Randall V. Wong, M.D. �` DS ��ܱ�m?V 89� �flG��l�~N�t���"w�/�잗Jj��;�R�#�r1�̦�̐�3�Z���m�R�� I mean re putting of Si oil, is it fine or will ir cause any more complications? PLEASE HELP, Dear Dr.Wong All I can say is that the decreased vision may be due to the silicone oil or the retinal detachment. Hourglass effect may be from macular detachment or the presence of oil. Let me thank you for the information on R.D. Azopt He said it will be early 2011 before he will remove the oil. But, today, the doctor who specializes in removing cataracts said that I must decide whether to keep the oil or not, before he removes the cataract. I am so happy to have found your blog, it is my lifeline, and I am hoping for the best possible outcome from this latest procedure. Combigan Straight removal of oil, regardless of viscosity (there are two grades) should take no more than 30 minutes with a 25 gauge set up or even less time with a 20 gauge vitrectomy system. Thank you very much for prompt and +response I have kept some vision. Scary! I just looked at your website to figure out what he wants to do. thank you Karen. She went in for emergency surgery to repair the retina and had injection of the gas bubble. She had gone back every week for 2 months and now finds out that the retina has come detached again. Please can you advise what he does if this does not work. Int Ophthalmol 1999;23:131-5. https://www.egyptretinaj.com/text.asp?2015/3/2/39/193468, © Egyptian Retina Journal | Published by Wolters Kluwer -. No way for me to tell without examining you. Will this laser treatment diminish my vision as I can see well with my left eye. Here are five warning signs to watch for. Now I have a lot of questions regarding this: Randy, Respected Sir, The outcome was comparable in the two groups as to the risk of retinal re-detachment, while cataract, increased intraocular pressure, oil emulsification, keratopathy, and anterior segment inflammation were more frequently encountered at the time of removal in the late removal series, particularly when it was delayed beyond 6 months. but sir now i feel very tiny black points floated in my vision and few bubble of oil is also visible even after surgery. I received the implant some 25 years ago. I have recently had four retinal detachments. Was the macula detached? I don’t think there is anything golden about waiting 3 months. This would be my suggestion, but your grandfather’s doctor may believe differently. No further redetachment, but two problems. Are there any other options we should discuss with our doctors? 0000135049 00000 n If you don’t try the surgery, you won’t have a chance of 20/70. Acute corneal decompensation after silicone oil removal. You can travel by air with silicone oil in your eye. I do not know but it was my 2nd operation of RD with PVR. Did you detach again? I am quite upset and fearful about another surgery. remove the oil on julho/2011. (I am 46 years old male, physically fit long distance runner.) Randy Obviously, without examining you, I have to defer to the your doctor. I’ve already done the combined surgery of membranectomy, silicon oil, and scleral buckle, last week in Kuala Lumpur with Dr. Kenneth Fong, as you recommended and I’m quite sure he’s expert in his job and I think he handles me very well. Oh and the doctor mentioned removing the oil after 6 monthes, ok, then what? Did your doctor remove the oil and replace it with gas? If the fluorescein angiography and the OCT is normal….Not much else to do but wait and see. 3. In my opinion, oil reduces the chances of re-detachment, especially if you’ve got PVR (you need to ask). I was operated on 14/4/11 and as instructed by the doctor placed my head in a downward position for 7 days. Some feel that it can be damaging to the cornea and/or optic nerve, but the should be examined regularly for signs of toxicity (aka damage). In the end, a buckle was used, and silicone oil. Is it possible to have them done 4-6 weeks after my retina detachment surgery with the silicone oil still inside. Surgeon intervened with vitrectomy and 360 endolaser plus silicone oil. Stay in touch. On 4/1, I had a 2nd surgery with a buckle put in. His plan was to leave oil 6 months but now scar tissue developing so surgery number 5 is in 3 weeks. Is there a cure for hypotony, I have oil in the eye, on my 3 rd surgery there’s an oil globule on ,y anterior chamber and I can’t really see clearly , is it bec of the globule for my dr says the oil globule is in the center, and does it cause low pressure bec I can’t see well ? The two groups were compared as to the condition of the eye at the time of SOR and 6 months following SOR. Fairfax, Virginia 22031 Ashley There are many reasons other than just the oil that could lead to distortion. on 03 Fab. In my practice, if I just perform retinal surgery, I have no reason to advise against lifting. Third, a cataract is likely to develop rapidly if silicone oil is injected, so, better examination after surgery is afforded with the lens out of the way. Fairfax, Virginia His hope was I would eventually be able to count fingers and see well enough to get through a doorway. The doctor injected the Silicone oil. How loger time may require to get it sir? Thank you for your response. They will prevent a retinal detachment in that eye and you don’t want to have to go through all of this again! Probably nowhere close to 20/70. He said he would insert a gas bubble in the right eye during the surgery so I would have to be face down for 7-10 days so I made arrangements to have the surgery and take that time off from work. The retina specialist has never really spoken much about why the acuity at one point seemed so promising only to drop other than to say sometimes it happens. i do not know exact term sorry) This was 3 months ago and the pressure in my left eye is typically between 18 and as high as 26. Regardless, there are so many reasons why your vision could be worse, it would be unfair to you for me to “guess” without an examination. My Dr has said it is okay to run and walk after about 1 month, but did not recommend swimming in chlorinated pools. I contacted this physician and his partner, who was on call that week-end, met me at their office and examined me. I agree with the buckle. For the second surgery they did the buckle with silicone oil. Note bending and lifting is not the cause of detachments. How long does it take for micropsia to get corrected? My question is how long can my oil stay in? He is too young. At the time of my last surgery the lens implanted two years earlier during cataract surgery was removed. Thanks! 0000112523 00000 n Or something less? Typically most retinal specialists will try to remove oil after 4-6 months depending on how the retina looks. What a tough scenario. I have had laser surgery to repair retinal tears in both eyes in 2009 and in February 2011 I was diagnosed with a retinal attachement in my right eye. She suggested a doctor with the Cincinnati Eye Institute and I saw him about five days later. Chronic presence of silicone oil in the subretinal space can also lead to retinal atrophy and large retinal cysts, and silicone oil can emulsify in the subretinal space. Macula was on but a lot of subretinal fluid. Its 12 days now since my operation, should I still keep my head in a downward position? 0000012481 00000 n An operation is performed, often involving intraocular gas, the gas gets reabsorbed and the retina…detaches again. As an independent opinion, do you think it is progressing well? Ask your doctor the true likelihood of eventually seeing better. I never even wore eye glasses, and now wonder if I will ever see again..He says yes but I feel he is running me thru the Mill. I have the following concerns regarding my present condition, kindly share me your opinion. Thank you Dominic Cusumano. BTW – no guarantees about relapse. Hi Sir, my mum have few retina surgery last 2 years. Initial attempts at fixing retinal detachments associated with tears usually involve the injection of gas. The authors disclosed no financial relationships with industry. Not so sure there is a limit. people’s faces. Vision in eye is blurred as expected. I noticed several comments regarding not having to remove the oil. This is just my best guess as I can not examine you. Is that a bad indication also? I would appreciate your answers. After 3 detachments this summer I am ready to go to a different Dr. And should I be in constant pain, [ Scale: 3 to 7 on a 1 to 10], from the oil in my eye?

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