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  • Has anyone here had a vitreous hemmorhage or cataract surgery??

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    Old 06-25-2005, 11:06 AM   #1
    In Hiding
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    Has anyone here had a vitreous hemmorhage or cataract surgery??

    Last week I posted here about a vitreous hemmorhage that I got while getting a phakic IOL to correct my vision - my eye was hit as the doctor was finishing the surgery. I went to a retinal specialist the next day and was told I didn't have a detached retina and I should take 2 weeks off work and rest with my head elevated until the blood spot clears. I go to my eye doctor once a week for follow ups and I am scheduled to see the retina doctor again this week.

    I think the blood spot has started to clear, but since I've never had this before I don't know what it is supposed to look like. Has anyone else ever had this happen? Last week, I saw a giant red floating red blob in my eye and now this week it is sort of a foggy floating haze. I can see to the left of it, I guess that is the peripheral vision and if the room is bright I can sometimes see through the haze.

    My doctor told me once the blood clears we'll be able to tell if my natural lens was damaged, in which case it will have to be replaced and the phakic IOL will be removed, I will get an artificial lens and will be good to go. Is that a cataract surgery? Has anyone here had something like this? I'm 25! I was very scared and concerned and I talked to one of the nurses in the eye doctor's office who put me at ease for now but I just want to see ok again and hearing "cataract" and "lens replacement" and "hemmorhage" when I am only 25 is really scaring me.

     
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    Old 06-25-2005, 06:45 PM   #2
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Hello In Hiding,
    Well I had a hemorrhage in my retina last year. I think what you are seeing is the blood dissapating and gradually being absorbed. This takes some time. The blood that was in my eye settled toward the bottom of my vision, causing a dark spot. This eventually just disappeared.
    Now your question about the surgery. Yes, basically that would be considered cataract surgery. If you natural lens has been injured, it may cause a cataract (clouding of the lense). I was 30 when I had to have a cataract removed. But at the time I was considered too young for an implant. This was in 1986, when lense implants were only used on older people.
    Cataract surgery is quite common and has good results. It is surgery and not without risks, but it has helped so many people see. Hopefully, being so young your lense has not develped any clouding. But if it has, the surgery, although scary, is a marvelous thing. I wish you all the best, and hope all goes well at the drs visits.

     
    Old 06-25-2005, 07:48 PM   #3
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    For Hellasrules

    Oh thank you Hellasrules...that made me feel a little better.

    This has been really scaring me and I seem to be going up and down each day with the way I feel. One day I am in good spirits and feel optimistic, then the next day I cry and mope. My other eye is still adjusting to the phakic IOL so I am not seeing 100% out of it yet.

    How long did it take your eye to clear after the hemmorhage? My eye doctor told me it depends on the amount of blood and that it also varies from each person - it's been 11 days since it happened and I guess it is making some slow progress since I no longer see a thick floating red blob. The retina doctor that I went to didn't seem all that concerned, he looked in my eye with the pupil dilated and told me the retina didn't detach and it should clear on its own so I guess that is a good sign. I am just so depressed over this, I thought I would get the surgery and be on my way to a glasses and contact lens-free life and now this happened.

    Do you have a lens implant now? Do people with lens replacements have to be extra careful with their eyes for the rest of their lives? I like to bike and rollerblade and run and would a lens replacement affect any of that?

     
    Old 06-26-2005, 12:42 AM   #4
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    In Hiding,
    I am almost 3 weeks out from my first cataract surgery with an IOL implant. Mine is the new Crystalens implant. It can take quite a while to achieve good near vision, since it has "hinges" that attach to the muscle in the eye to allow it to focus at various distances. I don't know if an active lifestyle such as you described would possible cause a hinge to break free from its mooring. Perhaps studies were made on this with non-human subjects. If you reach the point where you will likely have such an implant, I can research it for you.

    I can totally empathize with your roller coaster emaotions. Even if it were "just" a broken bone, you'd no doubt be depressed about the intrusion it made on your life. But being unable to function at full capacity because of vision problems (which you and I were both already dealing with before the surgery), and then being met with further impairment after having undergone treatment to alleviate the problem, is, well, more than depressing. Added to that, I also had a not-uncommon reaction to the surgical sedative, which involves "mood swings" on the "first or second day" post-operatively (though in my case it occurred on days 3 and 4). On the bright side (as opposed to the Dark Night of the Soul side), we both, no doubt, still hope for a positive outcome in the long run. At the moment, however, I'm leaning a little over to the dark side.

    Being "only 25" is a good thing. If you have an IOL implant, you will recover faster, and possibly better, and in the end you should have another 50 - 70 years or so of good vision, because the implants generally do not develop cataracts and/or become rigid and yellow with age.

    Last edited by seriousperson; 06-26-2005 at 12:44 AM.

     
    Old 06-26-2005, 04:55 AM   #5
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    In Hading, The blood will probably takes a few weeks to dissapate & absorb. Like your dr said, it depends on how much debris there is and each individual is different. Being so young, I am sure you would heal a lot faster than someone of my age or older.
    I never have had a lens implant, & won't unless it is absolutely necessary for some reason. I am prone to deteached retinas, so any surgery on the eyes is risky for me.
    I'd ask your dr about the things you want to do. I don't know if the implant would limit your activities.
    My BF father has had 2 major hemmorhages in is eye, and it took his 6-8 months to clear, but he is 82 and a diabetic, so he has complications. But he's now back to driving agin, so even someone like him can recover from this.
    Don't worry about all the what if's, though. When you think of a question, write it down for the dr. They hate me when I pull out my peice of paper with 20 questions for them! But how else are you going to know what is going on? Even if you think it's a "dumb" question, ask anyway.
    Wishing you all the luck in the world...I've always wanted to be contact/glasses free, too...just not in the cards for me.

     
    Old 06-26-2005, 03:07 PM   #6
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Thanks Hellasrules and seriousperson, I feel a little better since reading your posts. I will definitely make a list of questions to ask the eye doctor tomorrow.

    It just sucks because I keep reading some scary stuff on the internet, like trauma-induced glaucoma and other things and even though the doctors and nurses told me not to worry about that, I don't have it, I'm not getting it, etc. I can't help but think about the worst case scenario. I am really impatient and just want my eye to get better and I don't like having to sit around and wait for it to clear. If I didn't have this hemorrhage, then I wouldn't be so concerned about the other eye - Dr. says it is healing ok and I will see fine through it, I just have to give it time but now I am paranoid.

    The thought of having to deal with this for months is scaring me; I start graduate school in the fall and that means reading a lot - I really hope and pray that everything is okay by then. A few days ago, I was regretting getting the surgery but now I realize that I did it to have a better quality of life. My eyes were getting too dry for contacts and I didn't want to wear glasses all the time since I do like to be active so I thought these phakic IOLs would be the answer to my prayers. I just happened to get the short end of the stick and something stupid happened.

     
    Old 06-26-2005, 04:00 PM   #7
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Hi In Hiding, Since the blood has already dissapated in the past 11-12 days, you are probably well on your way to it just going. It should get better with each new day. The blood I had in mine finally settled in the lower part (peripheral vision) of my sight, so although I still new it was there, it got smaller every day. I don't think it took more that 4-6 wks before it was gone. Before you realize it, yours too, will be gone.
    Try not to think of all the worst case scenarios (I know that can be hard) and focus on other things. I know you are cooped up right now, but in a few days when the doc gives you the thumbs up...you can get back to doing normal things. Don't let this ruin your Summer. You have you life ahead of you, school in the Fall, enjoy the summer fun. You will be fine.

     
    Old 06-26-2005, 06:42 PM   #8
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    HELLASRULES, you are so nice Reading your posts really cheers me up - it's nice to get a pep talk when I am feeling down. I just keep telling myself that the longer I sit and rest the better it will be for my eye.

    I can still see the blood, but pretty much only when I move my eye around. I noticed today that the dark parts are floating lower than they were last week and even the other day, if that makes any sense. It's still definitely there, I can't see out of my eye and the non-dark part is still really cloudy (it floats)so I guess it will take some time. But I have definitely noticed a change in the consistency and appearance of it, that's for sure. I just want to get to the retina doctor on Thursday and have him say it's going okay and then I'll be much less scared, especially since I have my friend's wedding this coming Sunday! Tomorrow I see my eye doctor so I will ask him all of my crazy questions.

     
    Old 06-26-2005, 07:20 PM   #9
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    In Hiding. Good luck at the docs....and enjoy your friend's wedding. You need a little fun after all this.
    Let me know how you're doing.
    Hellas

     
    Old 06-27-2005, 01:43 PM   #10
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Hi Hellas

    I went to the doctor this morning and he dilated my pupil and looked at my eye. He said he couldn't see behind my eye because of the blood that is there, and that scared me because last week, the retina doctor didn't do an ultrasound or anything. He used that thing they wear on their head, with the light and the magnifying glass or whatever...so all these thoughts were running through my head, like, if the opthamologist can't see behind my eye, why did the retina doctor say it was ok? How can he see behind it to make sure there aren't any tears or detachments? Is it possible that the thing hitting my eye just caused a blood vessel to pop? Can you have a hemorrhage without a retinal tear or detachment?

    The doctor says I have a small cataract in the corner of my lens that they can take care of after the blood clears. I got really upset sitting in that chair but my dad was with me and he basically did all the talking for me. The doctor explained the cataract surgery and whatnot and said I will be seeing fine after it is over with. I am now more afraid of surgery becuase of what went wrong with the implant surgery I had but I guess i should keep my chin up.

    I see the retina doctor on thursday so hopefully he will say everything is getting better.

     
    Old 06-27-2005, 04:47 PM   #11
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Hi, yes you can have a bleed in the eye without the retina tearing or detaching. The retina dr sees patients with all kinds of retina problems every day. They have a vast amount of experience looking at the retina. Whereas a general opthalmologist sees many various things during the day. I am sure the retina dr has experience looking for tears or detachments. If your retina had detached, you would not see improvement in what you are seeing. Believe me. I've had 4 retinal detachments and 1 retinal tear.
    If that happens you would know about it. When I had the hemmorhage in my eye last year, I had to see him again the next week to see how it was doing. When I went he could see the tear, even thru the blood(debris). He even lasered the tear while having to look thru the debris. So, you see, they are very good. Not that your reg. opth isn't...just the retina dr does this all day long.
    As for as the tiny cataract you have...ask the retina dr about this also. Cataract surgery isn't without risks, as you've found out from the other surgery. Don't rush into the surgery just yet. I know how much you want your eyes to be normal again. Wait it out a little before you decide. Cataract surgery is rarely an emergency. Let your eye heal from what it has been thru already. Give it a chance to recover from all that has happened to it. It's just my opinion, mind you. But like you, after the 5 retina surgeries, the cataract and a capsilotomy, I don't think I would rush to have something done that wasn't absolutely necessary. See how you're seeing once the blood has cleared, and see what the retina doc says.
    Geez, I wish we were in the same area, as I'd tell you to go see my retina dr. He's really nice & patient. Doesn't mind all my questions, and if it weren't for him I would probably be blind today. He's written tons of books, and talks to you like a regular person, and not like you're an idiot (a lot of drs do that). Hope you have as good a dr as I had, if not better.
    Let me know how you make out Thursday. I hate seeing you having to go thru all this.
    God bless & I'll pray everything turns ok for you.
    Hellas.

     
    Old 06-27-2005, 07:35 PM   #12
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Hi Hellas

    Thanks for your good wishes. I've only seen this retina doctor once, right after my opthamologist found the blood. My doc told me this retina dr. was very, very good and I found him to be very nice. I didn't really ask him a lot of questions because at the time I was still very confused about what was going on. It wasn't until I started reading stuff online and talking to my opthamologist that I started to worry. So when I go back to the retina doctor on Thursday I will for sure ask him a lot. I actually spoke to one of the nurses from the optham. office the other day and she said if I had a cataract(this was before today's exam) it would be totally up to me as to when I would decide to take care of it so I feel better now that you told me the same thing. Also, my opthamologist is in contact with the retina doctor and the retina doc will be calling him after my exam on Thursday so I feel better knowing that they speak. But I will get a better feel for him when I go back on Thursday with my questions and concerns.

    My opthamologist said that we won't know for sure if the cataract is going to be a problem until this blood clears up anyway and of course, they can't do anything until it clears so I am sort of at a standstill for now...My parents are really upset over this and my dad keeps worrying that I will have the eyes of a 90 year old person instead of a 25 year old. I am hearing so many opinions and theories from so many people (friends, family, etc) that my head is spinning. I just want everything to be alright.

    Wow, you have had a lot of eye stuff! Do you see okay now? Is everything alright? That comforts me a lot, knowing that you had all those procedures and are doing okay. As fdr your retina doctor, I don't suppose you live in the new york-metro area do you?

     
    Old 06-28-2005, 04:22 PM   #13
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Hi In HIding, First of all no, my dr is in Boston. Not too far, but not around the corner either. I can surely understand how your parents must feel. Your Dad sounds like a very nice, caring man. You're lucky to have parents like that.
    IT's really hard to listen to everyone opinions when you have something like this going on. ON one hand, you want help, info & support, but on the other hand you don't wan't to hear horror stories they love to tell you at times like these. All I can say is trust your heart. Trust your parents, and doctors.
    Your Dad worrying about you having the eyes of a 90 year old is just being a dad. He wants all the best for you. You're young, healthy, and that goes a long way in healing.
    Everything is on your side. Lot's of people have cataracts that are small and never know it unless someone tells them it is there.
    I had all my surgeries when I was 30(except last years minor episode), so that is 20 years ago. I drive, work, paint, sketch, woodworking, anything I want. I just can't do contact sports (don't think I want to at 50!). And that is only because my retinas are thin & fragile from being born prematurely (I weighed 2 lb 14 oz in 1955). Oh and I can't drive at night...lights kind of starburst, so makes it hard.
    Hope you have a good night and let me know how it goes on Thursday. Make sure you find out if it's ok to go to your friends wedding! You still need to have some fun,too!
    Hellas

     
    Old 06-28-2005, 05:42 PM   #14
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    HELLAS

    I spoke with a cousin of mine who is a nurse at a top NY hospital. She was talking to one of the doctors about my situation today and they gave her the number to a top NYC eye doctor. She then spoke to that office and they gave her the phone number to an excellent surgeon that they refer patients to all the time.....and it happened to be my own doctor!!!! I was so incredibly relieved to hear that! I did call that office back and explained what happened and how I already go to the doctor they were talking about and they told me to stick with him, he's the best, I'm in great hands. I explained what I was seeing anyway and they said it's a hematoma and it will clear, will definitely take awhile but I'll be good to go once all is said and done. I know that is exactly what everyone has been telling me but it feels so good knowing that other top doctors are so enthusiastic about mine.

    I hope everything goes well on Thursday. I'm pumped for it now - I hope my optimism can last me till I get in there!

    Did premature babies back then have thin retinas because their eyes weren't fully developed when they were born?

     
    Old 06-28-2005, 05:59 PM   #15
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    Re: Has anyone here had a vitreous hemmorhage or cataract surgery??

    Well, looks like you are in really good hands. That's great news to hear that. You sound so relieved. I'm happy for that. You only have one day to go, so keep that optimism HIGH!!!
    Preemies were stuck in incubators in those days with high concentrations of oxygen. They theorized at the time, that the O2 caused the retinal problems. Now they think it is the lights, so today they cover preemies eyes until the eyes develop a little more.
    I don't think they really know for sure..but time will tell, since babies are surviving at lower birth weights than ever before. Amazing!
    How is your vision today, anyway? A little better?
    I'm so happy you found out about your doctor being so good.
    Sending a great big hug your way.
    Hellas

     
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