Hello, All -
I am a 45 year old male. In middle school, I became very nearsighted (20/400) and developed a long string like floater in my right eye. At about 20 yoa, I traveled to Windsor, Canada and had successful PRK performed on my eyes (before refractive surgery was legal in the USA). During my initial eye examination in Canada, elevated eye pressures were noted in the upper 20's, IOP. After several months, my vision settled down (right eye to longer to stabilize) and both eyes were better than "normal" at 20/15. I enjoyed this vision for many years. During eye check ups, my IOL pressures continued in the mid to upper 20's, but no optic nerve damage was ever noted and the disc to cup ratios were between .2 - .4 in my left eye and about .6 in my right eye.
Three years ago, I had a floaters only vitrectomy in my right eye and was thrilled with the results. This procedure eliminated all of the many floaters that had developed in that eye over the years.
Fast forward to December, 2014. Punched in the right side of the face, broke my eye socket, nose and right eye swollen shut. Eye exam showed left eye normal (except for IOP in the mid 20's). However, the right eye pressures were running into the low 30's with disc to cup ratios of between .8 and .9, depending on the doctor - even, after healing. In January, 2015 - I noticed some flashing in my right eye and had to have a small, "horseshoe" shaped retinal tear repaired. Following the retina surgery and after consulting with the glaucoma specialist, I had an initial cataract and trebectome surgery performed on March 26th, 2015, Due to an incorrect IOL being selected, the lens had to be exchanged two weeks later (AcrySof IQ, model SN60WF, power 20.5D implanted as the end result). The end result has been vision that has been blurry up close and far away (the goal was plano in the right eye). Due to post-op complaints, I saw a retinal specialist who confirmed that the retina in my right eye "looks great." This brings us to the present...
As I have healed from the injuries and surgeries, I have been put on Combigan (3x), Azopt (3X) and Pilocarpine (1x) for my right eye. However, I am experiencing some troublesome symptoms in my right eye that weren't present before the surgery. I now see a black arc along the outer edge of my vision, especially when tying to focus up close. Along that edge, I also see shadowing, ghosting or double images, especially when near a light source. I believe that this is negative dysphotopsia and not a retinal issue as the retina specialist confirmed the good condition of the retina. The small central area of my vision is blurred and the outside 2/3 is noticeably more clear. If I look at the television news, the anchor person's face is blurred out, but the area around them is visually more distinct. After several visits to the surgeon, she indicates that "there is no medical reason" for my symptoms.
Has anyone out there had anything similar to this that can share their experiences?
Thanks a lot...