Dr. Shachi Dwivedi
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Over the past week, I have been experiencing strange fluctuations in my right eye. It is concerning because the issue is only in one eye, and I can notice blurriness and distortion with both eyes open. About three to four months ago, I underwent LASEK surgery, but I do not believe this fluctuation is related to that. I have been using dry eye drops frequently, so I do not think it is due to dry eyes. I had aftercare with a clinic; however, they now charge more for a checkup as I have already used up my five post-care appointments. While I have had similar experiences before, this level of blurriness and distortion is new. I am unsure of the cause. Can you please help me?
Thank you.
Hello,
Welcome to icliniq.com.
You need to get corneal topography and pachymetry done first. One of the commonest causes of this is post-LASIK ectasia, which can lead to image distortion. These two tests can diagnose the condition accurately. Additionally, it has nothing to do with dryness.
Thanks and regards.
You can always come back and reach me at icliniq.com.
Patient's Query
Thank you doctor for the reply,
Is this the same for LASEK (Laser-Assisted Sub-Epithelial Keratectomy) as well since I did not have LASIK (Laser-Assisted In Situ Keratomileusis)? The blurriness not only affects images but my whole peripheral vision in my right eye. It improves slightly with drops but keeps changing throughout the day. Do you recommend visiting an optometrist near me and asking for these tests instead of going back to the place where I had the surgery done?
Hello,
Welcome back to icliniq.com.
Yes, it can occur after LASEK as well. It may be due to corneal thinning or a residual refractive error, such as astigmatism, after the surgery. Any of these conditions need to be diagnosed through the scans mentioned earlier. It is advisable to visit your treating surgeon as they are familiar with your case and can provide appropriate intervention based on your individual situation.
I hope your queries are resolved and any further queries are welcome.
Patient's Query
Thank you doctor for the reply,
I will contact them as soon as possible. Is there a treatment for these issues, or are they permanent? Also, could you please review this link to confirm if these tests are included?
Hello,
Welcome back to icliniq.com.
Treatment is available, and surgical intervention may be required. I reviewed the link, and I can confirm that these specific scans are not included in the list mentioned.
Thank you.
Patient's Query
Thank you doctor for the reply,
Should I ask to get these tests included, or should I look for another place that offers them?
Hello,
Welcome back to icliniq.com.
They have included it in the advanced eye test for corneal shape and thickness, so these tests will be covered. They may perform either a separate topo pachy test or a pentacam scan. However, you should first visit your doctor who can assess with a slit lamp and determine the further evaluation needed.
Thank you.
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Ophthalmology (Eye Care)
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