This was originally posted on March 1st, 2014:
When I think about how many eye specialists I’ve seen, my head spins.
I have two conditions: Dirty vision due to posterior vitreous detachment and dry eye syndrome.
Unfortunately, my dry eye condition is the one that has really made me miserable.
I keep hoping I’ll find a way to alleviate my pain. According to the last corneal specialist I saw, it worsened and became a chronic problem because of hormonal changes related to my age (I’m 54). But primarily, it was brought on by cataract surgery.
Still, I can’t help but wonder about an emotional component. I know the body can exhibit things that our mind does not allow.
When my son had violent meltdowns, I developed severe rashes on my elbows that were constantly bleeding. During one of my mother’s early hospitalizations, I was afflicted with severe stomach pain. I even remember when it began – it was triggered by the smells in the rehab facility where she was. I ran to the bathroom and my horrible nightmare turned into microscopic colitis.
Those physical manifestations of my pain were temporary, but added to my misery because they lasted for several years and made everything I did harder.
I am extremely grateful that those conditions eventually faded away.
My eyesight problems remind me of my true weakness. I survived my empty marriage by ignoring the things that upset me – I looked the other way.
But where do I look now? I just can’t escape the fog and dirty vision; I’m in pain and it’s too much.
I was disappointed after paying $500 for an opinion from a doctor at the world-famous Jules Stein Eye Institute. He spent 10 minutes with me and an associate examined my eyes. I still have not received a report from him and it’s been a month. He called me the next day to ask me why I wanted it, and I found his attitude annoying. He said he would not put anything in his report that indicated I deserved reimbursement because it caused problems for him in the past.
My bedtime ritual has become fairly time-consuming. Despite doing all the things I’ve listed below, my eyes still burn and have sensations. I have difficulty concentrating and often close my eyes when I walk outdoors. I bump into things a lot!
Judy’s Bedtime Eye Ritual:
Wipe eyelids with special eyelid cloth and cleaner
Put in Restasis eye drops
Start humidifier – do not slip on the wet floor
Put in eye gel drops
Warm up hot compress in the microwave
Put on iPod and relax with compress over my eyes
(The last step is the one I like best)
Twice now, I’ve seen an ophthalmologist who is a cornea specialist through my HMO.
At our last appointment, I let him know that I was following a regimen of all his suggestions. This doctor said sweetly, “I’m sorry, but there’s nothing else left that could help your condition. It’s incurable.”
So I reminded him about something I knew about – plugs in my tear ducts. Twenty years ago when I wore hard contact lenses, I had two inserted. They stimulated more tear production and helped. Only one of them remained.
He said, “Sure, I’ll put more in for you.” That was when I learned that there were four, not two places for those plugs.
I would have two more inserted that would give me three plugs. I learned that the upper lid tear ducts, however, were not so easy to work with.
It was very painful as he pulled on my upper eyelid and pressed down. I tried to remain steady as I felt the sting of his tweezers. It took almost fifteen minutes and my eyes were dripping. There was no numbing for this procedure and I used every technique I could think of to stay calm and still.
When he was done he said, “It’s likely that they will fall out, but if you think they helped then I’ll cauterize the surrounding tissue to make them stay in permanently. Let me know.”
As I left, I wondered when I would get relief since he told me to return in six months.
I’ve had the same HMO since I was born. Although I’m ready to leave it, I do love my primary doctor. He really did try to advocate for me, even though I paid for my outside opinion with my own money.
His last message to me was, “I have another patient who was given the run-around. I sent her to a colleague of mine that I went to med school with. She’s a retina specialist and might be able to help you also.”
I told him I was willing, and a referral was sent. It helped when he mentioned another patient was given “the run-around.” I wasn’t alone with my problems!
I sure didn’t hold out much hope for this eye specialist. I was so tired of having my eyes dilated.
The appointment came up quickly and I prepared myself to hear the same speech of, “Sorry, but there’s little that can be done for dry eyes and PVD (posterior vitreous detachment).”
As I sat in the waiting room, I heard my cataract surgeon’s voice nearby. I put my head down and hoped he would recognize me. He was the last person I wanted to see even though many doctors have told me he did an excellent job with my implants.
My name was called and I went into the examining room. Immediately, I liked this doctor. She was energetic, young and sharp.
I mentioned my primary doctor’s name. Suddenly she became bubbly and used his first name while recounting memories from when they were both in medical school.
I noticed she was confident, but not arrogant. She seemed to really want to help as she sat down next to me. When she asked me to describe my problems, I didn’t know where to start.
My voice did not reveal my emotional turmoil at first. But because she was so compassionate, I felt as though I could allow myself to vent all the frustration I had over my condition.
Tears began to spill onto my shirt, which was such an irony for someone like me suffering from dry eye syndrome.
She handed me a tissue and said, “You know, I consider dry eye syndrome to be a disease. It is chronic and affects your ability to function. It’s not only hormonal. The fact that you wore hard contact lenses for many years is another factor – that created scar tissue. But even though I can’t treat your dry eye condition, I have another cornea doctor that I want you to see. There are still things you haven’t tried. Have you heard of serum eye drops that are made from your own blood? It can be a miracle. Another idea would be to create a moisture chamber for your eyes by wearing goggles at night.”
I listened to her rattle off more ideas to add to my other rituals. I didn’t expect much from this appointment, but suddenly I had a doctor who really seemed to care.
Then she said, “Okay, let’s take a look. I’m going to examine you now.”
In the darkness, I drifted off in my mind to avoid the pain. If my retinas were still intact, I was always grateful. Thankfully, they were this time, too.
She said softly, “I cannot imagine how you can see with the dense amount of junk in your gel. I can see it! There are ghost blood cells and enormous floaters. It’s like a curtain of spider webs.”
I was amazed to hear her words. That was exactly the way I had described my vision.
She was enthused when she said, “I can clean it all out for you. It would take just ten minutes. It’s up to you whenever you’re ready!”
“Is that considered a Vitrectomy?” I asked.
She nodded, indicating it was. The way she described it, it didn’t seem nearly as radical and dangerous as I thought it was. Suddenly it sounded tantalizing.
For another half an hour, she explained more about the procedure to me. She said she didn’t want to appear overconfident, but had never experienced a bad result. “If a doctor experiences a bad result, it can leave them fearful. I’m not on the opposite side telling you there aren’t risks. The reason for my success is that I choose my patients carefully. You are actually a perfect candidate. Yes, there are risks and with this procedure, and your risk of a detachment is slightly increased. But you are at risk for a retinal detachment even without doing anything at all!”
She mentioned that she did not do the surgery on anyone who did not have lens implants. One risk of the procedure was developing cataracts.
“You already have had cataracts, and that is another reason I could do this.”
Then she added, “I attended a workshop recently and the same doctor you just saw from the Jules Stein Eye Institute was there!”
She shared more about that workshop.
“The purpose of that workshop was how people who suffer with your problem have their life deeply affected. You are an artist and I can see how much you are aware of detail. This is all about your quality of life and this procedure could make a huge difference for someone like you.”
I left that appointment with a surgical packet and was given an appointment with a new corneal doctor to help me with my dry eye syndrome.
I drove home with my eyes half-closed. The pain was unbearable. But my heart was filled with hope. I wasn’t going to jump into having a Vitrectomy, for sure.
Before I would consider surgery, I first needed to get my dry eye condition under control.
I had a lot to think about. The specialist I had paid $500 to see made me promise not to touch my eyes. He said that he had many patients who had lost their eyesight and wished they had known that ahead of time.
This new doctor seemed terrific. But I needed to really think through everything. That wasn’t easy to do when I felt desperate about my condition.
But now I had some hope.
And hope was everything for me.
© Judy Unger and http://dryeyediaries@wordpress.com 2016. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Judy Unger with appropriate and specific direction to the original content.
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