Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Vision / April 2005

Tip: Looking for answers? Try searching our database.

QUERY REGARDING RETINAL DETACHMENT

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
surya - 24 Apr 2005 05:48 GMT
Hello friends,
I am from Bangalore, India.  Am around 55 years old. .  I am highly
myopic
(around -12 in both eyes).
======================================================
My query.
1.  I know that retinal image is upside down on the eye and hence
disturbances in upper part of
   field are really due to retinal problems in lower part of eye.
2.  Is is possible that the image is also left/right changed; that is,
   in the same way
   disturbances in outer periphery of eye (near the hand) is due to
   retinal problems near the inner periphery (near nose) ?)

Why do I ask.  Please do take time to read through the following
rambling post; will
really appreciate a reply one way or another.
======================================================
For the last few months have noticed blurring of left eye (Ghost
images). Stronger glasses +
cyl correction needed :(.  Doctor told there may be start of cataract
in left eye).

Well this is the main problem.

>From around 10-12 days back, I have noticed a sudden
increase in floaters in LEFT EYE.  I am seeing around 500 or more very
small dots, some dark but
most of them transparent.  I consulted on reputed hospital where I
usually go on 18th April.
The retina specialist told the following.
- he has done a through exam of LEFT EYE but not finding anything
amiss.  Might be there is
 blood vessel breakage due to PVD and hence dots.
- He HAS noticed a small hole in upper periphery of RIGHT EYE.
Recommended Barrage Laser closure.
 Scheduled for 23rd April.
- This hole has not been recorded in the previous exams.
- Very unfortunately for me, all my previous retinal exmams were done
by another specialist who seems
 to be currently on vacation.

I went to another hospital (a super speciality one for eye) on 22nd
April for consultation.  The retina
specialist there had the following to say.
- He has noticed a SMALL TEAR with a little detachment in the retina of
LEFT EYE. It was  in mid nasal
 periphery (rim of the eye, near nose right at around 9 or 10 O'clock
from his point of view).
- Although he observed myopia+age related deterioriation in the RIGHT
EYE  (may be holes too)
 he said they are all benign.  I repeatedly told him re
the other exam and asked him re hole in right eye and he repeated the
above.
- He said he is not seeing any bleeding.
- As per him the tear looked fresh and might easily have developed
between 18th and 22nd,
 a scary thought to say the least.
- On his advise I got the Laser closure of RIGHT EYE tear done
immediately (took around
 10 minutes, 200 pulses).

Because of the above, I did not go to the first hospital on 23rd as
scheduled, thought I will stay at home
to prevent any accidental jerks to eye, it did not seem right to be
moving around after the
operation although dotor told do not lift heavy weight etc but can
drive and resume regular
activities.

I fully explained the situation to first doctor over phone; he said to
come on Monday (25th)
or in another week and he will give another full exam and to watch out
for any sudden flashes, floaters etc.

Both hospitals are very reputable hospitals and both doctors are
knowledgeable, caring professionals
who took the time to kindly answer all my queries, some repated in my
anxiety.

The point
- I was ALSO observing a rather large floater (web like) in the LEFT
EYE which used to move down from
 upper left field.  Does not seem to be there now after the operation.
Is it possible that the
 tear near nose was causing it.

- Should I go on Monday 25th April and ask the first doctor for another
exam and ask for the surgery
 (Laser sealing of the hole that he saw) of
 RIGHT EYE also that started this whole thing.  The problem is the
second doctor says nothing is needed
 in RIGHT EYE for now.

- the hundreds of spots still remain; the second doctor said I have to
live with them.

Sorry for the very long post. I will be very greatful for a resopnse,
especially from those in the
medical profession.

surya

n<DOT>nsurya0@gmail<DOT>com
William Stacy - 24 Apr 2005 06:12 GMT
> Hello friends,
> I am from Bangalore, India.  Am around 55 years old. .  I am highly
[quoted text clipped - 9 lines]
>     disturbances in outer periphery of eye (near the hand) is due to
>     retinal problems near the inner periphery (near nose) ?)

Quite right.  Light from your extreme right side goes through the pupil
and hits the left sides of both retinas (simple geometrical diagram will
show that to be true).

As far as the rest of your story, the only thing I can suggest is to
follow the advice of the retina specialists, and have them fix anything
they can.  You need to have the retinas down nice and tight before any
cataract surgery.  The cataract surgery (if and when you have it) will
also fix your myopia, which you will greatly enjoy,  but it carries some
retinal detachment risk, so be sure to go to a cataract surgeon that the
retina specialists recommend, not to just anyone. Good luck.

w.stacy, o.d.
Mike Tyner - 24 Apr 2005 06:54 GMT
> - I was ALSO observing a rather large floater (web like) in the LEFT
> EYE which used to move down from
>  upper left field.  Does not seem to be there now after the operation.
> Is it possible that the
>  tear near nose was causing it.

Floaters are annoying but they aren't usually dangerous. Retinal breaks and
tears, in high myopia, _are_ dangerous and should be tacked down with a
laser.

"Preventive" laser treatments aren't usually done in the absence of breaks,
holes, and degenerations. It's better to wait until they appear.

> Sorry for the very long post. I will be very greatful for a resopnse,
> especially from those in the
> medical profession.

And I'm sorry that you'll get a wide range of responses from clearly
_non_medical people. You'll spot them easily. They'll want to argue that
your myopia is caused by emotional immaturity, or on the fact that your
parents didn't make you wear plus lenses when you were a child. They'll
recommend you stare at the sun, learn to relax and imagine a perfect black
dot in order to cure your organic retinal problems. They'll guarantee 100%
success and indict your doctors as criminals for forcing you to wear
corrective lenses. They'll blame your myopia on your glasses.

None of which touches on the fact that careful monitoring and appropriate
laser treatment are the most reasonable course for you to follow. It sounds
like you've been getting good advice. If you're cautious, you'll want a
careful dilated examination every 6-12 months.

-MT
auriganews - 24 Apr 2005 12:42 GMT
Hello there. I am not a medical professional, but just thought I would pass
on what I know. I suffered a full blown retinal detachment in the left eye
at the age of 23. It was repaired with a scleral buckle. That surgery caused
a cataract to form, which was later removed. And the cataract surgery caused
cystoid macular edema. More surgery for that. Over the years, I have had
about 12 retinal holes repaired with the laser in the right eye. I now have
a cataract in that eye also. My retinal specialist has advised me not to
have it removed until I just can't see anymore. He says with my high myopia
in that eye, and my history of retinal problems, I would asking for another
detachment. He has agreed to do the cataract surgery should I ever need it.
He said you need someone who will be retina sensitive. You may want to ask
your doctor if he would perform the cataract surgery should you decide to
have it done. Good luck to you.
surya - 24 Apr 2005 19:17 GMT
Auriga, I especially value your feedback.  Here is wishing you all the
best and thanks a lot for your feedback.
surya
surya - 24 Apr 2005 19:15 GMT
Thank you Bill, Mike and auriga for your feed back.  Appreciate it.
Thanks all.
surya
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.