Hey, there - readers of the site are familiar with my story of botched
cataract surgery and its aftermath. I finally got a referral to a
retinal specialist and he said the swelling and pupil paralysis are
caused by a fragment of the old cataract that got left in the eye. The
iris is caught up in it, and that's why it won't go back to normal
size. The bad news: it will take vitrectomy to fix. I just barely
recovered from the first ordeal. Sighted people offer glib advice to
"have it taken care of right away," but they don't realize how an eye
surgery impacts the rest of the body: fatigue, no heavy lifting or
bending down, weakness, chills, side effects from the medications and
anesthetics, etc. How long can I reasonably put this new procedure off?
Melinda
CatmanX - 28 Dec 2005 03:48 GMT
I'd be getting another opinion. If you have posterior synechiae
(technical term for iris stuck to lens) then how is removing the
vitreous going to fix it?
If you did have posterior synechiae, then the iris will be ice-cream
cone shaped, not round.
dr grant
melindasaccount@yahoo.com - 29 Dec 2005 01:26 GMT
I don't have enough expertise to answer this question. I only know that
when I look in a mirror closely and under the right light, I can see
the fragment of lens just hanging there, clearly visible through the
dilated pupil. We're not talking about a tiny shard here. ..this is the
size of a baby's fingernail.
I can see somewhat, even with the extra chunk of lens in there.
Vitrectomy will mean a huge gas bubble blocking my vision for several
weeks - and there is a risk that I will lose more eyesight. M
William Stacy - 28 Dec 2005 17:07 GMT
I think I'd follow the advice and get the vitrectomy over with, the
sooner the better.
I'm of course trusting in the diagnosis and assuming the fragment is
outside the bag, in the vitreous, which is why that approach is
necessary. While scary, it's a very safe procedure, and I don't think
your lifestyle will be affected all that much.
Git 'er done.
w.stacy, o.d.
>Hey, there - readers of the site are familiar with my story of botched
>cataract surgery and its aftermath. I finally got a referral to a
[quoted text clipped - 10 lines]
>
>
EyeTech - 29 Dec 2005 01:52 GMT
I agree, better to get it done. Sometimes retained fragments can lead to
inflammation and raised intraocular pressure - leading to more problems...
> I think I'd follow the advice and get the vitrectomy over with, the sooner
> the better.
[quoted text clipped - 19 lines]
>>anesthetics, etc. How long can I reasonably put this new procedure off?
>> Melinda
Dan Abel - 28 Dec 2005 18:16 GMT
> Hey, there - readers of the site are familiar with my story of botched
> cataract surgery and its aftermath. I finally got a referral to a
[quoted text clipped - 7 lines]
> bending down, weakness, chills, side effects from the medications and
> anesthetics, etc. How long can I reasonably put this new procedure off?
I think the important question is, why would you put it off? There are
many reasons, but in the end, will there be any benefit to putting it
off? I would think that the complications of surgery will be the same
whether you do it sooner or later.
I had a vitrectomy in July. Our situations are different, though. I
had a retinal detachment, so I think most of my recovery problems had
more to do with the re-attachment part than the vitrectomy.
My surgery was an emergency, and couldn't be delayed. It started at
11PM.

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Dan Abel
dabel@sonic.net
Petaluma, California, USA