Adeventures with retinal surgery

Apr 17, 2003
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About 1 year ago, I was sucker punched in the side of my face, causing the vitreous (the jelly substance) in eye to peel off my retina - something known as post vitreous detachment ("PVD"). PVD is not usually harmful to the eye itself. However, PVD causes floaters. These are not a normal type of floaters you get as you age and PVD occurs naturally but thicker lines in your vision rather than the usual dots.

Anyway, the floaters were REALLY bad. Last month, after lamenting for 1 year, I decided to get a vitrectomy. Basically, 3 trochars (or tubes) are inserted through the white of your eye. 1 tube cuts the remaining gel, the other sucks it out, and the third fills the eye cavity with solution so it can maintain proper shape and form.

http://www.youtube.com/watch?v=4FJYeEGl98g

This procedure is relatively controversial to treat floaters and is generally used in conjunction with more serious retinal surgery. In fact, it took me a while to find a surgeon to agree to operate.

Anyway, I'm about 3 weeks post op. The surgery is was a success according to my surgeon. My eye pressure is a little high (which is common) so he put me on the same drops glaucoma patients use. He expects the pressure to go back to normal as the inflammation fully heals. The other issue is that the pupil is still dilated due to the antibiotic drops, which will take anther month to retract to normal.

The biggest concern right now is that there is a blind spot in the upper left of my periphery. My surgeon cannot explain the cause of this as close inspection of the retina reveals not damage anywhere. He hopes that it will resolve itself or, in the worst case, my brain will train itself to block it out since it is in the upper left periphery. He also things it may be a shadow from the dilated pupil (my pupil is almost entirely dilated at this point). My distant vision is 20/20, same as pre-op.

I'm also left with a few residual floaters but I can hardly notice them -- only when I look for them on extremely bright backgrounds like a word document. Wearing sunglasses eliminates my ability to see the floaters all together (and the blind spot for that matter). Overall, I do not regret my surgery at all. Even as the eye is in the healing process, I believe my quality of life is much improved. I am a little concerned about the blind spot but I hope it resolves itself in time. Even if it doesn't, I believe overall its a huge improvement over living with huge swirling floaters.

That is all.

/end blog
 

j&j

Senior member
Oct 10, 2011
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Cool man, I sure hope that blind spot goes away, that's pretty weird. I still have pretty bad floaters that we talked about in my thread months back...

Was the surgery covered by insurance?
 
Apr 17, 2003
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Cool man, I sure hope that blind spot goes away, that's pretty weird. I still have pretty bad floaters that we talked about in my thread months back...

Was the surgery covered by insurance?

sure was...100% minus $500 co-pay. I really hope vitrectomy becomes more accepted as it is the only known treatment for floaters. Most opthos don't even bring it up as a treatment option. Of course, doctors tend to underestimate the effect floaters can have on your life sense they generally do no do any anatomical damage.

The surgery is also nearly 100% painless. Maybe a 1 or 2 on a scale of 10 as far as pain the day after surgery.
 

yhelothar

Lifer
Dec 11, 2002
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:thumbsup:
Glad to hear it worked out for you. Luckily my floaters aren't so bad now, but it's good to know that there are these options if they get much worse.
 
Apr 17, 2003
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Any update on your blind spot?

hey j&j...not much of an update. I'm starting to notice it less and less and I can't notice it at all in bright conditions. I have a 1 month post op in two weeks and the surgeon will take a OCT scan to see if that reveals anything. However, he is still concerned about retinal tears/detachments in the first two months post op...once we are out of that window, then we can start to worry about the other "complications."

The pupil is still very dilated but it has shrunk a tiny bit...just enough for me to regain my nearsightedness.

The one thing about vitrectomy for floaters is that it can take up to a year to get the "final" result of the surgery.

I also have a couple of residual floaters but they are hardily noticeable at all compared to the gargantuan lines I had before.
 

j&j

Senior member
Oct 10, 2011
246
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Hope for the best for you man, this is something I'm considering, but am not to that point yet. But, I sure do HATE my floaters. if you remember my thread from awhile ago I know you posted quite a bit in it.
 

ManBearPig

Diamond Member
Sep 5, 2000
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Glad it went well and hope the blind spot issue goes away. Thanks for sharing, I love things like this. Motivates me to actually want to be a doctor lol.
 
Apr 17, 2003
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thank you for the wishes all.

J&J if you ever decide you want to learn more, PM me. I got a ton of peer reviewed articles...very informative stuff.
 

bradley

Diamond Member
Jan 9, 2000
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Doctors know virtually nothing about nutrition, so make sure you take plenty of taurine to heal the retina, lutein and zeaxanthin for the macula, carnosine or beta alanine for the lens, bilberry for the rods, vitamin C and astaxanthin for the vitreous and capillaries, beta-carotene for overall visual accuity. Good luck.
 

Howard

Lifer
Oct 14, 1999
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Doctors know virtually nothing about nutrition, so make sure you take plenty of taurine to heal the retina, lutein and zeaxanthin for the macula, carnosine or beta alanine for the lens, bilberry for the rods, vitamin C and astaxanthin for the vitreous and capillaries, beta-carotene for overall visual accuity. Good luck.
And people who are not doctors must obviously know more.

Not that doctors are perfect, but...
 

bradley

Diamond Member
Jan 9, 2000
3,671
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And people who are not doctors must obviously know more.

Not that doctors are perfect, but...

What a blithely ignorant and largely uncalled for response.

Do you even know the number one element comprising the retina, or even the macula?... very simple answers really for anyone with a few minutes and access to PubMed. Perhaps you'll get desperate enough one day to become reacquainted with this information.

Brain Res Brain Res Rev. 1991 May-Aug;16(2):151-69.
Taurine: retinal function.
Lombardini JB.
Department of Pharmacology, Texas Tech University Health Sciences Center, Lubbock 79430.


Abstract

The status and potential functions of taurine in the retina have been reviewed. Taurine is present in high concentrations in the retina of all species tested, while the retinal concentrations of the enzymes necessary to synthesize taurine are presumed to vary among those species. The documented low activity of cysteinesulfinic acid decarboxylase, a key enzyme in taurine biosynthesis, in the livers of the cat, monkey and human possibly reflect low activity in their retinas, indicating reliance on the diet as an important source of taurine. Both high- and low-affinity binding proteins and uptake systems have been described for taurine in retinal tissue. Evoked release of taurine by light and other depolarizing stimuli have been well documented. Retinal pathologies including diminished ERGs and morphologic changes have been reported for animals and man deficient in taurine. Possible functions for taurine in the retina include: (1) protection of the photoreceptor - based on the shielding effects of taurine on rod outer segments exposed to light and chemicals; (2), regulation of Ca2+ transport - based on the modulatory effects of taurine on Ca2+ fluxes in the presence and absence of ATP; and (3) regulation of signal transduction - based on the inhibitory effects of taurine on protein phosphorylation.
 

ManBearPig

Diamond Member
Sep 5, 2000
9,173
6
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I will have to agree with bradley on this one...most doctors don't know much about nutrition. I'm a nutrition major and have met many doctors who literally have no idea wtf they're talking about. I think in the (near) future, it will be a much more integral part of their job, though. I know I'll be happy I majored in nutrition when I become a doctor.