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Science Forum Index » Medicine - Vision Forum » Macular Hole
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| Mary |
 Posted: Sat Feb 10, 2007 2:10 pm |
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Guest
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Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or more
with your head down doesn't sound like something I could do. I had a three
level cervical fusion two years ago and I still have a lot of arm and neck
pain.
Has anyone gone through this surgery?
Thanks |
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| The Real Bev |
| Posted: Sat Feb 10, 2007 2:28 pm |
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Guest
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Mary wrote:
Quote: Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or more
with your head down doesn't sound like something I could do. I had a three
level cervical fusion two years ago and I still have a lot of arm and neck
pain.
Has anyone gone through this surgery?
My claustrophobic mom refused to try it. She had a macular bubble
repaired in the other eye, which involved removing the vitreous and
replacing it with water, which didn't involve face-downing. The surgery
was successful (I looked at the images before and after and could no
longer see any discontinuity after the surgery), but her vision wasn't
improved. Go figure.
Her surgeon had a colleague in San Diego who reported that results were
nearly as good for patients who didn't do the face-down thing as for
those who did, which my mom decided perhaps she'd do. At her next visit
a couple of months later the surgeon was not so impressed, so I guess he
found out something he didn't know before.
I don't think you need to do the face-down thing if you have an oil
replacement, but they have to do a second surgery to remove the oil.
What does your doc say about that?
--
Cheers, Bev
===================================
New sig on order, watch this space. |
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| Guest |
| Posted: Sat Feb 10, 2007 2:50 pm |
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On Feb 10, 1:10 pm, "Mary" <absolutelym...@calm.com> wrote:
Quote: Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or more
with your head down doesn't sound like something I could do. I had a three
level cervical fusion two years ago and I still have a lot of arm and neck
pain.
Has anyone gone through this surgery?
Thanks |
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| Mary |
| Posted: Sat Feb 10, 2007 4:54 pm |
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Guest
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I will found out Tuesday when I see the surgeon......I hope he has no
problem with the oil.......doing a second surgery.
Thanks
"The Real Bev" <bashley101+a@gmail.com> wrote in message
news:45CE0EE0.8020807@gmail.com...
Quote: Mary wrote:
Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems
seeing small print for several months. My eyes just quit working
together.
I am hoping that this can be fixed by surgery......but three weeks or
more with your head down doesn't sound like something I could do. I had
a three level cervical fusion two years ago and I still have a lot of arm
and neck pain.
Has anyone gone through this surgery?
My claustrophobic mom refused to try it. She had a macular bubble
repaired in the other eye, which involved removing the vitreous and
replacing it with water, which didn't involve face-downing. The surgery
was successful (I looked at the images before and after and could no
longer see any discontinuity after the surgery), but her vision wasn't
improved. Go figure.
Her surgeon had a colleague in San Diego who reported that results were
nearly as good for patients who didn't do the face-down thing as for those
who did, which my mom decided perhaps she'd do. At her next visit a
couple of months later the surgeon was not so impressed, so I guess he
found out something he didn't know before.
I don't think you need to do the face-down thing if you have an oil
replacement, but they have to do a second surgery to remove the oil. What
does your doc say about that?
--
Cheers, Bev
===================================
New sig on order, watch this space. |
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| Anon E. Muss |
| Posted: Sun Feb 11, 2007 12:57 am |
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On Sat, 10 Feb 2007 12:10:32 -0600, "Mary" <absolutelymary@calm.com>
wrote:
Quote: Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or more
with your head down doesn't sound like something I could do. I had a three
level cervical fusion two years ago and I still have a lot of arm and neck
pain.
Depends on the stage of the macular hole.
Less than stage II holes, typically only observation is done. For
stage II, III, and IV holes, the treatment of choice is typically a
vitrectomy which is what you are thinking about.
[There is an interesting article in the 01/2007 issue of
"Ophthalmology" ("Treatment of Stage 2 Macular Hole by Intravitreous
Injection of Expansile Gas and Induction of Posterior Vitreous
Detachment" by Mori K, Saito S, Gehlbach PL, and Yoneya S)regarding
the use of an intravitreal injection of sulfur hexaflouride to
iatrogenically induce a posterior vitreous detachment in the treatment
of stage II macular holes. Granted, the group was small and the
results depended on the size of the hole and the visual acuity, but
the good news was that in certain patients, this avoided the need for
a vitrectomy.]
If you have a stage II hole, this is a possibility. The "face down"
time is more like 4 days.
If you cannot tolerate the amount of face down time, then another
option is for the retinal surgeon to use something besides an
expansile, absorbing gas to tamponade down the macula after the
vitrectomy such as silicone oil. The downside of this is you will
have extremely poor vision out of that eye during those weeks of it
needing to be in there and the fact that you will need a second
surgery to remove the oil. |
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| kmikest |
| Posted: Sun Feb 11, 2007 7:11 pm |
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On Feb 10, 10:10 am, "Mary" <absolutelym...@calm.com> wrote:
Quote: Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or more
with your head down doesn't sound like something I could do. I had a three
level cervical fusion two years ago and I still have a lot of arm and neck
pain.
Has anyone gone through this surgery?
Thanks
Hi Mary:
I've done the vitrectomy for macular hole in August of last year. I
was face down for 3 weeks. My surgery I am told has been successful,
but, like Bev's mom, vision still remains impaired for me, but I am
thankful for any vision I have.
I don't know about the surgery with oil instead of gas bubble and
don't know anybody who had it.
For my part, I can tell you that I rented face down a face down
cushion as well as a massage chair. My niece lent me her massage
table, so I had one in each room, this way I got a change of
environment and got a bit of distraction. You've got to organize
everything you need to use to be reachable around you.
It's now 8 months post vitrectomy. I am having persistent tense neck
muscles and trapezius pain deep in the shoulder. Can't tellyou if it
is a direct result of face down recovery, but I know because focusing
is difficult, I tend to strain to focus and tense my neck muscles.
Hope you clarify your questions with your RS. I'll come on this site
again to find out how you are managing. Good luck.
K. |
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| Mary |
| Posted: Sun Feb 11, 2007 11:18 pm |
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Thank you......Tuesday I will know more and will let you all know what the
Doc says...
"kmikest" <tse.kim.k@gmail.com> wrote in message
news:1171235480.170975.9930@p10g2000cwp.googlegroups.com...
Quote: On Feb 10, 10:10 am, "Mary" <absolutelym...@calm.com> wrote:
Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems
seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or
more
with your head down doesn't sound like something I could do. I had a
three
level cervical fusion two years ago and I still have a lot of arm and
neck
pain.
Has anyone gone through this surgery?
Thanks
Hi Mary:
I've done the vitrectomy for macular hole in August of last year. I
was face down for 3 weeks. My surgery I am told has been successful,
but, like Bev's mom, vision still remains impaired for me, but I am
thankful for any vision I have.
I don't know about the surgery with oil instead of gas bubble and
don't know anybody who had it.
For my part, I can tell you that I rented face down a face down
cushion as well as a massage chair. My niece lent me her massage
table, so I had one in each room, this way I got a change of
environment and got a bit of distraction. You've got to organize
everything you need to use to be reachable around you.
It's now 8 months post vitrectomy. I am having persistent tense neck
muscles and trapezius pain deep in the shoulder. Can't tellyou if it
is a direct result of face down recovery, but I know because focusing
is difficult, I tend to strain to focus and tense my neck muscles.
Hope you clarify your questions with your RS. I'll come on this site
again to find out how you are managing. Good luck.
K.
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| Dave Bell |
| Posted: Mon Feb 12, 2007 3:29 pm |
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Guest
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Good luck, Mary! This is something I've been fighting since last May (not
all that long, I guess.) I noticed a detachment then, and immediately got
to a retinal specialist, and first surgery the next day. In my case, the
tear was on the periphery, not macular, so they started with a buckle - a
"brace" placed on the outside of the eyball, to hopefully get the retina
to reattach. When that didn't do the trick, I went through a vitrectomy.
Since I was *really* not ready for weeks of face-down, I opted for the
silicone oil fill. That actually went fine, as far as the retinal tear was
concerned, but.... Next, a rework due toPVR, where cells from behind the
retina migrate out the tear and form scar tissue that tears the retina
loose again. Then, another tear in a different place, with repair. And
another. The, another side-effect: the oil was irritating my cornea (lens
removed after 2nd or maybe 3rd surgey, due to beginning cataract, so the
iris was wide open). That required removal of the oil, and replacement
with a gas bubble. Fortunatlely, the latest tear was at the top of the
eye, so I didn't need to position face down! Right now, I'm almost 2
months post the 5th surgery, with everything holding - so far.
Dave
On Sun, 11 Feb 2007, Mary wrote:
Quote: Thank you......Tuesday I will know more and will let you all know what the
Doc says...
"kmikest" <tse.kim.k@gmail.com> wrote in message
news:1171235480.170975.9930@p10g2000cwp.googlegroups.com...
On Feb 10, 10:10 am, "Mary" <absolutelym...@calm.com> wrote:
Okay, I am getting checked by a retina doc next week because of this hole
found by my ophthalmologist. I have had double vision and problems
seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or
more
with your head down doesn't sound like something I could do. I had a
three
level cervical fusion two years ago and I still have a lot of arm and
neck
pain.
Has anyone gone through this surgery?
Thanks
Hi Mary:
I've done the vitrectomy for macular hole in August of last year. I
was face down for 3 weeks. My surgery I am told has been successful,
but, like Bev's mom, vision still remains impaired for me, but I am
thankful for any vision I have.
I don't know about the surgery with oil instead of gas bubble and
don't know anybody who had it.
For my part, I can tell you that I rented face down a face down
cushion as well as a massage chair. My niece lent me her massage
table, so I had one in each room, this way I got a change of
environment and got a bit of distraction. You've got to organize
everything you need to use to be reachable around you.
It's now 8 months post vitrectomy. I am having persistent tense neck
muscles and trapezius pain deep in the shoulder. Can't tellyou if it
is a direct result of face down recovery, but I know because focusing
is difficult, I tend to strain to focus and tense my neck muscles.
Hope you clarify your questions with your RS. I'll come on this site
again to find out how you are managing. Good luck.
K.
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| Mary |
| Posted: Tue Feb 13, 2007 5:20 pm |
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Guest
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Just got back from the retina doc and he said that I had blunt force trauma
to the eye at some point in my life and he thinks it was probably from a
car/train accident I had when I was 17. Now I am 63.
He thinks that I have had this hole for some time and it hasn't been that
long ago that they have been able to take pictures of the retina and see the
hole.......so that was the reason it had not showed up before.
He also said that the capsule was cloudy in my other eye due to a previous
cataract surgery.......so they corrected that with a jag laser today. He
thinks this is my problem and not the hole.
Well I am home now and already I can see the fine print.....I am one happy
camper now!!!
A simple solution so far.
Thank you all for your help.
"Mary" <absolutelymary@calm.com> wrote in message
news:yLKdnWSsOLRiQ1LYnZ2dnUVZ_g-dnZ2d@centurytel.net...
Quote: Thank you......Tuesday I will know more and will let you all know what the
Doc says...
"kmikest" <tse.kim.k@gmail.com> wrote in message
news:1171235480.170975.9930@p10g2000cwp.googlegroups.com...
On Feb 10, 10:10 am, "Mary" <absolutelym...@calm.com> wrote:
Okay, I am getting checked by a retina doc next week because of this
hole
found by my ophthalmologist. I have had double vision and problems
seeing
small print for several months. My eyes just quit working together.
I am hoping that this can be fixed by surgery......but three weeks or
more
with your head down doesn't sound like something I could do. I had a
three
level cervical fusion two years ago and I still have a lot of arm and
neck
pain.
Has anyone gone through this surgery?
Thanks
Hi Mary:
I've done the vitrectomy for macular hole in August of last year. I
was face down for 3 weeks. My surgery I am told has been successful,
but, like Bev's mom, vision still remains impaired for me, but I am
thankful for any vision I have.
I don't know about the surgery with oil instead of gas bubble and
don't know anybody who had it.
For my part, I can tell you that I rented face down a face down
cushion as well as a massage chair. My niece lent me her massage
table, so I had one in each room, this way I got a change of
environment and got a bit of distraction. You've got to organize
everything you need to use to be reachable around you.
It's now 8 months post vitrectomy. I am having persistent tense neck
muscles and trapezius pain deep in the shoulder. Can't tellyou if it
is a direct result of face down recovery, but I know because focusing
is difficult, I tend to strain to focus and tense my neck muscles.
Hope you clarify your questions with your RS. I'll come on this site
again to find out how you are managing. Good luck.
K.
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