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Old 02-08-2013, 02:11 PM   #16
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Tub I am no longer in WA. got too crowded for me. I am doing cataract in the SE. The more I see
here the more I am questioning my choice.

 
Old 02-08-2013, 02:14 PM   #17
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

VITct I meant what model IOL did you have??? Like Alcon,Abbott,BL,Staar...???? and the model
name..

 
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Old 02-08-2013, 02:19 PM   #18
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

xx1944 - It was 11-12 years ago, and I am sorry but I don't remember any details now. May be, the IOL choices have changed by now, meaning, multiple-focal lengths, etc. I don't think my surgeon gave me that choice then - it was just long or near vision.

 
Old 02-09-2013, 07:26 AM   #19
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Quote:
Originally Posted by xx1944 View Post
VITct I meant what model IOL did you have??? Like Alcon,Abbott,BL,Staar...???? and the model
name..
Mine is the Tecnis ZCB300 I believe. A monofocal lens. Very happy with it.

 
Old 02-09-2013, 07:34 AM   #20
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Vitcat: I had a Vitrectomy for a membrane peel (ERM) in my left eye. The scar tissue came out of no where but I became 20/200 within months so had to have it removed.
I too have a good Right eye which post surgery, carries the load.
Post Vitrectomy on left eye: 30 days post I could see some letters on the 20/40 line but still had a blank spot just to the right of middle vision so had to scan the chart to see the letters. I was pretty happy though after the 20/200 vision.
No wavy lines before or after surgery, just blank spot.

I formed a cataract in surgery eye 2 months post Vit. SX, so back to 20/200 pretty quickly. Had cataract removed and regained my 30 day post Vit. SX vision. Quite the roller coaster the past 2 years.
Will start another post so don't go too long.

 
Old 02-09-2013, 07:41 AM   #21
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

So post Vitrectomy/ERM peel my binocular vision was "off". My surgery eye image was about 20% larger and a little lower than my good eye, so my brain had problems fusing the images. Was hard to adjust to with walking down store aisles, etc. Took a while for things to improve with the brain neuroadaptation. Now, I take my mind off of my eyes and stop "testing" them several times a day and I either improved or just gotten use to things.

My depth of field is OK, so I would say the eyes not working well together was my biggest issue. Felt like I was Drunk when walking around because of the delayed focus.
I ended up with a sort of mini-monovision after the cataract surgery. I went for -.50 ish in IOL eye and my good eye is +1 with aging presbyopia hence reading glasses (I'm 58) I am totally healthy, not on any medications and try to eat healthy. Kale is great for eyes, so is flaxoil (good quality).
Hope that helps. Happy to answer any other questions.

 
Old 02-09-2013, 11:54 AM   #22
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Hi tubint,

Thank you so much for your useful and knowledgable response. So, I gather from it that you had no retinal detachment in your left eye, but the vitrectomy was performed for removing ERM, and you had cataract sx done later on it with an IOL implant, but did not have depth of field or waviness issues like I have. Am I correct? But you do talk about "binocular vision" problem early on. How is this different than the "depth of field" perception problem? The difference in image "size" (mine is smaller with the operated eye, yours was larger) and its "shifting" with respect to the image from the other eye, indeed, gives me some problem, especially, for distance vision while driving. Is this what you call "eyes not working together?" However, with the IOL improving your visual acuity, has this problem gone away or reduced? My dr says that with the pencil-focusing exercise (to improve my neuro-adaptation) and refractive lenses for correcting (20/50), if needed later, this problem will reduce considerably in a few months time. I am just hoping that happens, since it is only one month post-op today!

Since yours is originally an ERM issue (where, I understand, the cones in fovea and rods outside it are usually unharmed), not macular detachment (where cone cells may be displaced from their original "addresses" physically and brain needs to re-learn that), I also wonder how it translates into comparison of post-op vision recovery. At present, things are okay principally because of my dominant right eye, but that has an ERM which may one day give me trouble. So, your observations on your ERM recovery is somewhat comforting that all is not lost if I have to go through an ERM peel later.

Last edited by vitcat2; 02-12-2013 at 10:08 AM. Reason: typo

 
Old 02-09-2013, 12:17 PM   #23
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

tubint - Btw, regarding your suggestion on healthy food, etc.: I have already started eating kale few weeks ago in raw juice form (mixed with orange/mango/banana), as well as cooked form, but cannot consume too much of it since it has "oxalates," which spell trouble for kidney stones. I had kidney stones 10 years ago, and have to be careful not overeating kale, spinach, and that family of greens, although they are good for the eyes. Post-op, I also started taking vision supplements (lutein, zeaxanthin, etc. which exist in the retina, from "Vitafusion Daily Vision" gummies), as well as carrot juice, but the dr was pretty mum about such supplements helping me. I used to take ground flax seeds on my cereal 13-15 years ago for reducing cholesterol (LDL) but then had to go on lipitor, and dropped flax. So, I have to maneuver around all these dietary restrictions and select my nutritional food groups accordingly. I think, I have been eating healthy food for quite some time now due to that (of course, other than a burger or potato chips, once in a few weeks!).

 
Old 02-10-2013, 10:54 AM   #24
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Describing my biggest issue with the eyes not working together is not really a depth of field issue, but more a delayed brain reaction when I turn my head & try to refocus on something new. It's like waiting for your camera lens to zero in on the focus...but I am getting used to it. Not really a distance issue, but more mid-range=about 10-15 feet in front of me.

In regards to my ERM and photoreceptors, YES I do have an issue because possibly my ERM was tugging on my macula so bad that it disorganized the IS/OS junction and made a gap . IS/OS junction is where the photoreceptor line meets in the macula area=most important for central vision. Hence, I have the blank spot in the center of my vision. This IS/OS interruption(as Dr. noted in my chart notes) also may have been caused by the surgeon pulling in that area to peel the membrane off, or the surgery light possibly too intense in that spot, or a number of other things. Have been watching post OCT results carefully wishing the cones would regroup...but hardly any change in 1 1/2 years so I might have to live with this result.

 
Old 02-10-2013, 11:00 AM   #25
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Also, after my IOL was placed with cataract surgery, things improved slowly. It took several months for my brain to re calibrate and get used to the new diopters. All my life I had 20/20 vision without glasses=Plano Plano.
Then, about a year of 20/200 in ERM eye with the ERM and then soon to follow cataract.
My IOL put me at about -.50, which is a little nearsighted. My clearest range is about 5-10 feet with the surgery eye alone. My good eye is +1, = a little far-sighted. From what I read, as long as one is within about 2 diopters apart between eyes their brain usually fuses the images OK with time. However, one eye in the near sighted category and one in the farsighted makes the brain work harder.
Whenever I do my good eye (and I will wait until absolutely necessary) I will go for Plano (0) and then have mini-monovision.

I have glasses for driving, but don't need them. I wear computer glasses and reading glasses.

 
Old 02-10-2013, 11:05 AM   #26
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

Hi Budjd - I hope your vision is getting better. Btw, after reading some more, I find that there is a difference between "macular hole," that you say you have, and "macular detachment," which my dr said I had in my left eye. Earlier, I thought they were one and the same. It seems that macular/foveal detachment, which I had, is Stage 1 of macular hole, and Stage 2 and Stage 3 are progressions with different thickness of the macular hole. Since I had the retinal repair surgery at Stage 1, and I don't remember my dr saying anything about macular hole, I presume, I never reached Stage 2 and 3. I need to check that with my dr. I also had/have no blind spots or central gray areas, as you say you have, and which, I understand, is a sign of macular hole, not just macular detachment. So, I believe, the rate and final state of vision recovery for different stages of macular hole may be different, and one may need to account for that. Ask your dr too for more info on that.

Last edited by Administrator; 03-08-2013 at 04:29 AM.

 
Old 02-10-2013, 02:41 PM   #27
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

TUB that IOL is fairly popular it is called the ZCB00 asherical 1 piece. I am considering that lense and the Tecnis 3 piece. The other one I considered is the Alcon SN60WF but that has a yellow tint to filter Blue light and not many people think that is needed.The Baush and Lomb Akreos has documented problems with distortion after the capsular bag finishes tugging on it. It makes sense
because it has 4 haptics and is getting more force applied to it..leverage basically.Also has some problems with iritis probably due to chaffing from the many haptics. Only a German company would
design such an aggressive lense.
Anyway were you uncomfortable during the procedure due to not being able to see??
How about walking around for a couple days with 1 eye only..??
Did you ever get PCO at all years later?ie capsule opacification..
Did you notice any sizing issues with only 1 eye done??? Was the sizing better or worse??
I am not sure my Doctor will even do my surgery because I will not accept his usual Baush lense.
There are some really shady business stuff going on in the medical products world. It sucks and is un ethical.

 
Old 02-10-2013, 05:04 PM   #28
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

xx1944 I am really impressed with your knowledge of lenses ! Are you in the field ?
I had my one and only cataract surgery last March, and have not had PCO yet. I recently saw my retina specialist for an OCT followup (in Dec. 2012) just to see if my macular swelling went down (it's stayed the same at about 400 central thickness ever since my ERM surgery 1 1/2 years ago) Anyways, I asked the Retina Sp. if he noticed any clouding or opification and he said he did not.
I did OK with good vision in only one eye, and the image size difference doesn't really show up anymore unless I test my eyes one at a time , then I know it is still there. Guess my brain just blocks out that larger displaced image.
My eyes still don't work perfectly together, like they did my entire life, but I am choosing to be happy with what I am left with compared to the 20/200 nightmare I had with the ERM and the cataract.
Also, I am a believer of sometimes in life it is better to leave well enough alone.

Is there anything you can share with me that might help me at this point ? I would sure love some advice on anything I can do to improve my eyesight.
Thanks for sharing, this is how we all learn as the Doctors certainly don't share much information. I would also be very interested to hear about the unethical medical products...please share.

 
Old 02-10-2013, 05:26 PM   #29
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

I dont know much about ERM...Why do they need to remove it??? Is it because it lays on the retina and has to be removed to Laser a macula hole??
I think I saw a video of a vitrectomy where the doc was pulling up a barely visible film of material that was barely attached to the retina. Since it was for floaters only it seems that he didnt have to remove that.
I cant believe that the whole visual system didnt come with a natural cure to clean up floaters.

 
Old 02-11-2013, 07:42 AM   #30
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Re: Post-Vitrectomy Vision & Possibility of Repeat Retinal Detachment

My ERM scar tissue was so thick that it blocked my central vision over my macula. It doesn't go away on its own unfortunately.
Still don't know why the scar tissue formed, other than I am a waterskier that takes some pretty hard face plants once in a while, and I went on a big big roller coaster at Magic Mtn. that when reversed it almost made me pass out from G force. Maybe that messed with my retina ???

 
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amblyopia, double vision, erm, retina detachment, vitrectomy



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