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Old 04-05-2013, 07:09 AM   #1
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jacks367 HB User
Vitrectomy for retinal detachment - recovery

Hello all,

I had a vitrectomy on 3/21 for a detached retina. The detachment went just past the macula. As of today (4/5), the gas bubble is about 3/4 gone. Vision "above" the bubble is back, but it concerns me. The doc told me it would take weeks or months for the vision to improve, and the logical part of my brain understands that. But, that nagging little voice in my head is overthinking it.
Here is what I see:
- everything in that eye is "pinched" or slightly smaller on the horizontal axis.
- If I look at a horizontal line, there is a 'zig' in that line just to the left of the central point of my vision. Just about at the edge of where the detachment was.
Making myself feel better with the logic that 1) the gas bubble is probably still causing some distortion, and 2) there is probably swelling, or at least incomplete healing, at the back of my eye where the detachment was and that may be causing the distortion.

For anyone else that has had this procedure, did you have similar symptoms? Did it go away?
I am happy to live in a time when we have the technology to repair these type problems, and I am happy to not be blind in this eye. So if it does not go completely away, I can deal. But, I would like to hear from others that had a similar operation.

Background - 49 yr old male. Cataract surgery previously in both eyes with the Alcon Restore IOL. The left eye was done ~ 2 years ago; that's the one I am having trouble with now. I missed some obvious (in hindsight) symptoms of a tear that should have triggered me to see a specialist sooner.

Thanks!!!

 
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Old 04-05-2013, 07:34 AM   #2
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eyemar HB Usereyemar HB User
Re: Vitrectomy for retinal detachment - recovery

Hi ,
Yes I had similar simptons, and it does get better with time. There is still a little hole or dip in lines, but not too bad.
Give yourself some time and it should get much better.

I'm 54, female and had a vitrectomy in Nov. of 2011 because my vitreious gel was attaching to my retina and pulling. Retina Specialist (2 actually) said it could cause my retina to completely detach and that why i had the vitrmy. Just had cataract suregy in Feb, due to the vitrmy.
Eye problem are scarry, but hopefully you'll be seeing much better in a couple of months.
Good luck,
eyemar

Last edited by Administrator; 04-07-2013 at 07:42 AM.

 
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Old 04-05-2013, 04:28 PM   #3
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Re: Vitrectomy for retinal detachment - recovery

Sorry this wont help you, but thank you for your question. I Have gotten an enormous amout of information from other peoples problems as my own doctors dont give me much info. I am scheduled for cat surg. in the near future and I am wondering if you would be so kind to tell me .....What was your refraction before your original cataract surgery, as you are so young (I am 55 and a neg9 ) and second question do you believe that the particular IOL they used is an Inferior product compared to others? (Im thinking about just something plain as I dont mind wearing glasses and would rather avoid any complications with distorted vision, or worse) Sorry I cannot help you, but Perhaps your information would be valuable to others? Thank you so much. Im still trying to figure out these vit. sx, and why they are done after cat surgeries.....I always thot a cat surgery was just that and a vit sur was for something else. Now Im learning that most people are having vitrectomies right after cat surgeries, having to posture with gas or oil, or normal saline...sometimes for a year and a half!

Last edited by Administrator; 04-07-2013 at 07:43 AM.

 
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Old 04-06-2013, 06:25 AM   #4
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Re: Vitrectomy for retinal detachment - recovery

Misano,

My eyesight in the left eye was about 20/60 before the cataract surgery. I have no complaints whatsoever with the Restore IOL or with the cataract procedure. My post-cataract vision was good in both eyes with the IOLs.
Hope this answers your question.

 
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Old 04-07-2013, 01:07 AM   #5
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Re: Vitrectomy for retinal detachment - recovery

I have had almost exactly the same issues post-vit sx for macular hole repair, as well as cataract history, and have described it in two of my threads, and am also looking for success stories for the persistent "wavy/wiggly vision" issue, as well as the smallness (pinching) in image size, and also slight stereoscopic vision problems due to the latter. Briefly, after my cataract sx about 11 years ago on both eyes, I had vitrectomies on both eyes in Aug. 2012 (right eye) and Jan. 2013 (left eye) for peripheral and macular retinal detachments, respectively. With the first sx, my vision quickly became 20/20 but, since I was a little late (actually, quite late!) in telling the doctor about all my symptoms, especially, some strange silvery beads moving intermittently at the bottom of my right eye vision, it has left an epi-retinal membrane (ERM) - it does not give me any trouble for now but it does show up on my OCT scans, and may have to be removed some day. The more recent sx brought 20/30 vision in that left eye after 7 weeks, however, the other problems I mentioned above, which are for that left eye only, have not reduced a bit even now after 3 months. The dr says it may take several months to a year for it go, if at all - but, because of the other eye being dominant, it is not so big of an issue. Unfortunately, I have not heard success stories on this wavy/wiggly issue from others. Also, although I have an IOL in that eye, the doctor has seen the start of secondary cataracts or opacity on the posterior capsule (PCO), and says that I will have to certainly go through the Nd:Yag laser sx to remove that. I have had Yag sx done on my other eye 9-10 years ago, and it is only a quick laser treatment on out-patient basis. So, that's something you should watch out for. It took me 2 weeks post-op for the right eye to go back to driving and work, and 3 weeks for the left eye. In general, life and vision is pretty normal otherwise - no prescription eye-glasses, other than reading glasses, of course (I am 58 years old).

Since the left eye has pretty sharp vision at intermediate distances (dashboard, PC screen, etc.) it tries to compete with my other dominant right eye, and that's when it becomes slightly hard to read sometimes - smaller sized wiggly but sharp words vs. normal size sharply-focused words - brain keeps on switching at times. I do get headaches a little bit more frequently, and some pain in my left eyeball, and that's mainly when I use the PC a lot (10-12 hours/day). So, watch out for some of these symptoms I had, and the best lesson is "tell the eye dr all the symptoms as they are, and as soon as they happen." Then the chances of repairing the problem successfully increases dramatically. I wish I had told about my silvery beads problem with the right eye a couple of years earlier, after my laser retinopexy was done on that eye - it could have prevented the ERM from forming in the first place. Removing ERM is no joke - even far more critical operation than vitrectomy for retinal repair, I understand. I hope that is not the case with you.

 
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Old 04-07-2013, 01:35 AM   #6
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Re: Vitrectomy for retinal detachment - recovery

By the way, you also asked about why the "wiggly/chopped" vision happens. Here's what I know: it has nothing to do with your bubble, and, unfortunately, it will remain even after the bubble has gone in 2-3 weeks (normal). I have had the wiggly vision for 3 months post-vitrectomy op without any signs of going down, but it may also depend on the severity of your RD (how far it progressed - peripheral only, up to the macula, beyond the macula, etc.; mine was 90% dark curtain, beyond the macula, very, very bad in 7 hours - emergency situation).

The wiggly vision or chopiness in seeing lines has something to do with the so-called "edge-detection" problem with the cone-photoreceptors in our retina (see wiki if you want to know real details - this is also how digital photo image processing works on your smart phone). The cone cells which give us the visual acuity, like, sharply distinguishing edges and boundaries (for reading words, etc.) and are enormously dense in the foveal region (central macula) have been displaced from their original location due to the macular retinal detachment (RD) and repair. It's like the pixels on our computer screen have different addresses now which the CPU does not know. The brain (visual cortex) which really interprets these electric signals from the cone cells as images does not quite "know" where the new locations are, and tries to interpret them as it used to before the RD. The brain has to re-learn all the new locations of these cone cells simply by us looking at the world (just like just after we were born), and there are millions of them in a very tiny region (0.3 sq. mm), and that's what, my dr says, will take several months to do, if at all. So, it's not just an eye problem - it's a neuro-optical issue. But the brain is "plastic" and can learn whatever is thrown at it - and, that's our hope! Be positive, my friend, and we will both have non-wiggly vision "soon." At least, I hope so...

 
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Old 04-07-2013, 07:07 AM   #7
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Re: Vitrectomy for retinal detachment - recovery

Vitcat2,
Thanks for the reply.

And if anyone has had success in getting over the wiggly lines, please post and let us hear about it.

Thanks!

 
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Old 04-11-2013, 12:43 PM   #8
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Re: Vitrectomy for retinal detachment - recovery

I had cataract surgery, both eyes, in 2006, and I forget the reason the young surgeon mentioned for not using multi-focal implants. Anyone know some reasons? It's evidently impossible to get perfect glasses to enable you to read, if you're just set for distance. He may have chosen wrong power distance implant for my worst eye, and I was 20/40 in the better one until a steroid, Kenalog, was injected for Inflammation. I have inflammatory disease not just in my eyes, but eye doctors don't seem to even ask, if you have something like that, and Thyroid Resistance, so that your large dose of thyroid supplement doesn't work well, and Kenalog won't drain out. Vision went down to 20/50 in that eye immediately, couple of years ago. I had debris from it in my worst eye for about 7 or 8 yrs already. Some people are trying to get that drug off the market, I believe. Some who've had it for other-than eye problems have had trouble with it, I've read at forums. Wouldn't advise anyone to submit to that.

 
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Old 04-13-2013, 11:37 AM   #9
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Re: Vitrectomy for retinal detachment - recovery

Just a small reply from my own experience w/kenalog. Due to My own personal problems with extra-ordinary Scar Tissue, Internal, Topical/skin etc...my Dermatologist Treated me (started back in the 1970's) for many many Years with an Injection type, steroid product called Kenalog, just under the skin at a 15degree angle/(supposedly non-systemic) injections to reduce that hurtful, itchy, Very Thick, unsightly red-rope-like overblown skin growth (which is all it is, scarring) that some of us are cursed with. Most people just properly heal (which in my opinion, why most doctors dont ask questions about abnormal scarring problems), put on a band-aide and you can never even see any evidence of surgery, or other blemish.

I believe this is why they (surgeons) use it in our eyes (its standard to them) during surgery, without telling us, as a safety precaution (against scar tissue forming), because we do NOT WANT this scar tissue to occur in our eyes and it can happen anywhere from Instantly, to 6 months later. My opthm. told me that should this occur to me after or during my cataract sx, after the small, ever so small cut during the cataract sx, I "could" require an immediate Corneal Transplant! Oh No! Give me the Kenalog Steroid any day of the weak please! (and give your Surgeon all the Information that you can EVEN if he does NOT ask for it....no, no....ESPECIALLY if he does not ASK FOR IT, as he "may" be treating you as "ordinary" when in fact we are NOT Ordinary...we are SPECIAL, that is why we are asking each other questions!) In fact, I am going to request it, the Kenalog that is, and if he refuses me, I "may" look for a different surgeon, unless he has a really good reason or an alternate drug to discuss that is better....than the Kenalog that I AM familiar with.....the only side effects I had were, after years of bi-monthly injections (often more than 40 at a time, but never more than a certain amount of centimeters of drug, same needle, measured amount of drug so i believe he was careful - areas of ""skin"" were in/on my chest, shoulders, stomach, etc....I started developing "thin skin" in areas of injections, along with extreme "sun" sensitivity. After that side effect I went ahead and gave up, it had been years by then - plus it was extremely expensive as it was treated as cosmetic ( I will research any drug/steroid, that I am not familiar with its side effects and then make up my own mind when the cataract time comes!) OBVIOUS OUTER SCAR TISSUE is a hereditary defect, and is actually an OverBlown Defect of OUR OWN BODYS DEFENSE, which would be ~ SKIN, Our Protective defense mechanism is confused as to WHEN to stop producing "protection (skin)""....when is it enough? Our skin gets confused) - people with Genetic (DNA) backgrounds (genetic ~ and those who have never had surgeries before may not even be aware of it so be sure to compare yourself with other family members who are familiar with this outer scar defect....they can form on the inside of us and we never know it, after a surgery - the professionals call them ADHESION'S. on the OUTSIDE of our bodies, they are Quite Obvious and called Keloids.....very hideous, ugly, etc. ITCHY and often painful as well as the rest of your skin also stretches.))People who genetically are from the Mediterranean climate/region, I am of Italian ancestry - perhaps African American, Greek, etc - check around for other family members.....it is totally hereditary and I have suffered since age 9, even from a small "black head, or pimple" as a youth, a simple blackhead turns into a Hideous Keloid. Hense. My injections were every 14 days, for many years which I could not begin my own treatment until I could pay for it myself as Insurance did NOT cover it being considered "cosmetic", with never a complete recovery (skin) and for a young girl/woman you can imagine the "self confidence/image" in a negative way, sleeveless shirts, bathing suits,,,,,already being overweight, well ladies you can imagine and Gentlemen? Need I say more? With "scars" all over my chest and shoulders, etc....Fast Forward 40 years and WHO CARES? I WANT MY EYESIGHT BACK! Forget about that vanity now!! Lets help with information, AND pray using Faith, for each other and keep the communication coming, be it positive OR negative - the more knowledge we have, the better off we are as our Doctors (mine anyway) arent going to spend an extra 60 seconds to explain anything to us to help educate us, as we are "stupid' to them and not people at all, just dollar signs $$ ch ***** (my opinion) Im sure there are some good ones out there, and thru trial and error I always try to find myself the best using whatever information that I have available! The End. OH Wait. very IMPORTANT....THe "DOCTORS, or SURGEONS" May try to tell you that Keloids ONLY Form on certain areas of your body, such as "Over Bony areas" such as shoulders, chest, as in open heart surgery areas....etc. NOT TRUE> Not too long ago I got one on the side of my hand, from a BURN, I fell asleep on a heating bad and woke up with, well, lets just say Im glad I have a hand. Another, I was slicing an ONION, and almost lost a finger. Well, I still have my finger, AND A GREAT BIG KELOID......so, LETS BE EXTRA CAREFUL WITH OUR EYES, and see how detrimental the Kenalog is for our sight - not needing a Corneal transplant, or worse......loose sight all together........very important, FORCE the DOCTOR to answer your Steroid Questions, and if he WONT, probably means he CANT, Find another Surgeon. That is my "semi-defense" on the Kenalog issue. Best of Luck to everyone. Educating each other is our best defense!

 
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