Originally Posted by Dancinboots
I had a vitrectomy October 2006 for an epiretinal membrane (macular pucker) where they peeled back the membrane. I did not have a bubble and did not have to lie in a head down position at all. My vision in the right eye actually has not improved that much.
Dr. A said it was one of the thickest membranes he had ever seen and a few months ago he said some of the membrane still remains and he was considering repeating the surgery to get the rest of the membrane. Now the last time I saw him which was a couple weeks ago he has changed his mind about the surgery and suggested I have the Kenalog injection which is suppose to have good results in getting the swelling down in your eye which I also have from the cystoid macular edema.
The drops I had been talking for a long time did not help much with the swelling. Hopefully the steroid injection will help with the swelling. If It does I should notice an improvement in my vision. I go for that on January 3rd. Did the injections improve your vision? Also do you ever have to have the injection repeated or does it last forever?
Taking your last paragraph questions first, I think they can repeat Kennalog if needed, but I haven't, and it may have been more like two yrs now than "over a year".
Is your right eye your worst one, and the one with the thick membrane?
Same with me although mine may not be very thick. I'll probably have a hard time finding out anything about it. I've been wondering if they could do a Yag procedure, like capsulotomy after cateract surgery, looked it up on the internet and sometimes they can, something about a "basement" epithelial membrane. I haven't been able to find what that means. Is that what you have?
Actually, if it's no longer covering your pupil, are they just worried about it causing traction and maybe detachment, reason they want to get it all? In your shoes I really think I'd want another opinion. You'd have to think about do you want to keep it secret or ask/tell.
Did you have a saline solution after your vitrectomy, reason you didn't have to do face down?
I phoned the office to ask, and was told there's no simple answer in my case because she'd be doing the vitrectomy for more than one purpose.
You didn't have scar tissue to be removed, right? Think that would make a difference?
Do they always give you plenty of the numbing drops? At least three times? If you needed four you could probably ask for them. Then the Kennalog is great for macular edema, or it was for me. People are sometimes a little different. It sure works for me. So glad we can help each other like this.
At one office a tech had got it into her head that you only give numbing drops once, and the treatment was so painful I had to ask him to stop. Men I think sometimes think they've got to use the biggest lasers there are. I heard about one doing some damage, they were able to repair at UM, told her he'd used too big a laser. This guy I tried had cut his power down two or three times. Suggested I could go to a hospital. I knew the woman doctor could do it painlessly, or 98% painless.
I don't go back until the end of Jan. so can't ask if my vision got better after Kennalog. I THINK it was just for swelling, which I guess clouds your vision somewhat. So does letting your b.p. get too high or your blood glucose. At my appointment with her this past week, my right, worst eye vision was 20/100 with glasses, but a couple days later back to 20/80. I'd eaten something salty, usually don't.
Let us know how your Kennalog comes out, and thanks again for the news I may not have a gas bubble.