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Medical Forum / General / Vision / September 2006After Retina surgery
I had a macular hole which was diagnosed last August. Had a vitrectomy and cataract surgery in January of this year. The bubble finally disapeared in March but I now have a silvery, blurry blotch in my central vision that has not gone away. Dr. says retina surgery was a complete success. She found that a piece of tissue (called a vitreious strand) was across my eye and sent me back to the opthamologist who removed it with laser but I still can't see! Am very disappointed. Opthamologist told me that I should not expect to be able to see perfectly because of the vitrectomy. I'm really devastated about this and am ready to seek another opinion. Anyone else with this experience??? Nini > I had a macular hole which was diagnosed last August. Had a vitrectomy > and cataract surgery in January of this year. The bubble finally [quoted text clipped - 8 lines] > experience??? > Nini Macular hole surgery can be frustrating for many patients- usually there is some improvement after the surgery but complete visual recovery (to pre-macular hole) is tough to achieve and not common. Many patients have an unrealistic expectation regarding their vision and it does lead to a lot of disappointment. I've seen more than a couple of patients post-op where they have gained quite a few lines of vision but still be unhappy. You can get a second opinion of course but I'm not sure what would be gained from it( really nothing more can be done surgery-wise). Sorry. frank > I had a macular hole which was diagnosed last August. Had a vitrectomy > and cataract surgery in January of this year. The bubble finally [quoted text clipped - 8 lines] > experience??? > Nini Unfortunately, retinal hole surgery usually does not result in perfect vision. Without the surgery you would, of course, have very poor vision; the surgery restores much of the vision but there usually is a small residual defect. That is really the best you can expect. Seek another opinion if you wish, but it is unrealistic to expect perfect vision after a macular hole repair. Be grateful that macular hole surgery is now available; fifteen years ago you would have had no treatment and been left with a blind eye. Dr Judy Just to get my little dig in -- Many Ophthalmologists will deem a macular hole surgery a "complete success" if the tissue has been restored and is viable. Whether the patient can see or not does not matter. I was in the operating room for a fetal retinal cell procedure to correct a macular hole and the physical results were amazing. The patient could not see any differently, at least the last time I saw her 3 months later. I have a great deal of respect for the lead surgeon involved as a surgeon and teacher, but I don't think the patient went into the operating room simply hoping the retinal repair looked good. |
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