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Now need Laser Posterior Capsulotomy After Cataract Surgery & 2 RD'S, what next?
So after seeing my eye doctor, It was scheduled for me by the eye doctors office to schedule with my cataract surgeon for further evaluation on eye issues. My eye sight in my left eye was worsening after only a few months since my last visit plus, I have also been experiencing a great amount of glare in bright lights and the sun which continue to be hard to bear. The eye doctor said I have swelling in both eyes, some scarring, and The left eye has some bleeding. I had cataract surgery in March of 2014. I had retinal detachments in July and October of 2013.
My cataract surgeon suggested I schedule for a YAG Laser Posterior Capsulotomy, which is quick and will clear up the distortion and glare, one eye at a time. I am not thrilled about having another surgery obviously, but feel confident in the doctors I am seeing for this, yet am concerned just the same!
Any surgery has risks, obviously...! Further RD'S? Is the surgery making that more possible, or if I don't do this procedure would my eyes continue to have increased glare and scarring and loss of vision?
I have to admit that my concerns come from having one thing after the next, and possibly causing more future issues because of another intervention or surgery of sorts? How much can the eye take, and at what point is more surgery making it worse, or not worth the added risks?
What is the recovery time from this procedure? At what point, if I go ahead with this surgery as scheduled, do I know that this has been successful?
Thank you for any insight you may have
My cataract surgeon suggested I schedule for a YAG Laser Posterior Capsulotomy, which is quick and will clear up the distortion and glare, one eye at a time. I am not thrilled about having another surgery obviously, but feel confident in the doctors I am seeing for this, yet am concerned just the same!
Any surgery has risks, obviously...! Further RD'S? Is the surgery making that more possible, or if I don't do this procedure would my eyes continue to have increased glare and scarring and loss of vision?
I have to admit that my concerns come from having one thing after the next, and possibly causing more future issues because of another intervention or surgery of sorts? How much can the eye take, and at what point is more surgery making it worse, or not worth the added risks?
What is the recovery time from this procedure? At what point, if I go ahead with this surgery as scheduled, do I know that this has been successful?
Thank you for any insight you may have
Hi Greenbaypat:
Did the doctor not mention the implications of the hemorrhage? That word was mentioned in my last visit too, though it wasn't discussed, just noted. Now I am really wondering!
The sequence of the events in my YAG eye was (1) sudden onset of flashes and floaters, with tears noted and heavy lasering done to prevent detachment (2) few weeks later a dense vitreous hemorrhage blocked my vision (3) several weeks later detachment then vit/buckle repair.
(At that time the hemorrhage was caused by retinal blood vessels bleeding into the vitreous.)
The drops have been helping, but a line of text is still somewhat distorted.
I hope your news will be good at your next appt.!
Did the doctor not mention the implications of the hemorrhage? That word was mentioned in my last visit too, though it wasn't discussed, just noted. Now I am really wondering!
The sequence of the events in my YAG eye was (1) sudden onset of flashes and floaters, with tears noted and heavy lasering done to prevent detachment (2) few weeks later a dense vitreous hemorrhage blocked my vision (3) several weeks later detachment then vit/buckle repair.
(At that time the hemorrhage was caused by retinal blood vessels bleeding into the vitreous.)
The drops have been helping, but a line of text is still somewhat distorted.
I hope your news will be good at your next appt.!
Hi Flossy and pinhole also!
So, I felt after posting the issue of the optic nerve issue that I should post that as a question, as I can't seem to locate much information to answer my concerns on it. It is titled Hemorrhage on optic nerve. I will post my results of my appointment next week here of course.
Both of your support and ongoing positive thoughts have been very helpful! Thank you!
So, I felt after posting the issue of the optic nerve issue that I should post that as a question, as I can't seem to locate much information to answer my concerns on it. It is titled Hemorrhage on optic nerve. I will post my results of my appointment next week here of course.
Both of your support and ongoing positive thoughts have been very helpful! Thank you!
So, I believe I forgot to say that the cataract surgeon also said I have a small hemorrhage on the optic nerve now, as well.
Thank you for the reply. But, Yes-I am so Lucky to have a Great Team of doctors! And they are Working together!!! My doctor is an Optometrist, and I feel she is and wants the Best! Who can ask for more? Surgery, well not sure what the cataract doctor was implying or attempting to prepare me for with that comment. But, feel it has to do with the traction issue.
The way I understand "Vitreomacular Traction Syndrome" is what I feel I am experiencing currently in my left eye. My macula, the center part of my vision, is not clear. The vitreous is or has pulled away, and may be pulling or sticking to it. With the pulling or swelling, the surface of my macula distorts my vision with it.
The OCT test and a dye test will probably be done at my next appointment -a little more than a week by the retinal surgeon. Surgery may or may not be suggested.
In the meantime, I am hoping, praying, doing drops,...and reading about some options and or alternatives that could be of assistance.
I see some similarity of your needing a possible vitrectomy for macular membrane, with the macular hole, the swelling, and central vision fuzziness that I am experiencing-equalling central vision issues... This is all confusing to me. I have seen some suggestions for increasing certain vitamins like C and E, along with herbs and natural treatments(or potentially helpful agents) for eye issues. Often the medical industry is not in support of them, as the research isn't present, and so on. I get that too, but still am willing to research them in the event something may be of safe benefit or improvement. Besides C and E, I see Bilberry and Ginkgo biloba mentioned quite frequently.
Interestingly Bilberry, has been approved in Germany for treating diarrhea and inflammation of the mouth and throat. So, a potential connection of this berry, though not recognized here-may assist swelling.... I don't know, nor do I attest to quackery type of medicine or treatments...but a fruit-with potential?
In Madison Wisconsin, "David Kiefer, MD, a research fellow in the department of family medicine at the University of Wisconsin in Madison, says it makes sense that bilberries have a reputation for helping conditions ranging from retinopathy (abnormal or damaged blood vessels in the retina) to diarrhea to heart disease.
"A lot of these [conditions] have an inflammatory component, so some herbs treat a variety of things," he says. "There's oxidative damage in so many illnesses. Whether in eye vessels or leg vessels, we can get a positive effect."
Kiefer says patients with macular degeneration -- the deterioration of the central part of the retina that can eventually cause blindness -- have reported that they use bilberry extract, with mild benefit, "but it's hard to sort out the anecdotal report from the placebo effect.''"
Cautions on anything of course, but Bilberry mainly on Warfarin seemed to be the main issue with it.
I only wish it was Blueberry, or Raspberries, as I love both of those and would love the excuse of having to purchase and eat those daily!
The way I understand "Vitreomacular Traction Syndrome" is what I feel I am experiencing currently in my left eye. My macula, the center part of my vision, is not clear. The vitreous is or has pulled away, and may be pulling or sticking to it. With the pulling or swelling, the surface of my macula distorts my vision with it.
The OCT test and a dye test will probably be done at my next appointment -a little more than a week by the retinal surgeon. Surgery may or may not be suggested.
In the meantime, I am hoping, praying, doing drops,...and reading about some options and or alternatives that could be of assistance.
I see some similarity of your needing a possible vitrectomy for macular membrane, with the macular hole, the swelling, and central vision fuzziness that I am experiencing-equalling central vision issues... This is all confusing to me. I have seen some suggestions for increasing certain vitamins like C and E, along with herbs and natural treatments(or potentially helpful agents) for eye issues. Often the medical industry is not in support of them, as the research isn't present, and so on. I get that too, but still am willing to research them in the event something may be of safe benefit or improvement. Besides C and E, I see Bilberry and Ginkgo biloba mentioned quite frequently.
Interestingly Bilberry, has been approved in Germany for treating diarrhea and inflammation of the mouth and throat. So, a potential connection of this berry, though not recognized here-may assist swelling.... I don't know, nor do I attest to quackery type of medicine or treatments...but a fruit-with potential?
In Madison Wisconsin, "David Kiefer, MD, a research fellow in the department of family medicine at the University of Wisconsin in Madison, says it makes sense that bilberries have a reputation for helping conditions ranging from retinopathy (abnormal or damaged blood vessels in the retina) to diarrhea to heart disease.
"A lot of these [conditions] have an inflammatory component, so some herbs treat a variety of things," he says. "There's oxidative damage in so many illnesses. Whether in eye vessels or leg vessels, we can get a positive effect."
Kiefer says patients with macular degeneration -- the deterioration of the central part of the retina that can eventually cause blindness -- have reported that they use bilberry extract, with mild benefit, "but it's hard to sort out the anecdotal report from the placebo effect.''"
Cautions on anything of course, but Bilberry mainly on Warfarin seemed to be the main issue with it.
I only wish it was Blueberry, or Raspberries, as I love both of those and would love the excuse of having to purchase and eat those daily!
That's wonderful how well coordinated your care is! Collaboration at its best. It the doctor whom you ran into and who explained things so well an optometrist?
Sounds as if for now you and I just need to keep on using our drops (remember to shake the Presnisolone!) and be patient as we wait for the next appointment unless we notice a change.
I am puzzled by the comment about surgery, too. Is surgery ever used to fix edema? I may be in for a vitrectomy for macular membrane removal at some point, if it progresses.
Happy Spring to you, too!
Sounds as if for now you and I just need to keep on using our drops (remember to shake the Presnisolone!) and be patient as we wait for the next appointment unless we notice a change.
I am puzzled by the comment about surgery, too. Is surgery ever used to fix edema? I may be in for a vitrectomy for macular membrane removal at some point, if it progresses.
Happy Spring to you, too!
So I saw my cataract surgeon again just one week after my last visit with him. My pressures are lower than last time, with the use of the drops. IOP 20 L 21R. He said with my pressure adjusted, it is more like 17.
They did do the eye scan like you asked. It seems that they felt things were at least constant since my last visit, with improvement shown in the lowering of pressure.
I am scheduled to return to the cataract surgeon in 6 weeks.
My Appointment is coming up in two weeks with my retinal surgeon. The cataract surgeon said that the retinal surgeon may want to do surgery to fix my left eye, but he said I probably wouldn't. (I am not sure what he meant by this comment!?!) I did ask him if he thought I should get in earlier to the retinal clinic and he said no, there isn't an emergency or anything. He said that When my left eye settles down we can do the YAG on the right eye. ...SO... See him again in 6 weeks & keep on the drops. My Vision was measured at 20/60 in left. (Was 20/50 (I believe) a week earlier.
Coincidently, I ran into my eye doctor who then proceeded to question me on my appointments....this WAS Very interesting-not to mention helpful!....the short version of this great discussion, is better clarification of the situation, at least for a week ago anyhow...and she is working on getting a better understanding of my most recent visit and tests that were done. I expect I will hear from her, and or one of the other two doctors if needed, or if something else should be looked at closer sooner, &/or at my two week appointment. It is reassuring to have her professional intervention and advice as this progresses. With the 3 of them, it seems like I have somewhat of a second opinion available to me. While the specialization seems extreme or unusual to some, for me it has become an amazing team of professionals acting more like a brain storming trio trying to figure out what's going on and what my best next step is.
Of course, my hope is that this just heals on its own, or with little or no extra invasive procedure to be required!.... I don't feel this will be the case, as the traction in the left eye has been brought up again...but I am hoping, doing the drops, and trying to stay positive and busy!
Happy Spring!
They did do the eye scan like you asked. It seems that they felt things were at least constant since my last visit, with improvement shown in the lowering of pressure.
I am scheduled to return to the cataract surgeon in 6 weeks.
My Appointment is coming up in two weeks with my retinal surgeon. The cataract surgeon said that the retinal surgeon may want to do surgery to fix my left eye, but he said I probably wouldn't. (I am not sure what he meant by this comment!?!) I did ask him if he thought I should get in earlier to the retinal clinic and he said no, there isn't an emergency or anything. He said that When my left eye settles down we can do the YAG on the right eye. ...SO... See him again in 6 weeks & keep on the drops. My Vision was measured at 20/60 in left. (Was 20/50 (I believe) a week earlier.
Coincidently, I ran into my eye doctor who then proceeded to question me on my appointments....this WAS Very interesting-not to mention helpful!....the short version of this great discussion, is better clarification of the situation, at least for a week ago anyhow...and she is working on getting a better understanding of my most recent visit and tests that were done. I expect I will hear from her, and or one of the other two doctors if needed, or if something else should be looked at closer sooner, &/or at my two week appointment. It is reassuring to have her professional intervention and advice as this progresses. With the 3 of them, it seems like I have somewhat of a second opinion available to me. While the specialization seems extreme or unusual to some, for me it has become an amazing team of professionals acting more like a brain storming trio trying to figure out what's going on and what my best next step is.
Of course, my hope is that this just heals on its own, or with little or no extra invasive procedure to be required!.... I don't feel this will be the case, as the traction in the left eye has been brought up again...but I am hoping, doing the drops, and trying to stay positive and busy!
Happy Spring!
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