminded that I had such bloodwork less than one year ago and no signs of diabetes were present.
I would appreciate some feedback on opinions and advice. Please HELP!
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1. "Cataracts after lasik"
Posted by Phil - Ballwin, MO on 13:55:32 8/05/2005
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Feel free to respond to me at if you choose not to post a response on this board.
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2. "answer"
Posted by William B. Trattler, MD on 23:22:42 8/06/2005
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Cataracts can occur suddenly, even without LASIK surgery. As well, atleast your surgeon noticed that the cause of your shift in vision was the sudden development of a cataract.
We had a strange case at our office. A patient scheduled for LASIK cancelled her surgery and rescheduled her surgery for a week later. The day after she was supposed to have surgery, she came to the office reporting sudden loss of vision in one eye. She had a retinal detachment. If she had undergone LASIK - everyone would have thought that the LASIK caused the retinal detachment. But thankfully she rescheduled her surgery.
The point is - cataract, retinal detachments, and other problems can occur with or without surgery.

I hope this helps

Bill Trattler, MD
Miami, FL

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