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Medical Forum / General / Vision / June 2007

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Macula Pucker - RD

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Raj - 13 Jun 2007 15:48 GMT
Hello there

I am 27 years old male. I was highly myopic right from my child hood.
I have been treated with laser photo coagulation to prevent retinal
detachment 3 times. I had AOL for both my eyes an year ago. After
this, my right eye developed secondary cataract which was removed with
laser.

A week ago, i am diagonalized with macula pucker.  I am very much
worried and terrified. I am having an appoinment with my retinal
specialist in a weeks time.

What are the things i should be aware of?
How much probability is there for me to lose my vision?

Thank you

Raj
otisbrown@pa.net - 14 Jun 2007 03:55 GMT
Dear Raj,

Could you provide your current prescription?

Otis

> Hello there
>
[quoted text clipped - 14 lines]
>
> Raj
Mike Tyner - 14 Jun 2007 04:19 GMT
> Dear Raj,
> Could you provide your current prescription?
> Otis

Which tells you exactly what, Otis?

Raj, there's a well-written FAQ at
http://www.nei.nih.gov/health/pucker/index.asp quoted below:
"Most macular puckers are related to vitreous detachment, which usually
occurs in people over age 50. As you age, you are at increased risk for
macular pucker."

"A macular pucker can also be triggered by certain eye diseases and
disorders, such as a detached retina and inflammation of the eye (uveitis).
Also, people with diabetes sometimes develop an eye disease called diabetic
retinopathy, which can cause a macular pucker. A macular pucker can also be
caused by trauma from either surgery or an eye injury."

-MT
otisbrown@pa.net - 14 Jun 2007 04:34 GMT
Dear Mike,

I notice that YOU do not respond to Raj -- until I post
a statement.

Also, why don't YOU answer the REST OF HIS QUESTIONS?

After all you are the expert.

Otis

> <otisbr...@pa.net> wrote
>
[quoted text clipped - 16 lines]
>
> -MT
Neil Brooks - 14 Jun 2007 06:03 GMT
On Jun 13, 8:34 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> I notice that YOU do not respond to Raj -- until I post
> a statement.

Are you monitoring Mike's schedule now?  Perhaps he was otherwise
engaged.

> Also, why don't YOU answer the REST OF HIS QUESTIONS?
>
> After all you are the expert.

You are a small, petty, psychologically-impaired man, Uncle Otie.
Mike Tyner - 14 Jun 2007 06:23 GMT
> I notice that YOU do not respond to Raj -- until I post
> a statement.

I waited to see if someone else might have more experience.

Novel approach, ya think?

Instead a troll popped up waving a Snellen chart.

-MT
otisbrown@pa.net - 14 Jun 2007 16:56 GMT
Dear Optometrist Mike,

You are correct.

You are only allowed to "treat" refractive STATES.

You are not an ophthamologist, and are prohibited
from treating truly medical conditions.

You should have waited for an ophthamologist
to respond and proved true medical advice.

Otis

> <otisbr...@pa.net> wrote
>
[quoted text clipped - 8 lines]
>
> -MT
Mike Tyner - 14 Jun 2007 19:30 GMT
> You are not an ophthamologist, and are prohibited
> from treating truly medical conditions.

I have a DEA number. I write prescriptions for medical conditions..
Pharmacies fill my prescriptions and insurance companies pay me for treating
medical conditions. I pay malpractice insurance.

Since you have no clue what an optometrist does, could there be anything
else you were wrong about?

-MT
Neil Brooks - 14 Jun 2007 19:57 GMT
On Jun 14, 8:56 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Dear Optometrist Mike,
>
[quoted text clipped - 5 lines]
> You should have waited for an ophthamologist
> to respond and proved true medical advice.

God, you're an idiot.
p.clarkii@gmail.com - 17 Jun 2007 05:42 GMT
On Jun 14, 11:56 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Dear Optometrist Mike,
> You should have waited for an ophthamologist
> to respond and proved true medical advice.
>
> Otis

since when did perfect expertise on a subject become a criterion that
you care about when posting in this newsgroup?  note that this
newsgroup is about science, medicine, and vision and you know nothing
about any of those subjects.  you are a retired engineer (so you
claim) who has a fetish about a long-ago disproven scientific theory
regarding the cause of myopia.  you totally disregard the science on
the topic, and you trash talk the medical people who treat this
condition as being "arrogant" and "close minded".  how can you try to
take the position that only people with real expertise should post on
a subject?  you have zero knowledge yet you just won't shut up and go
away!

you are an idiot.

and by the way, why won't you take a moment to explain why uncorrected
hyperopes, who strain to see all day long as though they were
overminused, don't have their eyes elongate so that they lose their
hyperopia as you believe should occur in the "dynamic" natural eye?
and why don't uncorrected myopes lose some of their myopia?  and why
don't overcorrected myopes become myopic faster (staircase)?  is the
fact that you never answer these questions jusy a silent admission
that you really don't know anything about the topic?  then why not
just go away so we can return to civility here?
p.clarkii@gmail.com - 17 Jun 2007 05:20 GMT
> Instead a troll popped up waving a Snellen chart.
>
> -MT

and also waving a pair of plus reading glasses, undying faith, and a
big chip on his shoulder
Nicolaas Hawkins - 17 Jun 2007 07:31 GMT
>> Instead a troll popped up waving a Snellen chart.
>>
>> -MT
>
> and also waving a pair of plus reading glasses, undying faith, and a
> big chip on his shoulder

About time somebody took to that big chip with an equally big log
splitter.

Signature

Nicolaas.

2007 Pricelessware CD now available.  600Mb of the best of the best in
Freeware.  E-Mail me for details.

... All bleeding stops ... eventually.

Pikov Andropov - 18 Jun 2007 01:02 GMT
Mike Tyner keyed the following on 6/14/2007 1:23 AM:

>> I notice that YOU do not respond to Raj -- until I post
>> a statement.
[quoted text clipped - 4 lines]
>
> Instead a troll popped up waving a Snellen chart.

Or perhaps an Amsler grid??
Ms.Brainy - 14 Jun 2007 04:58 GMT
> <otisbr...@pa.net> wrote
>
[quoted text clipped - 16 lines]
>
> -MT

Mike,  I am amazed at you jumping on Otis.  It's obvious that he has
found a scientific way to treat macular puckers with a plus lens, but
no, you must come up with some internet articles from the first
opinion establishment and prevent him from bringing fundamental
scientific cure to the natural eye of the patient who has been exposed
to the evils of the minus since childhood.  Shame on you, Mike!
Raj - 15 Jun 2007 11:49 GMT
> Mike,  I am amazed at you jumping on Otis.  It's obvious that he has
> found a scientific way to treat macular puckers with a plus lens, but
> no, you must come up with some internet articles from the first
> opinion establishment and prevent him from bringing fundamental
> scientific cure to the natural eye of the patient who has been exposed
> to the evils of the minus since childhood.  Shame on you, Mike!

Hello brainy,

Can you please brief me more on the way to treat macular puckers with
a plus lens.

Thanks
Raj
Dr Judy - 15 Jun 2007 14:03 GMT
> > Mike,  I am amazed at you jumping on Otis.  It's obvious that he has
> > found a scientific way to treat macular puckers with a plus lens, but
[quoted text clipped - 7 lines]
> Can you please brief me more on the way to treat macular puckers with
> a plus lens.

Ms Brainy was being sarcastic.  Plus lenses cannot be used to treat
macular puckers.

Dr Judy

> Thanks
> Raj
Ms.Brainy - 16 Jun 2007 01:08 GMT
> > > Mike,  I am amazed at you jumping on Otis.  It's obvious that he has
> > > found a scientific way to treat macular puckers with a plus lens, but
[quoted text clipped - 12 lines]
>
> Dr Judy

Thank you Dr. Judy for being the voice of sanity in this circus.
Raj - 18 Jun 2007 11:17 GMT
I read this post in the web. It will be really helpfull, to know what
you guys think about such a solution of vision with one eye.

-------------------------
, too, was dianosed with Macular Pucker about a year ago, following an
MRI to determine whether or not there might be a brain tumor since I
first began having problems I could only describe as seeing double,
mostly while working on my computer screen or reading. It was several
months into the problem before I discovered the wavy line effect (left
eye) and then realized I wasn't seeing double but the wavy line was
causing items in one line to move up into the line above (a real
problem when you work all day with figures as I do in my job as a
Payroll Administrator.
After being examined by an opthamologist, who determined I was not a
candidate for surgery, I resolved the problem by putting a patch on
the left lens of my glasses, thus viewing my computer screen and
reading items only through my right eye (I could see fine for driving
and the "big picture"...it was only in detail that things were
distorted.)
The patch was not exactly satisfactory so I eventually saw a retina
specialist to see if surgery might be a better answer. He, too,
advised against surgery in my case but did send me back to my
optometrist to see if there might be a different answer where glasses
were concerned.
Bingo! My optometrist said "let's do something drastic and put a
strong contact lens on your left eye to suppress the vision enough to
allow only your right eye to see detail." When he put the contact in
and details were clear and straight, I cried tears of joy. What a
difference from wearing the patch.
It's been several months now since I started wearing the contact and I
couldn't be happier with this solution. My contact is soft and the
type that can be worn all the time (even to sleep). It's also the type
that only needs to be removed and cleaned once a month, and after
three months I throw it away and put in a new one.
This may not be the answer for everyone with this condition but I
definitely recommend it as a possibility for anyone who is still
trying to find a solution to see detail better without resorting to
surgery.
---------------------

Thanks
Raj
otisbrown@pa.net - 15 Jun 2007 20:16 GMT
Dear Raj,

Subject: False posts by a Ms. Brainy.

This person makes up things.

I have NEVER made any association between
a lens and macular pucker.  Tragically,
this "Brainy" made this up for her "own reasons",
what ever they might be.

You asked the question about the degree
of risk involved in being myopic.

In order to answer that question, it is necessary
to have a perscription.  It is not possible
to provide an answer with out it.

The probability of getting a detached retina
goes up with the degree of myopia.

(Reference Dr. Perkins study.)

At this point your surgeon is giving you good advice.

Otis

> > Mike,  I am amazed at you jumping on Otis.  It's obvious that he has
> > found a scientific way to treat macular puckers with a plus lens, but
[quoted text clipped - 10 lines]
> Thanks
> Raj
Neil Brooks - 15 Jun 2007 22:22 GMT
On Jun 15, 12:16 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> In order to answer that question, it is necessary
> to have a perscription.  It is not possible
[quoted text clipped - 6 lines]
>
> At this point your surgeon is giving you good advice.

Would this be the opinion of the same Otis Brown who said THIS to Mike
Tyner--a practicing optometrist??

[quote]
Dear Optometrist Mike,

You are correct.

You are only allowed to "treat" refractive STATES.

You are not an ophthamologist, and are prohibited
from treating truly medical conditions.

You should have waited for an ophthamologist
to respond and proved true medical advice.
[/quote]

So ... in addressing Mike ... did you MEAN to say "you should have
waited for an IDIOT like Otis Brown to respond??"

That MUST be what you meant.

Right?
Revival - 15 Jun 2007 22:35 GMT
> On Jun 15, 12:16 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>
[quoted text clipped - 32 lines]
>
> Right?

Wow, mate. It only took you 2 hours to come out with those amazingly
witty remarks.

A world record.
Zetsu - 15 Jun 2007 22:36 GMT
Wow, Neil. It only took you 2 hours to come out with these amazingly
witty remarks. A world record.
Neil Brooks - 15 Jun 2007 23:01 GMT
> Wow, Neil. It only took you 2 hours to come out with these amazingly
> witty remarks. A world record.

I'm terribly sorry that some of us around here cannot seem to please
you with the timeliness of our responses--always either too quick or
too slow.

But there really are other things occupying our time.

You??  What's your story, fantasy-land child?
RT - 16 Jun 2007 01:48 GMT
> You??  What's your story, fantasy-land child?

It's pretty clear Neil that you are dealing with a child, someone below
the age of 18. Would you speak like that to a child in person? How would
you explain yourself to this boy's parents who are likely the same age
as you? It's clear you enjoy taunting him, but I would argue that it's
not very ethical. If/when you have children, you'll understand what I
mean.

Signature

~RT

Neil Brooks - 16 Jun 2007 04:28 GMT
> In article <1181944874.371653.172...@i38g2000prf.googlegroups.com>,
>
[quoted text clipped - 9 lines]
> --
> ~RT

Did you catch the context ... at all ... of what "fantasy-land child"
means?  It's the anime films, gaming, and make-believe characters that
he uses as his online personas.

Reading any more into anything I've written says much more about you
than it does about me.
RT - 16 Jun 2007 13:22 GMT
> Did you catch the context ... at all ... of what "fantasy-land child"
> means?  It's the anime films, gaming, and make-believe characters that
> he uses as his online personas.
>
> Reading any more into anything I've written says much more about you
> than it does about me.

I just happened to answer after that email. It's your obsession with
answering and attacking everyone of this person's emails I find
disturbing. Otis is an adult. The other one is a child. Grow up.

Signature

~RT

Neil Brooks - 16 Jun 2007 15:46 GMT
> In article <1181964494.627363.78...@i13g2000prf.googlegroups.com>,
>
[quoted text clipped - 6 lines]
>
> I just happened to answer after that email.

That was your mistake.  I'll accept your apology.

> It's your obsession with
> answering and attacking everyone of this person's emails I find
> disturbing. Otis is an adult. The other one is a child. Grow up.

You actually have that backwards.  Otis is the child.  Kanztepation --
or whatever its name is -- is far more the adult.

Please tell me on what basis you declare our new friendly neighborhood
troll to be "a child," and what protections you deem appropriate in
the case of his/her/its posting history on this forum?

I'm going to be more than a tad presumptuous here, but ...

If you think that YOUR children deserve universal protection from the
consequences of ANY of their actions, then I feel sorry for YOUR kids,
but even sorrier for the society they inhabit.

How do you think these "children" have come here?  Have you considered
that Uncle Otis 'enlists' them on other websites to come to his
defense against perceived attacks by those who don't believe as he
does?

That's how they come here.  Ponder no longer.

Have you considered that this same Uncle Otis constantly engages these
kids--kids who are clearly under the Age of Majority (if not the Age
of Reason), providing medical advice that has significant risk of
harming them--potentially permanently?  He uses classic brainwashing
techniques to steer them /away/ from eye doctors and keep them "under
his spell."

But =I'm= hurting this pre-pubescent troll from the animated world of
Japanese film?

Please don't try to talk about parenting to me.  You're making
yourself look bad.

Take care,
Neil
RT - 16 Jun 2007 16:05 GMT
Whatever. As I read these NG's I realize there is a population of people
who make themselves feel important by posting in these groups,
especially to insult and put others down. I know, because I've been
guilty of doing it too. There was one poster named Ace who I obsessively
answered on this NG and another. Why? The key is in the word
"obsessive." So I quite cold turkey and stopped posting anywhere for a
year and now I can see objectively how it looks when others do it. But
I'm no white knight--you do whatever you want and make whatever excuses
you want. Just so you know, the way you see it is not how it looks or
reads to me and I imagine others.

I've now kill filed you along with the other two I have kill filed
already--Otis and <absolutelyinvisible@hotmail.com> so, don't bother
replying to me. Maybe someday you'll realize what you're doing and kick
yourself for all the time you wasted when you could have been doing
something productive with your life.

Signature

~RT

Revival - 16 Jun 2007 16:12 GMT
how to change subject pls

is there a code what change the subect?

Thank,you
Neil Brooks - 16 Jun 2007 16:15 GMT
>Maybe someday you'll realize what you're doing and kick
> yourself for all the time you wasted when you could have been doing
> something productive with your life.

Fortunately, the two are NOT mutually exclusive ;-)
Zetsu - 16 Jun 2007 16:20 GMT
>There was one poster named Ace who I obsessively
>answered on this NG and another.

=D You mean this guy?

http://groups.google.com/groups/profile?enc_user=zq0qTRIAAACA4oepA2zDNPivZFRQwRG
O8rhlH0Pnl47z4AZhN98BFg


Ah, those were the good times, eh Neil?
Ms.Brainy - 16 Jun 2007 04:33 GMT
> In article <1181944874.371653.172...@i38g2000prf.googlegroups.com>,
>
[quoted text clipped - 9 lines]
> --
> ~RT

If this persona is indeed a child, it makes me re-think my opinion
about spanking...
RT - 16 Jun 2007 13:28 GMT
> If this persona is indeed a child, it makes me re-think my opinion
> about spanking...

I knew already I didn't like you. Don't bother wasting your energy
proving it over and over.

I once made the mistake of engaging with a young adult on this NG about
1.5 years ago. I really regret that I did. I'll tell you one thing, it
doesn't make you "brainy."

Signature

~RT

Ms.Brainy - 16 Jun 2007 21:02 GMT
> In article <1181964790.682435.223...@n15g2000prd.googlegroups.com>,
>
[quoted text clipped - 4 lines]
> --
> ~RT

If it comforts you, I can tell you that you are not alone.  But then
it has never been my goal to appeal to a 2-letter persona (who has a
big problem with Neil but not with Revival-Kaze-Suzuki-Zestu et al) or
to make some "RT" like me.
Mike Tyner - 18 Jun 2007 00:30 GMT
> In order to answer that question, it is necessary
> to have a perscription.  It is not possible
> to provide an answer with out it.

You missed the point.

He was myopic before cataract surgery.

How is his current "perscription" important?

-MT
Raj - 15 Jun 2007 11:47 GMT
On Jun 14, 3:55 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Dear Raj,
>
[quoted text clipped - 20 lines]
>
> > Raj

Hello Otis,

I donot have my prescription at the moment. I will send it very soon.
Is there any way correcting this blurriness/waviness with glasses or
contact lens? My surgeon has refused to do the surgery, as he thinks
virectomy will bring more issues than doing good.

Thanks
Raj
Dr Judy - 15 Jun 2007 14:01 GMT
> On Jun 14, 3:55 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>
[quoted text clipped - 32 lines]
> Thanks
> Raj- Hide quoted text -

The waviness cannot be corrected with glasses.  You could get a second
opinion about surgery.  Vitrectomy is a delicate operation and can
cause more retinal problems.  Obviously your surgeon feels, that in
your specific case, the potential risks outweigh the potential
benefits.

Dr Judy

> - Show quoted text -
Churie. - 14 Jun 2007 07:43 GMT
> Hello there
>
[quoted text clipped - 14 lines]
>
> Raj

Mr Raj
If you could give me medical history as to whether you had been using
Steriods for a prolonged period of time or on some pshycotrpic
drugs,as you have prematured onset of Cataract,Revert Asap.For Macular
Pucker was an OCT done?
Raj - 15 Jun 2007 11:53 GMT
> Mr Raj
> If you could give me medical history as to whether you had been using
> Steriods for a prolonged period of time or on some pshycotrpic
> drugs,as you have prematured onset of Cataract,Revert Asap.For Macular
> Pucker was an OCT done?

Hello Churie

I haven't used any steriods or pshycotrpic drugs at any point of time
in my life. I donot know what you are referring as premature onset of
cataract, but i underwent IOL to remove cataract , an year ago and
treated with laser for removing secondary caract.Yes, they did the
OCT, a laser scan [if i am correct]

Thanks
Raj
Jane - 14 Jun 2007 13:57 GMT
Raj, a macular pucker (aka epiretinal membrane) is a layer of scar
tissue on the macula.  It does not cause blindness.  Usually, it has
little effect on vision.  In a minority of cases, though, it can
impair vision significantly in the affected eye.  The only treatment
is surgery to peel the membrane (pucker).  I had this surgery last
year and now have 20/20 vision in my eye.  You can find lots of
information about "macular pucker" by using the search engines.  Best
wishes, and try to stop worrying.

> Hello there
>
[quoted text clipped - 14 lines]
>
> Raj
Raj - 15 Jun 2007 11:55 GMT
> Raj, a macular pucker (aka epiretinal membrane) is a layer of scar
> tissue on the macula.  It does not cause blindness.  Usually, it has
[quoted text clipped - 4 lines]
> information about "macular pucker" by using the search engines.  Best
> wishes, and try to stop worrying.

many thanks for your reply. It is very encouraging. Hope my thing gets
sortedsoon. Unfortunately, my suegeon has refused to perform surgery,
as he fears that the surgery will bring in new complications in to my
eye.
Jane - 15 Jun 2007 12:53 GMT
Raj, in most cases, a macular pucker doesn't require any treatment at
all.  Many people are unaware that they have the condition until their
doctor tells them.  Unless the pucker affects your vision in a
significant way  (i.e., you can't read or drive), surgery is not
indicated.

> > Raj, a macular pucker (aka epiretinal membrane) is a layer of scar
> > tissue on the macula.  It does not cause blindness.  Usually, it has
[quoted text clipped - 9 lines]
> as he fears that the surgery will bring in new complications in to my
> eye.
 
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