The consultant wants to do an operation on my left eye. I can't understand why I was not offered a YAG to remove the obstruction as I don't think my eye is up to it
Hi Beryl,
We don't have any context to what is going on. I can't believe the surgeon or doc doesn't explain anything to you nicely! It would take 5minutes for them to draw a sketch and explain everything to you!
Hi, In another post you mentioned the possibility of surgery and a gas bubble. I wonder if the doctor is suggesting a vitrectomy. If this is the case, it sounds like your scar tissue is related to your vitreous and it is not PCO.
Yes that would be nice. It isn't till afterwards I think of questions. Although the second in command looked at me and said they had never had anyone ask as many questions as me.
That is what I think and I thought It was going to be so easy. When I mentioned lying on my face he said "I don't know what you have been reading".
If they don't have to inject a gas bubble (I'm guessing not), you don't have to lie in a special position. I just had a vitrectomy (for removal of significant floaters) last Thursday combined with a lens exchange. While it was more involved than cataract surgery, the recovery isn't much worse. I did have some crazy vision for the first day or so. Also my eye was red and I still have some bruising underneath. My eye was tender/sore for a few days, but Ibuprofen worked fine for the pain. My floaters are gone and I'm glad I had it done.
Thank you it is better to know what to expect I shall get better prepared when I go to the next one.
Wondering whether it would be better for me to be pt out can't spell it
I was temporarily put under with Propofol so they could inject a local anesthesia (peribulbar block I think). They then woke me up for the procedure.
Are you having to take the usual eye drops. I am dreading that. My first eye was done on 20th February and left eye done on 6th June. I was glad to eventually get off them.
Yes, for 4 weeks. I also had a lens exchange, but still having eye surgery you will need to be diligent about the eye drops.
Just had letter from eye hospital re diagnosis.
both eyes
anterior capsulophimosis
and. pseudophakic - IOL in bag
visual acuity right 6/6 unaided
left eye PL pinhole CF unaided
IOP 14mm Hg right eye. same left eye
right eye phimosis but not affecting vision
left eye - total capsule phimosis
no hgole in anterior capsule.
page 2. have moved to other device now. adding rest of diagnoses 3. Very thick. Posterior capsule similar but looks less thick. Periphery of retina flat. IOL not wobbly but some zonules under tension present inferiorly.
Not amenable to YAG Consultant agrees not amenable to YAG. Will need anterior surgical capsultomy then decide on YAG versus posterior capulectomy. Please can you understand any of it.
How many times a day did you have to take the drops? One type only or more?
i have a one bottle that is compounded. Preoperatively 4 x. post op 4 x a day for 1 week, the twice a day for 3 weeks. Not too bad.
Hi W-H. Did you see my 2 posts at the top. in answer to your question "what's going on"
Your eye pressure is normal in both eyes. Normal eye pressure ranges from 12-22 mm Hg. You have 14.
I am not fully understanding what they mean by "Not amenable to YAG"- You definitely have opacification of your capsule but apparently they can't use YAG laser on it to blow a hole currently.
They will surgically do something first, then decide if to do YAG...
Looks like your IOL is under some tension in the capsule, maybe due to capsular phimosis.
This shows before on left and after YAG on right
This might be relevant to your case-
Shrinkage and whitening of the anterior capsule opening – capsular contraction syndrome – is a well-known complication after continuous curvilinear capsulorrhexis.
A 72-year-old women underwent continuous curvilinear capsulorrhexis, phacoemulsification, and implantation of posterior chamber intraocular lens with polymethylmethacrylate haptics. Four months postoperatively, the patient reported deterioration in visual acuity that was resulted due to complete occlusion of anterior capsular opening by fibrotic tissue. The fibrous membrane was excised surgically in capsulorrhexis fashion.
Hi W-H. Did you see my 2 posts at the top. in answer to your question "what's going on"
I really don't know what exactly is going on as I am not a medical expert. Just now I replied to best of my abilities. If you scroll up you will see the reply.
My wife will get operated tomorrow so I better get some sleep :-( Really scared and nervous!!!!
4 times per day steroid drops, 3 times per day antibiotic (1st week only), 1 per day anti-inflammatory. I suggest keeping a log. I thought I was doing great until yesterday when I was distracted doing drops and I had no idea which ones I had done!
I'm sorry but I can't help with this. It's definitely beyond my expertise level. Nothing is mentioned about a vitrectomy though.