Eye Care

[kathryn241]

Hi everyone!  So my RD surgery was 4 years ago and I still have silicone oil in my aphakic right eye.
I have developed band keratopathy.  I had the EDTA chelation to remove it last year, but now it is back again.
Vision in that eye in not good at all.
Docs won't remove the silicone oil b/c they say my eye is not making its own fluid.  
My eye hurts some time and is annoying most of the time.
I want to have the EDTA chelation again, b/c I have contact lenses with a black out back to fix the glare due to my Iris being cut out at the top.
The contact lens hurt.
Any suggestions on eye drops to use to help?

[JohnHaganMD]

You're welcome a bunch and best of luck.  JCH MD

[kathryn241]

Thanks a bunch!
Kathryn

[JohnHaganMD]

That's a bucket load of surgery for an eye without holes/tears/RD or visible traction. My suggestion would be as outlined below get 3rd and 4th opinions. Of course my thoughts are a generalization since I can't look in the eye but I would not jump on the sugical table without a confirming opinion from an independent retina surgeon and a good understanding of the risk/benefit equation

JCH MD

[kathryn241]

I'm talking about my good eye.  I am terrified to go either way.  I do have a small cataract in that eye too.  No lattice in that eye, lots of flashes and I do have a weiss ring.  Doc wants to do vitrectomy, remove gel, lensectomy and implant all at once.  

[JohnHaganMD]

Are you talking about your "good" eye or the eye with all the RD surgery?

If you're talking about your "good" eye than I would suggest getting a third or even 4th opinion. A vitrectomy will almost always cause a cataract that grows relatively fast then you will need cataract surgery and that increases the risk or RD dramatically.

JCH MD

[kathryn241]

True or not?
if you have eye flashes a lot, know that you are headed for a PVD.  One eye doc says that since I've been having flashes for a good while with no retinal tears, there probably won't be a tear.
Other eye doc wants to do a vitrectomy to remove the gel that's causing the flashes.
What is your opinion?

[John C Hagan III, MD, FACS, FAAO]

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[kathryn241]

HI,
I have read and re-read the problems associated in this forum for over 4 years.  None of the problems associated tell me what to do next.
I really did not have a complicated RD... what I had was one thing, what was done to my eye bu surgeons was another.
I am asking if there is anything besides EDTA chelation that will remove the BK.  
Obviously not.

[John C Hagan III, MD, FACS, FAAO]

No drops will remove the band keratopathy. Use the search feature and archives to read about problems associated with complicated retinal detachments and silicone oil in the eye.

JCH MD