Post opp detached retina problems

[Tarachin]

Good afternoon,

I have been concerned about my right eye, have had detached retina surgery in 2002, everything seemed to be fine apart from minor headaches, eye aches and floaters until last year. I have noticed a change in my right eye, the eye is looking smaller then my left and is giving me throbbing pain when I bend/look down. My sight seems the same but I feel like something is just not right. The eye is also becoming red around the area where the silicone has been placed, it is sinking in and does not look normal, almost as if it is dying off.

I went back to my eye surgeon last year and he said it is normal and that it is the silicone that is changing color but I can clearly see it is the eye that is sinking in (or dying off), not the silicone. Since then, the red sunken in area has spread and is moving around my eye. Ive also noticed that my eye is a little cloudy compared to my left eye, its not very noticeable but when comparing closely to the other eye, you can see the difference.

Ive also noticed floaters in my left eye, doctor said it was due to the right eye effecting the left, but am not sure, I need a second opinion, Ive been with my doctor for years and have trusted him all this while. I just dont want to go blind as I am a model and a painter, It would destroy my life if I lost my eyes... your advice means the world to me, thank you :)

Here are the exact details of the surgery:

- Right eye sterilized with diluted iodine and draped.
- Peritomy
- Recti muscles identified.
- At least two tears noted, one lager tear at 7.30 and one smaller at 8 o'clock
- Suspicious areas of peripheral retina temporally
- Cryotherapy to surround tears (slippery scleral surface)
- Encirclement with 227 trye inferno temporally and 240 band with Watke Sleeve superonasally
- 5-0 Ethibond used (difficult to get good bite of sclera tissue at right depth one to "slippery" surface) - no puncture to sclera.
- Disc perfusion checked.
- Closure with 6-0 softgut.

[Michael J Kutryb, MD]

You had a retinal detachment repair with a scleral buckle and cryotherapy.  Now your eye appears to look red, sunken in and irritated, I suggest you find another retinal specialist ophthalmologist in your area and get a second opinion.  It's basically that simple.  I'm sorry but you need a real-life exam and second opinion.  Sometimes the band with start to loosen up and extrude a little, and sometimes after major eye surgery, the eyelid will droop over time and the eye can appear a little sunked in over time. Also, there could be other problems like allergies, eyelid disease or inflammation.  Get a second opinion.  Look at aao.org to find another retinal specialist in your area.

MJK MD

[Tarachin]

Thank you, I will be getting a second opinion in 3 weeks. I appreciate your reply and will ask the doctor the reason why my eye is so itchy...

Thank you again :)