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Blood Under The Flaps (2 Weeks Post-op)


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Blood Under The Flaps (2 Weeks Post-op), Marc, 10/15/2000
Blood, William B. Trattler, MD Miami, FL 10/18/2000, (#1)

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"Blood Under The Flaps (2 Weeks Post-op)"
Posted by Marc on 01:10:42 10/15/2000
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I'm now two weeks post-op (actually 16 days).

At my 1-day post-op appointment, the doctor
confirmed I had some small scratches on the
right eye, but told me they'd heal in a few days
(the surgeon said the same thing just after the
procedure). After 5 days, the scratches were
healed, but the doctor told me there was
some blood under the flap that was causing
the "distortion" (much like astigmatism) I was
seeing. He told me it might take as long as a
month until it cleared.

At my one-week post-op, two days later, he
said he could see some progress in the right
eye. A few days later, my vision was worse
and I stopped in to see him.

He said that I have no striae or epithelial
ingrowth (which was welcome news, I'm a bit
of a "worry wart"). He said that the blood was
spreading out as it dissipated and would likely
"...get worse before it gets better." [my
paraphrasing]

The left eye was between 20/30 and 20/25, the
right is about 20/50 with intense concentration
to get it to accommodate. He feels everything
is progressing OK. I could use some
reassurance since I'd never heard of blood
under the flap in all my pre-surgery research.
And I'm going away for two weeks on Nov 4th.

Is a month a realistic timeframe, in general? I
realize it'd be hard to say without seeing my
eyes for yourself.

I also have some ghosting of bright objects
(tonight's full moon is a good example...I'm
seeing 3 or 4 slight ghosts around it). Is this
all related to the blood under the flap?

Without a doubt, my best vision is at a
distance in natural light. Fluorescent lights are
still very hard for me due to the glare.

Any info is appreciated. I realize that I'm still
healing and I'm not panicking. But I'd feel
better with some confirmation. Thanks!

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1. "Blood"
Posted by William B. Trattler, MD on 00:21:53 10/18/2000
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I have never had this happen, but blood can seep under the flap if a person has blood vessel growth into the cornea.
I am not aware of any extra risks that blood might pose on final visual outcome. The symptoms you are describing may be related to the blood, but with out me seeing the precise location I can not know for sure.
The good news is it seems like your doctor is seeing you quite frequently, so hopefully he/she has a good feel for how things are progressing

Best of luck

Bill Trattler, MD
Miami, FL

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