I have a LONG history of eye surgery. I was born with cataracts. First one
was in 1978 when I had the cataract removed from my right eye. Second one
was in 1982 when they did the left eye. At that time the surgery was VERY
different and I was put totally out for it and they removed the entire lense
and sac, therefore I can not get any lense implant in the back of my eye
today. I remember being in the hospital for 3 days too! Now it's BAM and
you're out of the surgicenter.
Well in 2002 I was referred to a surgeon who did cataract surgery and who
said I could get an implant put in the 'front' of my eye (IOL) which would
prevent me from having to wear my +12 contacts anymore. I had the right eye
done first. I thought GREAT..let's do it! Well, after only 3 months of
having it in my right eye it dislocated itself and had to be removed. About
3 months later I developed VERY high pressures in that right eye and to the
tone of 40-50 and I got EXTREME headaches! I was put on any drug imaginable
to help me...Diamox, travatan, pred forte due to inflamation, etc....and the
list went on so much I can't remember all the meds I was taking. Since he
couldn't get my pressures down he referred me to a glaucoma specialist here
in town (which there is only 2 of them in the entire place!) and she
couldn't get my pressure down either. In fact one day I had such a bad
headache she had me come into her office emergency wise and my IOP was 48
and she gave me a bunch of really sweet stuff to drink which brought it down
to about 25 within a couple hours! Everything we tried didn't work. So I
had to go in for yet another surgery on the right eye...she inserted a tube
to help drain it. Still to this day my IOP's are in the mid to high 20's
however I'll take that to the 40's anyday! Now I'm on pred forte once a day
and travatan once before bedtime in the right eye. I do compressions every
2 hrs to help drain it and that seems to help. I will never let anyone
touch my left eye as it is my "better" eye and the IOP's are fine in that
one. I can't see in my right eye today and even with a +12 contact in that
eye I see about 20/60 and the contact is very uncomfortable due to the tube
in my eye.
Anybody develope glaucoma on here due to surgery? I wish I never would
have had that IOL implanted to begin with now but I can't take it back.
All I can do is go forward from here and hope for the best.
I got back to the Glaucoma Specialist on 8/11 for a IOP check and a visual
field exam. I have been going back every 2-4 months for checks. So far
(crossing my fingers) my nerve is fine and last years visual field exam was
normal. She says I'm tolerating the IOP's in the 20's fine but I don't
want to take any chances and neither does she.

Signature
Helen
Laura - 11 Aug 2004 01:06 GMT
So sorry, Helen! You've really had it rough.
My history is a bit like yours, though not as bad. I had a cataract
removed from my left eye 20+ years ago, although I was an early
microsurgery recipient and didn't have the entire lens removed. Had
good IOPs until about 3 years ago. I had a lens implanted in that
eye, then it slipped and had to be sewn into place.
At the time we weren't sure if I really had glaucoma or if the Pred
Forte I was using was raising my pressure. Yup, it's a steroid and
I'm told steroids can raise IOP. We finally knew I had glaucoma when
my IOP stayed up after I got off the Pred Forte. Secondary glaucoma
can indeed result from trauma. That's why I don't think there's any
such thing as "minor" surgery.
I don't regret having the lens put in. I think now my IOP had started
to rise BEFORE I did that, and I can't imagine using all those eye
drops with a contact lens.
Meds controlled my IOP adequately at first, but this year it rose and
refused to come down, and I just had a trab done 2 weeks ago.
Laura
>Anybody develope glaucoma on here due to surgery? I wish I never would
>have had that IOL implanted to begin with now but I can't take it back.
>All I can do is go forward from here and hope for the best.
Francis Austin - 20 Aug 2004 19:55 GMT
Helen,
I've been through a similar set of surgeries in the 1060s, except for the
implant. Fortunately, I had myopia with a -6 eye glasses before the surgery
and wound up with a +6 eyeglasses after. However, I was told that the
process of pulling the entire lens out of the eye damages the drainage
system and many who have had this type of surgery eventually get glaucoma.
In regards to the runaway IOP, has your doctor ever suggested Phospholine
Iodide (Wyeth). I take 3 different eyedrops. Phospholine Iodide, Timilol,
and Xalatan). Without the Phospholine Iodide my pressure soars from 17 to
the upper 20s. The side effect is that it gives you a brow ache until you
adjust to it. This medicine can only be prescribed for those who had their
lenses removed "the old fashioned way", or have lost their lenses otherwise,
because it can cause cataracts in those who still have their natural lenses.
Good luck with your eyes from here on in.
> I have a LONG history of eye surgery. I was born with cataracts. First one
> was in 1978 when I had the cataract removed from my right eye. Second one
[quoted text clipped - 38 lines]
> normal. She says I'm tolerating the IOP's in the 20's fine but I don't
> want to take any chances and neither does she.