I've been reading this group for awhile, and found much good information.
I've learned a lot about the eye and eye problems. I've had cataract in
both eyes, severy myopia in both eyes, and a retinal detachment in the
right eye about 10 years ago.
Well, about two weeks ago I had a retinal detachment in the left eye.
Thanks to my reading on this group, I had a lot better idea of what was
happening and what they were talking about. I had emergency surgery at
11PM. They did a vitrectomy, attached my retina back using a laser and
put a big bubble in there. The doctor thinks I will get all my vision
back. I had very little discomfort (other than mental) and no pain to
speak of afterwards. I didn't even take Tylenol, although they offered me
Vicodin. It was done under a local. I talked to the anesthesiologist and
told him I was very nervous. He assured me that they had lots of
tranquilizer and would be using it through the IV. It was a two hour
surgery and then a little time in the recovery room. We were home by 2:15
in the morning. The poor surgeon had four appointments that morning,
starting at 8:30AM, although it was her day off.

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Dan Abel
Sonoma State University
AIS
dabel@sonic.net
> Well, about two weeks ago I had a retinal detachment in the left eye.
> Thanks to my reading on this group, I had a lot better idea of what was
> happening and what they were talking about. I had emergency surgery at
> 11PM. They did a vitrectomy, attached my retina back using a laser and
> put a big bubble in there. The doctor thinks I will get all my vision
> back.
> Dan Abel
> Sonoma State University
> AIS
> dabel@sonic.net
If its been two weeks since surgery, how is your vision now?
If I recall correctly, a vitrectomy involves removing and then replacing
the vitreous, in your case, after the retinal work is done. Is that what
happened in your situation? What is the purpose of the bubble? My guess
is, it is to apply pressure to a specific area during healing.
Glad to hear the operation went well.
George
Dan Abel - 15 Aug 2005 23:01 GMT
>
> > Well, about two weeks ago I had a retinal detachment in the left eye.
[quoted text clipped - 3 lines]
> > put a big bubble in there. The doctor thinks I will get all my vision
> > back.
> If its been two weeks since surgery, how is your vision now?
Good enough to be reading and posting here again! I saw the doctor last
Friday, and I was 20/25 in both eyes. I started driving again yesterday,
and am back at work today. The doctor predicted that most vision would
come back soon, which it did, and that the rest will be much slower.
> If I recall correctly, a vitrectomy involves removing and then replacing
> the vitreous, in your case, after the retinal work is done. Is that what
> happened in your situation? What is the purpose of the bubble? My guess
> is, it is to apply pressure to a specific area during healing.
The doctor said that she would remove the vitreous, but said nothing about
replacing it. She said that the retina was partly attached to the
vitreous, and that it had softened with age. Between that and the lattice
degeneration, she felt that was the cause of the detachment. The bubble
does indeed put pressure to help hold the attachment and thus promote
healing. Fortunately the detachment was at the top, so the ideal postion
for me to hold for healing was upright, which is what most of us tend to
do all day long anyway. I was allowed to sleep on either side, but not on
my back, for the first week, but only on my left side for the second week.
> Glad to hear the operation went well.
Me too!

Signature
Dan Abel
Sonoma State University
AIS
dabel@sonic.net
William Stacy - 15 Aug 2005 23:04 GMT
>If I recall correctly, a vitrectomy involves removing and then replacing
>the vitreous, in your case, after the retinal work is done.
Actually it's done simultaneously, as vitreous is sucked out, saline is
"infused".
>Is that what
>happened in your situation? What is the purpose of the bubble? My guess
>is, it is to apply pressure to a specific area during healing.
>
>
Sort of. The retina tends to float around in the liquid like underwater
vegetation scenes. The gas allows the lens to "flop" down onto the
underlying tissues and gives it a chance to stick, just like if you
pumped out the water in the ocean and the vegetation stuck down on the
seabed.
w.stacy, o.d.
S Akky - 15 Aug 2005 23:15 GMT
William Stacy put fingers to keyboard and typed...
> Sort of. The retina tends to float around in the liquid like underwater
> vegetation scenes. The gas allows the lens to "flop" down onto the
> underlying tissues and gives it a chance to stick, just like if you
> pumped out the water in the ocean and the vegetation stuck down on the
> seabed.
<pedant>
Of course by 'lens' you mean retina. ;o)
</pedant>

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Shabs.
William Stacy - 15 Aug 2005 23:54 GMT
Yep, those fingers failed me this time... If the lens flopped down,
you'd have a big problem (it does happen accidentally sometimes, and is
a BIG problem, but a different one...
w.stacy, o.d.
>William Stacy put fingers to keyboard and typed...
>
[quoted text clipped - 14 lines]
>
>
Hey Dan. Glad to hear it worked out. What were your initial symptoms?
How soon after you noticed what did you seek care?
Thanks
w.stacy, o.d.
>Well, about two weeks ago I had a retinal detachment in the left eye.
>Thanks to my reading on this group, I had a lot better idea of what was
[quoted text clipped - 11 lines]
>
>
Dan Abel - 16 Aug 2005 17:44 GMT
> Hey Dan. Glad to hear it worked out. What were your initial symptoms?
> How soon after you noticed what did you seek care?
I noticed a larger than usual number of floaters on Thursday. I've had
floaters for decades, so didn't pay much attention. Friday morning there
was a little flashing on the bottom. I checked my peripheral vision and
it was fine. I continued checking my vision every couple of hours. After
dinner I noticed a loss, and had my wife double-check it. We went into
the ER immediately. I saw seven doctors (mostly "looky-loos"). I should
have gone in sooner, preferably before dinner, as they won't do surgery
when there is food in the stomach. We had dinner at 5:00PM and my surgery
started at 11:00PM.

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Dan Abel
Sonoma State University
AIS
dabel@sonic.net
George - 16 Aug 2005 22:40 GMT
> I noticed a larger than usual number of floaters on Thursday. I've had
> floaters for decades, so didn't pay much attention. Friday morning there
[quoted text clipped - 11 lines]
> AIS
> dabel@sonic.net
Have you been diagnosed as having vitreous detachment? My doc says it
reduces chances for retinal detachment, but didn't say why. Did your doc
mention it?
Also, what kind of floaters did you observe? Large cloudy ones or what?
George
Dan Abel - 16 Aug 2005 23:49 GMT
> > I noticed a larger than usual number of floaters on Thursday. I've had
> > floaters for decades, so didn't pay much attention. Friday morning there
> Have you been diagnosed as having vitreous detachment?
No. The doctor said that the retina was detaching from the vitreous,
which is why she removed it. She then used a laser to attach the retina
more firmly to whatever was left after she removed the vitreous. The
vitreous was removed to reduce the risk of further detachments. As long
as she was in there, she said that she wanted to do something
"definitive", rather than just fix the immediate problem.
> Also, what kind of floaters did you observe? Large cloudy ones or what?
Little hazy wormy ones, and some small black dots. She said that a side
effect of the vitrectomy was that it would eliminate the floaters, at
least in that eye.

Signature
Dan Abel
Sonoma State University
AIS
dabel@sonic.net