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Repositioning a Flap


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Repositioning a Flap, Vicki, 4/23/2001
answer, William B. Trattler, MD Miami, FL 4/23/2001, (#1)
repositioning flaps, Vicki - Upton, MA, 4/24/2001, (#2)

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"Repositioning a Flap"
Posted by Vicki on 15:38:16 4/23/2001
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I had lasik on Friday, April 20. I was corrected for Monovision from a -5.75 and -5.50. The left eye came out great, my vision on Sat AM was just great! The right was very blurry. At the 24 hour check, I couldn't even see the big E with it. I could read close up, however. They said that the flap on my right eye was out of position and would need to be repositioned. They repositioned it that morning with sterile water, then put a contact lens bandage on it. I came back on Sunday AM and the doctor said I was healing great and could have the bandage removed Monday instead of Tuesday. I will go on Tuesday, but have seen no improvement in my vision, in fact, I have significant blurriness and double vision. I can't read like I could on Sat AM.

I am concerned that there hasn't been any improvement in vision in my right eye. Is the bandage the reason for my reduced vision? Does it take longer to heal after having a flap repositioned? Does having the flap repositioned increase the chances of some long term problem?

I have an appt tomorrow, to have the bandage removed and I realize that everyone heals differently, I just would like a second opinion on this. My doctor will answer my questions, he just doesn't volunteer anything unless I think to ask him.
Thanks in advance.

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1. "answer"
Posted by William B. Trattler, MD on 23:58:48 4/23/2001
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Slipped flaps are the most important post-op problem - because if they are nbot fixed properly, permanent problems can arise.
The key is to get rid of any flap wrinkles and position the flap correctly. Flap sutures may be required to precisely align the flap and to provide tension on the flap to disrupt any corneal memory of the flap wrinkles. Please stay in touch and let us know how things are shaping up.

Best of luck

Bill Trattler, MD
Miami, FL

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2. "repositioning flaps"
Posted by Vicki - Upton, MA on 12:52:52 4/24/2001
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>Slipped flaps are the most important post-op
>problem - because if they are
>nbot fixed properly, permanent problems can
>arise. The key
>is to get rid of any
>flap wrinkles and position the flap
>correctly. Flap sutures may be
>required to precisely align the flap
>and to provide tension on the
>flap to disrupt any corneal memory
>of the flap wrinkles. Please
>stay in touch and let us
>know how things are shaping up.
>

>Best of luck

>Bill Trattler, MDMiami, FL

Thank you for your prompt response. I went back to my doctor today, who removed the bandage. He said that there was still some "memory" of the wrinkle in the flap, but felt that using drops would smooth it out. My vision in the right eye is just as it was yesterday, can't see close nor distance. My doctor told me that it should clear in about a week. He told me to come back in three weeks, but call if my vision got worse. I had a regular one week check already scheduled, but he said I didn't need to go to that.

My doctor is very reputable, so I want to have confidence in what he tells me, but three weeks seems like a long time to wait. Do you have any thoughts on whether drops will help complete this process?

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