Scar Tissue

[mooduk]

How long does it take scar tissue and adhesions to form after an eye injury?  Days or weeks/months?  Dh was just diagnosed with an adhesion of part the capsule that used to hold the lens (has IOL with a scleral ring and donor cornea now) to the outer edge of the pupil, 9 months after his ruptured globe. (His eye has lots of scar tissue from the injury - the iris exited the glaucoma surgery incision after the injury).  

This adhesion was found when an ultrasound was done because part of the iris was pushing up against the cornea.  The eye had initiallly *very* high pressure right after the injury followed by low pressure until recently (last few weeks).  Now the fluid is apparently getting trapped between the iris and the pupil and pushing the iris outward so it touches the cornea in places.

What might this adhesion mean for his vision? Is it possible that this adhesion was formed recenlty or could it have been there awhile?

Thanks!!

[John C Hagan]

Both can cause light sensitivity as can pressure problems and inflammation.

JCH III MD

[mooduk]

The surgeon mentioned putting a hole in the iris at some point to let the fluid pass.  No one wants to touch that eye unless its absolutely necessary - it reacts like it got stung by a swarm of angry bees.

Dh has extreme light sensitivity in that right eye - sunglasses don't help much.  He keeps that eye patched because of the light sensitivity and because it has worse vision than his legally blind glaucoma eye (left) and it points out and up, causing double vision.  The images are widely separated and one image is higher than the other.

Could the extreme light sensitivty be because of the scar tissue on the pupil or is it from the cornea transplant??

Thank you.

[John C Hagan]

Adhesions can occur anytime inflammation or irritation is present in the eye. They can start to form in just a few days (4-7 days) like in iritis but like a scar they undergo maturation which takes weeks to months.

Sometimes a laser can be used to break the adhensions or put a hole in the iris to let the fluid pass through and not get trapped. You will need to get specifics from the surgeon.

JCH III MD