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Having surgery on Monday - thought I would share it! Involves the eye - warning

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  • Having surgery on Monday - thought I would share it! Involves the eye - warning

    Warning is if that sort of thing grosses you out.

    History:

    About 35 years ago, as a young kid, I was making flowerpots for my mum.
    I did this by taking plastic paint containers and hammering nails through the bottom for drainage.

    Well, one time, the nail bounced out - and penetrated my eye. That was the end of my flower pot making!

    I had to have a partial irridectomy - essentially removal of a portion of my Iris, to allow it to function (scar tissue from a ragged hole would prevent it from opening and closing...
    My lens was scarred - nothing they could do at the time, and I had a small tear in my retina (manually repaired at the time, using Ignipuncture -http://en.wikipedia.org/wiki/Ignipuncture

    The upshot of this was 10 days in hospital, and perhaps 30% vision.

    And a warning to expect a cataract by the time I was 20.

    Fast forward to the last couple of years.
    I noticed that I was starting to loose sight in my left eye, with the classic 'sunbeam' corona round bright objects. Driving at night became, well, not difficult, but sort of painful from approaching car headlights.

    Back to the doc.
    Turns out that the original eye surgery was well done. I had my cataract - 2 in fact in one eye!. My primary cataract was a beginning of the classic cataract - in the center of the iris, and working its way outward. It was not too bad. The secondry was at the site of the original scarring, and moving quickly. It was going to need seen to soon.

    Public health - in northern Ireland, suggested at the time around 6 month wait time. The doc wanted to study its progress for a year. So here I am now.

    Monday, Apparently, I am to have a couple of procedures.

    Firstly, I am missing most of my cillary body on the left side of my lens of my left eye - this is a complex of fibers which joins the body of the eye to the iris. So, I cant have a plain old cataract op, as there is not enough support to attach the new lens.

    http://www.google.co.uk/imgres?q=ana...1t:429,r:0,s:0

    so they fit a ring to support the replacement lens. Unfortunately, at this time, the irridectemy comes back to bite me in the arse. Because the Iris has a hole in it, there is a high risk that the vitreous humor - the jelly in the back of the eye - will pour through that hole. as you get older, that jelly you might have disected in Biology turns more fluid.

    If the vitreous humor moves, then the tear in the retina will fail - probably badly.

    This ring will be installed as a schaffold
    my Iris will have to be rebuilt on the left side.
    My retina will be religatured (using a laser), and
    then I can have the cataract operation.
    http://video.google.com/videoplay?do...64242812891682


    to facilitate all this I will also have a partial Anterior vitrectomy, and a Pars plana vitrectomy http://en.wikipedia.org/wiki/Eye_sur...etinal_surgery
    to drain off (and replace afterwards!) the vitreous humor to reduce the risk of the retinal tear.

    Thank god I am having a general anesthetic. Knowing what I do now, I am glad I am not having all this under local - it was offered.

    I spoke to my consultant. He reconed on a 75% chance I would have my eyesight restored to at least the stage it was at when I did the damage - less" getting older" degradation.

    10 % chance there will be no overall improvement - there is so much going on, and every bit carries a risk

    the rest is that I loose what I have. On the left eye, I could not tell how many fingers you held up at 10 feet - so its not a lot anyway - but I would like to see in stereo again...

    To carry out the surgery sequentially, rather than one pass would be more risky - infection and torn retina are the biggest risk factors anyway, and doing one, having me back for the next would multiply the factors....

    Wish me luck I will let you know how I get on...

    RedRed
    Dont just swallow the blue pill.

  • #2
    As posted here I had a more conventional pair of cataract surgeries with adaptive implants - which probably aren't in the cards for your injured eye. Still, experienced clinicians usually beat the overall odds so rest easy and good luck
    Dr. Mordrid
    ----------------------------
    An elephant is a mouse built to government specifications.

    I carry a gun because I can't throw a rock 1,250 fps

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    • #3
      Via con dios.

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      • #4
        Both my wife and I had bilateral cataract ops under local anaesthetic about a year ago - time flies! 100% successful 20/20 distant vision in both eyes unaided. The other day I watched a bloke climb to the summit of a hill at 1214 m horizontal distance and 422 m high (we are at 289 m, if you want to do Pythagoras) with my naked eyes. I couldn't see whether he had fleas in his hair, but it was black! OK, I need glasses for reading +2¼ dioptres in both eyes. No problem driving at night.

        Modern ocular surgery is fantastic. In my case, because I have Giant Cell Atheritis which affects the eye, the retina and the optic nerve and take corticosteroids for it, my doc was a little apprehensive about it, but he managed to keep it under control, the risk being the vitreous humour bypassing the iris into the aqueous humour when the natural lens was phacoemulsified. Fortunately, this didn't happen.

        Whatever, I wish you luck and hope you can see us around shortly. Please keep us updated.
        Brian (the devil incarnate)

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        • #5
          Good luck on the Op, hope it all goes to plan.
          PC-1 Fractal Design Arc Mini R2, 3800X, Asus B450M-PRO mATX, 2x8GB B-die@3800C16, AMD Vega64, Seasonic 850W Gold, Black Ice Nemesis/Laing DDC/EKWB 240 Loop (VRM>CPU>GPU), Noctua Fans.
          Nas : i3/itx/2x4GB/8x4TB BTRFS/Raid6 (7 + Hotspare) Xpenology
          +++ : FSP Nano 800VA (Pi's+switch) + 1600VA (PC-1+Nas)

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          • #6
            Good luck! Or even better, hope you don't need luck.

            What to watch out for: an infection looks like champagne bubbles.
            Minutes count so don't wait for pain or dawdling by the doctor if you see anything like that.
            Floaters are one thing, champagne bubbles another.
            Tell you the whole story later.
            Chuck
            秋音的爸爸

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            • #7
              What the guy b4 me said
              Join MURCs Distributed Computing effort for Rosetta@Home and help fight Alzheimers, Cancer, Mad Cow disease and rising oil prices.
              [...]the pervading principle and abiding test of good breeding is the requirement of a substantial and patent waste of time. - Veblen

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              • #8
                Thanks eveyone for your kind thoughts, and shared experiences!


                Fasting now....
                Likely to be grumpy in the morning!!
                Dont just swallow the blue pill.

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                • #9
                  Oh, they will give you a shot that will make you very happy.
                  And not grumpy at all
                  Chuck
                  秋音的爸爸

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                  • #10
                    Hope everything goes well.

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                    • #11
                      Well, I have a patch on. Had this done under general anesthetic.

                      A bit sore atm, but otherwise fine. Will get my first look tomorrow.

                      Consultant fitted a long focal lens - he reckoned that as the lens has little to bind onto, the long focus lens is more forgiving, should it implant or move a little off...

                      He did say that when I need it redone (IE cataract on the other other eye), that he could slide a custom vari-focal in in front of the new one - it would be milled to whatever shape the prosthetic settled into.

                      He did fit a moderate UV blocker- he claimed that a high UV bocker could cause depression, when I asked. I told him I wanted to use a MIG welder without the mask (joking, of course!), he didn't think it was that funny!

                      Thanks again for your thoughts!

                      RedRed
                      Dont just swallow the blue pill.

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                      • #12
                        Congratulations!
                        W007!!
                        Chuck
                        秋音的爸爸

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                        • #13
                          Great news that it went OK
                          PC-1 Fractal Design Arc Mini R2, 3800X, Asus B450M-PRO mATX, 2x8GB B-die@3800C16, AMD Vega64, Seasonic 850W Gold, Black Ice Nemesis/Laing DDC/EKWB 240 Loop (VRM>CPU>GPU), Noctua Fans.
                          Nas : i3/itx/2x4GB/8x4TB BTRFS/Raid6 (7 + Hotspare) Xpenology
                          +++ : FSP Nano 800VA (Pi's+switch) + 1600VA (PC-1+Nas)

                          Comment


                          • #14
                            Great news!

                            You're gonna love the new view.
                            Dr. Mordrid
                            ----------------------------
                            An elephant is a mouse built to government specifications.

                            I carry a gun because I can't throw a rock 1,250 fps

                            Comment


                            • #15
                              And you'll see the world in glorious Technicolor!
                              Brian (the devil incarnate)

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