Dear fellow eyeball fans:
I'm a 54 y/o male in South Carolina. I'm quite myopic, as in -8. Last
April I had a posterior vitreous detachment in the left eye that resulted
in 2 retinal holes at the 10 o'clock and 1 o'clock positions
(non-inverted, physical locations from the perspective of looking out).
The holes were at the sites of lattice generation and were sealed with
cryopexy.
In September I had a retinal detachment at the 7 o'clock position
(non-inverted, looking out) that was treated with cryopexy and a scleral
buckle. Soon after the scleral buckle procedure I began noticing visual
distortions (the famous wavy lines) and returned to the surgeon for a
followup examination. He did an OCT exam and told me that I did have some
scar tissue growing across the macula but that the macula looked healthy
overall. He also pronounced me in good condition and gave me a new
prescription for my glasses.
In the last few weeks I have begun seeing brilliant pinpoint flashes of
blue light around the macula. They are usually scattered around the macula
but occasionally occur right at the center of the macula, and when they do
they are very intense and appear as a small circle of blue with a round
central region that is black. These flashes occur regularly during the
day, as in several per minute, and seem to be more frequent when I am
active, as in the moments after climbing the stairs at work.
There's another thing that I'm curious about. In the mornings, immediately
after awakening, I see something in the left that must be the result of
the detached vitreous contacting the retina. I see an opaque region of
bright red, to the immediate right of the macula, that is generally
circular in shape but has an irregular edge. This area grows in size from
a small spot to a large region and then diminishes to a spot again before
disappearing. This happens in a period of about one minute. Around the
edge of this region of opaque red there is a thin band of brilliant
yellow. My naieve assumption is that while sleeping some portion of the
vitreous is shifting and pressing against the retina. When I get up the
vitreous reverses its direction - the bright yellow ring is the region
where the vitreous is pushing against and then peeling away from the
retina - the area of greatest mechanical stimulation.
I wonder if any of you have experienced these things or can suggest what
they might be?
Thanks,
Harrison
Mike Tyner - 14 Jan 2005 08:00 GMT
> I see an opaque region of bright red, to the immediate right of the
> macula, that is generally circular in shape but has an irregular edge.
[quoted text clipped - 4 lines]
> sleeping some portion of the vitreous is shifting and pressing against
> the retina.
Maybe the vitreous is shifting but some of this sounds remarkably like
migraine.
If so, the colors would stop exactly at the midline and you might discover
it's actually in both eyes. If that's true, it isn't likely vitreous.
-MT, OD
g.gatti@agora.it - 14 Jan 2005 10:48 GMT
Hello, Mr. Tyner,
it seems you doctors have not great succes in curing eye problems.
Do you think your branch of medicine and medical business has the same
rate of success of other branches?
What is your opinion about your own practice?
Are you satisfied with your clients?
Now take this poor patient.
He had been distressed by long years of wearing great -8 comensative
glasses, which have produced, if logic is logic, such great damages in
the retina, that the poor man now feels worried by these sparks, and
you suspect migraine...
Please, if you were in his own shoes, what would you have done?
Thank you for your always kind replies.
Lewis - 14 Jan 2005 22:12 GMT
Harrison,
I'm a fellow scleral buckle wearer and have no experience with the
strange color effects you describe. I hope they go away and that
someone can offer a useful explanation of them.
My retinal detachment follow up exam also revealed scar tissue across
the macula. Probably you are already well-informed on this, but do
watch carefully the "wavy line" effects and overall vision quality for
any further changes (murkiness, fuzziness) and vision loss. My
post-surgery macular scarring was severe enough to cause "retinal
pucker" and significant vision loss. It required more surgery: a
retinal peel with vitrectomy. More details with a great explanation of
some retinal physiology by MR in a previous thread here (Jan. 7 I
think), titled "Retinal Surgeries."
Lewis
Dr. Leukoma - 15 Jan 2005 02:09 GMT
I would seem to me that these events could be caused by vitreous
traction on the macula, and may be early signs of an impending macular
hole. I think you should discuss this with your retinal specialist on
Monday. Most patient I have seen with epiretinal or pre-retinal
membranes do not have photopsia.
DrG