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Microscopic striae


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Microscopic striae, Karen - Concord, MA, 1/20/2000
Lasik question, William B. Trattler, MD Miami, FL 1/22/2000, (#1)

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"Microscopic striae"
Posted by Karen - Concord, MA on 16:56:34 1/20/2000
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I am 2 weeks post surgery on my left eye, and I see quite well, but my vision often seems blurry and letters on a page look grey rather than black. After using a lubricating tear, my vision sharpens tremendously, and I can see 20/20 plus a few letters on the 20/15 line, but after a few blinks I'm down to 20/30 or 20/40. The doctor sees microscopic striae which he says he sees in 30 or 40% of patients whose vision was corrected from greater than -6.00. He believes these very tiny lines are not affecting my vision. My topography shows some extremely minor raised areas in the center of the cornea, and the doctor believes that this area of irregularity, along with my dryness, are responsible for the blur, and that it will clear on its own, in time. I have no problem being patient, I'd just like a doctor's opinion about whether these "microscopic straie" are really ok to ignore, as I know that straie which are not removed early on become permanent.
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1. "Lasik question"
Posted by William B. Trattler, MD on 10:53:33 1/22/2000
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Karen,
You ask an excellent question, but it is impossible to answer this question without an eye exam. There are of course different degrees of striae. There can be giant folds of striae though the center of the cornea which can distort vision. As well, there can be very subtle lines out of the visual axis that do not need to be treated.
However, there is no way for me to comment on whether refloating your flap to remove your striae would be helpful, since I don't know exactly where they are located and what they look like.
One helpful pearl is how good your vision is - if your vision can be corrected to 20/15 at times, then the fluctuation in vision may be due to dryness issues and tear film changes.

Best of luck

Bill Trattler, MD
Miami, FL

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