I've been researching about my post-LASIK complications within this forum. I'll do my best to describe and I am asking Dr. Hartzok for his thoughts. I will leave a synopsis below as details are important.
I'm a white male, 41 YRS old. Had all laser LASIK performed on 5/20/2016. So,I'm about at 60 days right now post op and starting to lose my mind with LEFT eye complications.
As info: My glasses perscription was R -4.25 CYL -1.00 AXIS 140
L -4.25 CYL -1.25 AXIS 30
I was able to see 20/15 with those numbers with glasses above as a side note.
CONDITION EXPERIENCED: Hazy/Foggy/Blurry/Smeary vision with my LEFT eye and I described it as looking through a thin film of Vaseline on a glass window. Or it is like wearing a dirty contact lens that has a film on it of some sort causing some distortion as well.
LASIK Post Op Complications to LEFT eye:
Day 2 - Post Op I knew something was not correct. Went to day one post exam and was told everything is good even though I expressed multiple times my left eye is having major acuity issues. Was sent home told to wait no issues noticed. They removed the protection contact lens they placed after the procedure the day of.
Day 3 - Called the eye surgeons office and said I need to be seen for this LEFT eye issue . They said to come in and have one of the OD's take a look. Of course they performed and AR and said vision was 20/50. The interesting thing is that he said he noticed striae on the flap with the fluorescein check. They said no problem go home and wait, it will resolve on its own.
Day 4 - Called the office again and said something is not right, something is completely off with my LEFT eye. They said the eye surgeon that performed the procedure on me was there in the morning. I went in and here's what occurred. Using the slitlamp he examined my LEFT eye and said yes there are micro striae but should NOT cause any issues. He then proceeded to say, can you get to the other office to have it refloated? I was alone and could not really drive the distance. I called my parents to come out to the office for a ride to the "other" office where I assume the correct equipment was to refloat the flap. During the waiting for my parents to arrive, he went on to see other patients. He returned and decided to NOT lift and refloat but do the following:
I was sitting in the exam chair for the slitlamp, he placed numbing drops in my LEFT eye and waited a minute or two. He proceeded to use what I noticed was a sterile wooden handled Q-Tip the slitlamp for magnification and only stretched the flap trying to remove the striae I suppose. After he did that which was about 2-3 minutes and was done. My vision acuity was a complete blur afterwards. My parents arrive about 10 minutes after that and then told us he didn't want to refloat and make things worse. (At this time I had no idea what striae was nor would any other regular patient.) He said come back tomorrow at the other office to check on it.
Day 5 - Went to "other" office where in case he needed to do "something" I was at that location. He did a slitlamp exam and said there are still some "MICRO" striae and everything looked good. I explained that what he did the previous day did not help and was the same visual acuity. He said wait and go home and you'll be fine.
Day 10 - I called office and said my LEFT is not doing well, something is not correct with it. They said come in and they can take a look. Same eye surgeon that did my procedure examined me and said I'm doing "FINE". My parents were there and we were in complete awe that they can say that. I'm suffering and they can only tell me numbers from the AR and say, you're "FINE". Also the surgeon had completely horrible bedside manners throughout each of my exams. We ask for all my medical records when leaving that day for a second opinion.
Day 12 - Received a certified letter from the practice that performed my LASIK. They simply "politically" excused me as a patient!! I was in awe that the practice could not and did not want to see me as a patient any longer, ONLY for 30 Days for emergency only. Speechless. They simply didn't want to deal with me as a patient any longer since I was asking for legit answers to my concerns they skated over and over. So, they excused me.
SECOND OPINION INFO:
Day 1 - Was seen by a doctor who did my fathers LASIK 10 years ago. He did an full exam on me and really did not "review" any of the medical records I showed him. He briefly shuffled through them. Again, he as well did the fluorescein check since I mentioned the striae that the previous surgeon "messed" with. He said, "yes, you have some striae but nothing to be concerned about." He said give it time and you will be fine.
After that visit, I started to research this "cornea flap Striae" and want it may cause. I was in awe. Correct me if I'm wrong, but this striae can cause some significant issues if not taking care of. Now that I was in much better understanding of striae I made a 2nd appointment with my 2nd doctor telling them I'm having a lot of issues with my LEFT eye still.
Second appointment 15 days later with another full exam minus full dilation, he again said all is well and sees no issues. I then proceeded to question the "STRIAE" and what his meaning of it is. He told me they are superficial wrinkles and that they are in line of view of my axis since I asked where are they located. I said well wouldn't that create "ANY" issue with visual acuity? He really began to "skate" around the issue as well and said wait and come back in 3-6 months to try glasses! I'm speechless.
I've moved on to a 3rd opinion, had full exam again and said they see the micro-striae as well and not sure what it is causing or IF it is causing my vision issues in LEFT eye. They have told me that they reside in line of viewing axis. They are cornea specialists and are seeing what next steps can be made. It can take months just to be seen or make an appointment each time.
Dr. Hartzok what are your thoughts/suggestions? How do you rule out striae issues? Can they be removed at any time?
I noticed you are in PA, I would be happy to have you do a full evaluation on me and determine how to resolve my LEFT eye complications. In my understanding, any "wrinkles" or striae in the cornea flap sound like they should be dealt with properly and or ruled out. If I can send you a PM and or even make a appointment to see you I have more details but only provided a high level here on the forum. I have all my operative information and all scans you can make sense of I'm sure. Thank you and hope to hear from you soon.