No improvement in one eye 4 weeks post op. What can be causing this?

I had surgery 4 weeks ago. While one eye is healing great the other has no improvement and i would say vision is worse than pre op. I had a follow up today and with my left eye i could not read the top line of the eye chart, this could not even be improved with a prescription. I have been refered back to see the surgeon but in all of my research i have not came across this and am worried. What can be casuing this?

Doctor Answers 3

Eye Surgery Post Op

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Unfortunately we cannot provide input without knowing the type of eye surgery you had. I suggest that you follow up with your operating surgeon for an in-person evaluation and guidance. Best wishes.  

Tampa Plastic Surgeon

It is not at all clear what you are referring to.

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What surgery did you have?  Did you have refractive surgery, cataract surgery, or eyelid surgery?  Without that information it is really impossible to make a meaningful response.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Swollen Eyelids After Blepharoplasty

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Four weeks is still early in the healing period. Without photos its hard to make a diagnosis but I can speculate so I will. Usually when postop edema effects only one eye it is caused by something the patient is inadvertly doing-most of the time during sleep. A chemosis can cause prolonged edema. Exposure at night with incomplete closure is possible as well as a corneal abrasion due to drying or trauma. It is important to take measures to keep your cornea moist and to assure nighttime closure with taping and/or patching. Do not worry about a change in your vision for about six months but do see an ophthalmologist in the meantime. A small amount of temporary corneal edema can cause a huge change in visual acuity so don't change your prescription until your slit lamp exam is totally normal.

Paul S. Howard, MD, FACS
Hoover Plastic Surgeon

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