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IOL haptic pressing on iris & possible buckle removal?
A high speed ultrasound shows that one of my IOL haptics is pressing against my iris. There is bleeding and pain in the eye. I have a buckle on that eye and both eyes have phakic lenses. I also have retinopathy of prematurity. Both eyes have had retinal lasering, and the left eye had some detachments.
The IOLs were put in in 2003 and the scleral buckle in 2004.
I'm in Portland, Oregon. My current retinal doctor didn't seem concerned about the haptic situation. However the ultrasound tech neglected to put in his report that the haptic is pressing against my iris & not just that the IOL lense is shifted. The doctor put me on some Nevanac drops & said come back in a month. I'm interested in having the IOL replaced and possibly having another lens sown in if another set of haptics won't work again in that eye. And I'm also interested in having the buckle removed at the same time as the IOL fixing. But I'm willing to leave the buckle on if that extra step is too risky.
In any case the big issue is the constant pain. It keeps me up at night. The bleeding is an annoyance. But the gnawing pain which is there whether there the eye is bleeding inside or not.
When the ultrasound tech did the test on my eye he seemed fairly concerned and he conveyed that normally surgery is done when a haptic moves and presses against an iris.
I don't want to be left with constant pain, but I would still like an IOL lens in the eye, either with another haptic or via having one sown in. And maybe, just maybe, we can pull my buckle out at the same time - but I can live with it staying in.
So I'm looking for a referral for eye doctors in the Portland, Oregon area. I cannot go to OHSU sadly. Doctors who can operate at the Providence Hospitals would be ok. I don't know if a regular eye doctor could pull the buckle off. But any possible buckle removal somewhat secondary to the haptic pushing against my iris and causing bleeding and pain. I don't want to live w/constant pain.
The IOLs were put in in 2003 and the scleral buckle in 2004.
I'm in Portland, Oregon. My current retinal doctor didn't seem concerned about the haptic situation. However the ultrasound tech neglected to put in his report that the haptic is pressing against my iris & not just that the IOL lense is shifted. The doctor put me on some Nevanac drops & said come back in a month. I'm interested in having the IOL replaced and possibly having another lens sown in if another set of haptics won't work again in that eye. And I'm also interested in having the buckle removed at the same time as the IOL fixing. But I'm willing to leave the buckle on if that extra step is too risky.
In any case the big issue is the constant pain. It keeps me up at night. The bleeding is an annoyance. But the gnawing pain which is there whether there the eye is bleeding inside or not.
When the ultrasound tech did the test on my eye he seemed fairly concerned and he conveyed that normally surgery is done when a haptic moves and presses against an iris.
I don't want to be left with constant pain, but I would still like an IOL lens in the eye, either with another haptic or via having one sown in. And maybe, just maybe, we can pull my buckle out at the same time - but I can live with it staying in.
So I'm looking for a referral for eye doctors in the Portland, Oregon area. I cannot go to OHSU sadly. Doctors who can operate at the Providence Hospitals would be ok. I don't know if a regular eye doctor could pull the buckle off. But any possible buckle removal somewhat secondary to the haptic pushing against my iris and causing bleeding and pain. I don't want to live w/constant pain.
MEDICAL PROFESSIONAL
Dear portlandbirdman,
It does sound as if your IOL may be causing the pain as well as the bleeding. I would recommend that you see one of the following doctors in Portland. They will be able to advise you on the best course of treatment given your ocular conditions. Here are a few names, Jennifer Balentine, 503-227-6568, Steven Mansberger 503413-6453. You can find more eyeMD’s by looking at the AAO.org www site, find an eyeMD.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
It does sound as if your IOL may be causing the pain as well as the bleeding. I would recommend that you see one of the following doctors in Portland. They will be able to advise you on the best course of treatment given your ocular conditions. Here are a few names, Jennifer Balentine, 503-227-6568, Steven Mansberger 503413-6453. You can find more eyeMD’s by looking at the AAO.org www site, find an eyeMD.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
As an addendum I found out today from the ultrasound technician who tested me that it is the IOL lens itself that's pressing against my iris (on one edge of the IOL lens). So it's not necessarily the haptic but the IOL lens itself that's ubraiding my iris.
I could live with occasional bleeding, but it's the gnawing pain that's the unacceptable part. I guess I'd need someone with enough gumption to either try a new lens via the haptic method or to sew one in.
I could live with occasional bleeding, but it's the gnawing pain that's the unacceptable part. I guess I'd need someone with enough gumption to either try a new lens via the haptic method or to sew one in.
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