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Reovery after removal of flap striae
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Reovery after removal of flap striae, Lisa, 2/11/2003
 answer, William B. Trattler, MD Miami, FL 2/15/2003, (#1)
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"Reovery after removal of flap striae" Posted by Lisa on 17:36:05 2/11/2003
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I had LASIK done 5 months ago, with resulting 20/20 vision in my right eye and 20/40 vision in my left. Additionally, my left eye had double vision or ghost imaging on top, so it was a very poor 20/40 vision. However, with both eyes, I was able to comfortably see. At my 3 month post-op visit, my doctor told me that I had a horizontal stria in my left eye that he believed was causing the double vision, so he performed surgery to remove the wrinkle 3 weeks ago. One week after that surgery, my vision was at 20/70 and could not be corrected beyond that. My doctor noticed that the flap had "scrunched" over to one side and that there were now vertical striae. He went back in a day later to fix those vertical striae. The next day at my post-op visit, he indicated that all wrinkles had been succesfully removed. The vision that day was 20/70 but my doctor said that was most likely due to the corneal swelling from the surgeries. However, one week later, the vision in my left eye is very blurry and still has the double imaging. I'm finding it extremely difficult to function with both eyes, as the left eye's vision is very crippling overall. Is this something that will clear up with time? If so, how long is the recovery period for this type of surgery?
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1. "answer" Posted by William B. Trattler, MD on 00:54:45 2/15/2003
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Please feel free to email me directly (my info is in the doctor directory under FLorida).
It sounds like you need Flap suturing. This is a very straight forward procedure where 5-7 sutures are used to seal down the flap. The procedure takes 20 minutes and works in general very well. The key is that it is better to permanently remove flap striae as early as possible - and suturing is a definitive way to remove the striae. This is because the sutures stretch the flap and hold the flap in position.
I have sutures a number of flaps, and this is my preferred way of handling the situation you have described.
If you surgeon is not familiar with flap suturing, I am happy to suggest others who may be in your area. I am also happy to speak with your surgeon if he/she has any questions.
Please do not consider removing the flap at this time. This is because removal of the flap can result in corneal scarring - generally not severe - but often problematic.
Best of luck
Bill Trattler, MD
Miami, FL
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