It has so hard to comment on DLK and subsequent problems, because the situations can be so caried. I can tell you that wrinkles in the flap as a rule are bad, and as a rule you want to remove wrinkles/striae as soon as possible - because they can become very difficult to remove if they are allowed to stay over time.
Now - with DLK - it is so hard to know without being your doctor. I can tell you that the initial goal should be to get rid of the DLK and also get rid of any flap wrinkles. One interesting comment by Dr. Mark Speaker who is from New York is that patients with wrinkles tend to be "overocrrected" or hyperopic. So your hyperopic shift may be just from the wrinkles alone.
I hope this helps
Bill Trattler, MD
Miami, fL
2. "Hyperopic shift and enhancement" Posted by Nancy - Redondo Beach, CA on 23:47:18 11/05/2000
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Thank you Dr. Trattler.
I was 20/20 in both eyes the first day post-op.
Are you saying the the wrinkling can cause a hyperopic shift?
I've heard that a large hyperopic shift after DLK should not be enhanced for a year or more, because up to half of the hyperopia can regress and if enhanced too soon, the patient will end up overcorrected back to the minus side again.
In the case of severe DLK and really bad wrinkles, would Econpred every 2 hours be sufficient treatment?
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