29 Shots

This was, by far, the easiest surgery I’ve had. I’m not sure we were at the surgery center for a full hour. Since there was no general anesthesia, it really only seemed like a doctor’s visit albeit in a different place, with some strange questions, and my vitals being checked before and after. Oh, and a higher copay.

After waiting about 15 minutes, we were called to check in and pay. That took about 10 minutes, then we went back into the waiting area for a few minutes before I was called back into the room with the laser. The nurse asked me some questions, like what are you having done today and on which eye. She took my blood pressure, which seemed a little high for me as of late. It was 131/78. She told me she was going to give me four drops – two to dilate, one to reduce my IOP, and one to numb my eye. Before she gave the drops, I asked if I could take a pic of the laser machine. She laughed and gave me a second to take the image (see it below.) After she put the drops in, she told me to close my eyes until the doctor came in. She left the room.

I grabbed my iPhone and opened the app for Absolute Radio (since I use the VoiceOver setting I didn’t need to open my eyes.) Absolute Radio is a station based in London that is my favorite. Geoff Lloyd’s Hometime Show was on. I usually don’t like listening to him while working (he’s on noon to 3.00 ET, 5.00 to 8.00 in the UK,) because he is so funny I end up listening and not getting any work done. As it turned out, I only listened to him for a minute or two, then a short newscast by Tania Snuggs, and then about half of a song by Manic Street Preachers before the doctor came in and I turned the radio off.

Dr. Ayres gave me another numbing drop, then lined up the machine. Before he started blasting, he put a lens with a lot of goo on my eye to help focus the laser. Then he started shooting. Besides seeing the flash of the light from the laser, I heard these pops in my ears. It was a weird sensation. After a bunch of shots, he paused for a few seconds then took a few more shots. He took the lens off my eye and started filling out some papers. That was when he said he took 29 shots. The nurse put a couple drops (Pred Forte, a steroid) in my eye. Dr. Ayres told me to take a similar drop twice per day until I visit him in a couple of weeks. I’ve been on the steroid drop since the endothelial transplant back in December 2008, but have only used it once per day for the past few months. That was it, I was done.

It’s now about 12 hours after the surgery and my sight is still weird. We went out to dinner tonight (Carrabba’s, it was just okay) and lights really bothered me, especially car headlights. Hopefully it is just the drops. I’ll know in about six hours when I wake up.

YAG Laser machine used on my left eye.

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OCT Retina Test

What an adventure today at the Pagoda Building at 100 Presidential Ave.  After a few minutes in the waiting area, we were called back.  I followed Irene into a very dimly lit room, stumbling slightly on one of the stools.  I sat on a stool that seemed to be a bit too high for the machine I was supposed to put my chin in while pressing my forehead against the bar.  The device that was going to take the images and measurements of my retina looked similar to an older (circa 1998) surveillance camera.  Inside the lens was this cool blue light, slightly lighter than the blue light on the machine that reads your IOP,  that looked similar to something in a sci fi movie with a thin red line across the horizon that looked like a laser.

My good fortune was that the machine was brand spanking new and both Irene and Todd had not yet mastered it.  Irene couldn’t get a good set of images and kept asking me if I was diabetic, which I am not.  She then said that the cataract in that eye must be really dense, because they couldn’t get a clear image.  She then decided to dilate my eye.  (This test was only for the left eye.  The right is waiting for the Six Million Dollar Man eye and I haven’t spotted those at Radio Shack yet.)  Dr. Pro had asked that the eye be dilated, but Irene thought it wasn’t necessary at the beginning.  While my pupil was dilating, Irene stepped out of the room.  Todd, Eliz, and I talked about the machine.  I asked Todd a question and didn’t get a response.  Eliz then answered for him.  Seems he didn’t realize I couldn’t see him and he nodded yes to answer my question.  After about 10 minutes, Irene walked back in, but Todd wanted his turn on the machine, so Irene coached him.  He couldn’t get a good image either.  Irene’s turn again.

After about 10 to 15 minutes of trying, we were asked to go wait in another waiting area.  We only waited there a couple of minutes and then it was back into the hot seat for me (and I didn’t stumble in the room this time since my eye was dilated…)  Finally, Irene was able to get the correct images the doctor ordered.  I asked if I could have one put on my flash drive.  Irene said no, but said she’d print one out.  As she looked through all the images, she realized that they weren’t that good.  She asked if she could try again on getting a good image.  At this point, either Eliz or I mentioned the Endothelial transplant from December 2008.  She then said that might be why she couldn’t get a good image.  Whatever.  She got some images she was happy with and printed one out for me…  In black and white!  The doctor will have a look in a day or two.  I’ll call on Wednesday to see what the story is.

I’ve got a scanner issue that is stopping me from uploading the image.  Hopefully I’ll figure it out tomorrow and have the image up here then.  I know it doesn’t look like this image:

OCT demonstrating normal retinal architecture.

OCT demonstrating normal retinal architecture.

My OCT scan from 11 Jan 2010.

My OCT scan from 11 Jan 2010.

So now I have to wait to hear from the doctor.  My image is a bit more “hilly” than the image above.  I’m hopeful this is the reason for my latest issue.  I also hope this can be fixed.

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Almost Eight Months

It’s nearly eight months since my surgery (next Saturday, 4 July is eight months.)  I had an appointment today with Dr. Ayers.  We were taken back to the examination room, which was called Pod 3.  We joked with the tech, a seemed to be twenty something white guy, about the name of the standard eight by ten room used in countless ophthalmology offices everywhere.  The tech said the number designated the disease, while Pod made it sound high-tech.  Pod 3, therefore, was for cornea issues.

The tech asked how my eyes were feeling and if I’ve had any problems lately (good and not really unless you count the elbow Eliz landed on my left eye last night.)  He then asked if I was seeing any better and I responded by reciting the eye chart down to the 20/60 line.  Since he hadn’t turned on the machine yet, he knew my memory was still good.  I was a little worried when he turned the machine on.  I saw the E, but not clearly.  I also had trouble seeing the S in the SL (20/200) line.  If I didn’t know it was an S, I don’t think I would have been able to guess what it was (though there are only 26 letters in the alphabet and usually no duplicates on a line, so I knew it wasn’t an L.  I could also eliminate other letters that are not rounded, like A, K, X, H, E, F, I, M, N, T, V, W, Y, and Z.  Now I’ve got a one in 10 chance.  Is that seeing or guessing?  I told the tech my concerns.  He handed me the eye cover with all the pinholes and told me to try that.  Within 10 seconds I could see the S.  When I was rattling off all the lines before he turned the machine on, he said there were alternative lines on the machine, made up by numbers.  I asked him to go to those so that I could see if I actually could see anything there.  He put the largest line up, which was the 20/100 line.  Without the pinholes, I saw five black blobs.  With the pinholes I was able to spot the 7 all the way on the right.  I was pretty excited.

Dr. Ayers came in shortly after.  He had a look and told me things looked pretty good.  The only concern is that my IOP was six.  It has been fluctuating between six and eight for a few years, but has been at six for quite some time.  I asked if I could go swimming and was told I could.  I also asked if I could wear goggles.  Dr. Ayers advised me not to wear the goggles that the swimmers in the Olympics wear, but to use those that are larger.  Fortunately, I already own a pair of AquaSphere goggles, so I’m good to go.    Dr. Ayers told me to cut back on the Predforte to only Mondays, Wednesdays, and Fridays as he didn’t see any signs of rejection going on.  I’d like to be off the ‘roids at my next visit in October.  The cataract is still not ready to come out.  The amount of vision I’d pick up by having it removed isn’t worth the boatload of risk (it could wreck December’s surgery, as well as destablilize the eye as far as the glaucoma is concerned.)   That finished up my appointment and we were good to go.

So, the bottom line is that I was pleased with what Dr. Ayers told me.  I can do whatever I could do before the surgery (swim, lift heavy things – though, the heavier I get, the less I seem to be able to lift, etc.)  Still waiting on something/someone to fix my badly damaged optic nerve…

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