Uncontrolled IOP. Urgent pls.

[aloryerffej]

I'm a post vitrectomy patient because of a retinal detachment. They inserted me a gas(I'm not sure if the gas is C3F8 I just heard the doctor said it).Few days after the surgery, I have a 40 and up IOP and the doctors give me a full dosage of medications including oral tablets but still can't get it lower. So they decided to implant me with a glaucoma drainage device to try to normalize my IOP. After the surgery, they get a 20 IOP and i thought it will get better but after 1 month of the surgery, my IOP dropped to zero and I noticed that my eye is sinking. (I don't know if they called that enopthalmos or hypotony). So I went back to the doctor and I undergo tube ligation and at the sametime conjunctivoplasty because the scleral patch is also exposed. The IOP gets normal again for a few weeks then after one month I suffered again from the same situation, zero IOP and sinking eye, and a little bit exposed tube. But this time they failed to increase my IOP, it is just hovering to 0-4 IOP. They decided to just observe me for about a month but still no changes in my IOP. So they decided to closed the tube and they use a nylon. It was somehow a success because the pressure increased to 18. It is almost a month ago now since that operation and I noticed that my vision has decrease in a big way compared to my vision few days after the surgery and the redness of my eye is getting worst. But I don't think I have a low or zero IOP cause when I try to close my eyes and touch it gently I can feel that it is hard compared to when I have zero IOP and sunken eye. My question is, it is really a right decision in the first place to implant a GDD on me because I really think that this all happen after they implanted me with that tube. Can you suggest anything about my situation because I really want to get the normal form of my eye. It has really deformed after that too many series of operation. My right eye is normal that's why I was able to write this. I hope it can get back to its normal form.

[JohnHaganMD]

No  refractive procedures such as lasik and PRK do not reduce the risk of RD which is related to the very long length of highly myopic eyes. The eye is no shorter after these surgical procedures the cornea is just flatter.

Ask your retina surgeons for sure but most of those exercises are likely OK.  Things to avoid: violent contact sports (football); racquet sports without proper eye protection (squash and racquetball); amusement park rides that jerk you around violently. Get further advice from your retina surgeon

JCH MD

[aloryerffej]

Actually my other eye undergone a laser treatment called photorefractive keratectomy, will that be a factor to elevate the chance of my right eye to have a RD? and does lifting weights like dumbells and doing some exercise like push ups and core exercises can be a bad thing for my eye or it's just okay to do it?

[JohnHaganMD]

You have a tremendously bad eye problem and the prognosis for recovery is guarded. You can get a second opinion if you wish. The most important thing is to do everything to keep your unoperated eye healthy. This means healthy living, protecting your eye from injury, having your eyes checked every 6-12 months. When you have a RD in one eye the risk of a RD in the other eye may be as high as 5-10%.

JCH MD