I had lasik performed on both eyes and neither has meet the expectations set by the doctor. I had my left eye re-flapped approx. 2wks ago and I still can't see correctly. My left eye vision is still hazy but not cloudy. The interesting thing is that if I tilt my head back and look through the bottom of my left eye the vision is good thus I have made the broad assumption that the problem is in the cornea. I am on steroids but they don't seem to be helping much.

What should I be doing or asking my physician to do in order to accelerate my recovery? Will this be a permanent problem?

I will behappy to help, but I need more information to make comments:

1. What was your preoperative level of myopia, hyperopia, and/or astigmatism

2. When was your first surgery
3. When was your last surgery, and on which eye
4. What was the reason for the last surgery - wsa it to fix a flap problem (called a flap lift), or was it an enhancement to fix residual myopia, hyperopia and/or astigmatism

5. If it was a flap lift - was it for a slipped flap, flap folds, or flap striae? As well, how was the surgery performed - did the doctor stretch the flap, suture the flap, or swell the flap with water?

6. Have you been refracted recently - the key question is - what is your best corrected vision a th this time - to explain further - what is the best you can see with a refraction.

I will be happy to help further

Bill Trattler, MD
Miami, FL

Thank you for taking the time to answer this post. I will collect the information that you suggested and forward.

>I will behappy to help, but I
>need more information to make comments:
>

>1. What was your preoperative level
>of myopia, hyperopia, and/or astigmatism

>2. When was your first surgery3.
> When was your last surgery,
>and on which eye4.
>What was the reason for the
>last surgery - wsa it to
>fix a flap problem (called
>a flap lift), or was it
>an enhancement to fix residual myopia,
>hyperopia and/or astigmatism

>5. If it was a flap lift
>- was it for a slipped
>flap, flap folds, or flap striae?
> As well, how was the
>surgery performed - did the doctor
>stretch the flap, suture the flap,
>or swell the flap with water?
>

>6. Have you been refracted recently
>- the key question is -
>what is your best corrected vision
>a th this time - to
>explain further - what is the
>best you can see with a
>refraction.

>I will be happy to help further
>

>Bill Trattler, MDMiami, FL

Here is the history and information you previously requested.

History:
I had eye surgery on both eyes on 12/06/00. See #1 below for preoperative level of myopia and astigmatism. My right eye has healed quit well except for an angel wing effect with bright night lights. Although I would like to resolve this issue, I will concentrate on my left eye which I continue to have significant issues with.

Left eye UCVA 3-days after surgery was 20/40 +2. Early sands was detected. 5-days after surgery my UCVA was 20/20 -1. 7-days after surgery my UCVA was 20/40 - and had opacities. 9-days after my UCVA was 20/60 and I was refloated on 12/15/00.

3-days after refloat my UCVA was 20/60 -2 and never improved. My refraction (manually taken)was +2.75. An auto refraction equipment measured +2.00 -1.5x75. On 1/12/01 I was refloated again. This time the surgeon added a clear contact lense that was left in for a week.

The lense was removed last week and I still have multiple images in my left eye and it seems identical to the vision I had post the first refloat. The surgeon is recommending suturing, which I am very unconfortable with, as the next step.

Questions:
1. Should this be the next step or should he be swelling the flap with water?
2. Are there any analytical test that he should be conducting before we try suturing?
3. If suturing is the next logical step, what are the risks?
4. Also, I find it too coincidental that the left eye healed very similar to the first refloat. Is this typical?

--------
Answers to your questions:
1. Preoperative level of myopia and astigmatism:
-1.75 -1.00x060(Left) -1.00 -1.00x122(Right)

2. First Surgery date: 12/06/00

3 & 4. after 12/6/00 surgery I had my left eye reflaped twice once on 12/15/00 for debris and the second time was on 1/12/01 due to microstriae. Neither of these reflaps was for enhancement purposes.

5. On the last reflap the doctor stretched the flap and placed a clear contact lense.

6. I have not had a refraction test since the operation but expect that it will be happening this week. I continue to have multiple images with my left eye and suspect that the reflap was unsuccessful.

>Thank you for taking the time to
>answer this post. I will collect
>the information that you suggested and
>forward.

>>I will behappy to help, but I
>>need more information to make comments:
>>

>>1. What was your preoperative level
>>of myopia, hyperopia, and/or astigmatism

>>2. When was your first surgery3.
>> When was your last surgery,
>>and on which eye4.
>>What was the reason for the
>>last surgery - wsa it to
>>fix a flap problem (called
>>a flap lift), or was it
>>an enhancement to fix residual myopia,
>>hyperopia and/or astigmatism

>>5. If it was a flap lift
>>- was it for a slipped
>>flap, flap folds, or flap striae?
>> As well, how was the
>>surgery performed - did the doctor
>>stretch the flap, suture the flap,
>>or swell the flap with water?
>>

>>6. Have you been refracted recently
>>- the key question is -
>>what is your best corrected vision
>>a th this time - to
>>explain further - what is the
>>best you can see with a
>>refraction.

>>I will be happy to help further
>>

>>Bill Trattler, MDMiami, FL