I'm 40 year old white male. -3.5ish myopia in both eyes prior to LASIK ~5 yrs ago. No history of retinal problems in family tree. 2 years ago I was diagnosed with retinoschisis in both eyes (upper temple area).
1 mo later, my left eye retina detached and I had a vitrectomy/buckle. The left eye has been stable ever since, with only a slight loss in acuity.
18 mos later, I had vitr/buckle in right eye after laser did not stop schisis growth. My post-op story:
- Bleeding inside the eye post-op, could see blood line at 1/3 of pupil; Diamox for ~6 wks. IOP got up to 30ish.
- Grey blind spot in central vision accompanied with "flickering" (maybe 1cm wide and 3-4mm high at 18").
- Loss of wedge/semicircular shaped area of peripheral vision on right side.
- Wavy vision (straight lines not straight) in side areas of main vision (not in center or periph)
I had cataract surgery 4.5 months later with Alcon AcrySofIQ lens implanted (19.0D power) to bring the eye back to -2.0 (I was 20/15 after LASIK pre-op). Post-capsule is scarred and my vision is still pretty "frosty", scheduled for popping the capsule 5 mos post-op (2.5 mos from today).
Retina doc continued to tell me he didn't know what the new blind spots were from or how to fix. OCT showed normal so he ruled out macular hole. When he told me that it was probably schisis coming back (even with normal OCT), decided it was time to go back to old surgeon.
He diagnosed cyst on my macula and a swollen retina. He told me that the periph vision loss was likely a bruised optic nerve occurring as my young and sticky vitreous was pulled off the back of my eye. He then gave me a shot in the eye (not inside but scleral i blv) of cortisone.
1. 6 mos of swollen retina seems like a long time, is this unusual? Can it get better?
2. Is there a clinical way to evaluate bruising of optic nerve?
3. Should I wait to pop the capsule until after any more retina surgery (ie, to fix the center spot)
How can you have cyst on macula but a normal OCT? The OCT is very, very helpful here. If normal that is great. If abnormal you may have problems with macular edema or macular scarring or epiretinalm membrane. At this point about all you can do is use non-steroidal anti-inflammatory drops and steroid drops and or injections as directed by retinal surgeon. You may or may not improve and OCT and visual acuity will be great ways to measure.
I have never heard of a bruised optic nerve. Pupil testing for marcus gunn pupil, color vision testing and visual field testing and optic nerve OCT would be ways to test the optic nerve. It is possible with recent pressure problems (glaucoma) that you could have sustained optic nerve damage. Finally, the yag laser will hopefully help vision a lot. You should be looking forward to that because it may be one of the only things that might actually help you get some of your vison back - BUT only if macula is in good shape without edema or scarring or membrane. Complicated stuff.
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