Fuch's

[Hobkirk]

I have eye problems.
12 months after diagnosis,
I am facing possibly 2 corneal grafts and 2 cateract removals
in 6 months time.
I think I understand but the big question I face is this one..
What is that journey like ?
I need to see it in my head,
otherwise anxiety ensues for months.
Any answers please ?
Thanking you in advance.

[jinny57]

What a brain !! Chloride...

[JohnHaganMD]

Sodium chloride is saline or body salt. It works by using osmotic pressure to try and draw the fluid from beneath the erosion that prevents healing. In US sold under name Muro 128   Be sure you have read the article on corneal erosion on my home page under Journal Entries.  In Fuch's its used to help dehydrate the whole cornea. In Fuchs the endothelial cells on the inner cornea are sick and die off faster than normal. They pump fluid out of the cornea back into the eye. Muro 128 removed fluid through the surface of the cornea. On my home page Journal entries there is an article about Fuchs also

[JohnHaganMD]

+

[jinny57]

Oh, so sorry......Sodium Carbonate... oops !

[jinny57]

My Consultnt has given me Sodium Carbonate eyedrops, 4 times a day in both eyes. He would like to see how they work or otherwise,.... and if not successful wants me in for surgery. I'm returning to see him in 6 months. I guess we are in their hands ?

[JohnHaganMD]

If you cataracts are  early you may not need cataract surgery for a long time. If you don't have a strong family hx of Fuchs it may not progress and you may  never need cornea surgery.

[Hobkirk]

Thank you for your speedy reply.
I must admit the thing that worries me the most was having my eyes open during surgery; just a minor worry, I know.
I did think the concerns raised at A&E yesterday were not related but my eyes were affected and still are.
I think the older you get the less you process so maybe I haven't taken everything in !!
Much appreciated,
Jane

[JohnHaganMD]

It use to be when the cornea failed that a corneal transplant was necessary. That is a huge operation with a recovery time of over a year and sometimes 2 years. Now modern surgeons don't do full thickness corneal transplant doing instead lamaller replacement of the inner layer of the cornea. variously known as DSAEK procedures.  It makes the operation much faster, much safer with much better results.  So none of the procedures should slow you down more than several days and the prognosis is excellent.  You should benefit from the advances of modern cataract and cornea surgery. Be sure your surgeon plans on doing the DSAEK procedure and not a full thickness penetrating corneal transplant.