I need a vitrectomy
This morning I checked in to the clinic and the doctor who replaced my doctor told me that there was a large tear and the water (vitreous fluid) had sipped into the tear. Retina detachment was forming and was progressive. He insisted me to seek expert advice from a VR (Vitreo Retina) specialist in Kuala Lumpur.
Upon hearing his comment, what I feared most had stricken down my spine. It was inevitable finally. What has to come, has come. I had to accept the reality. My mood swung 180 degrees.
I see a shadow
Perhaps, the worst nightmare, I have been expecting. After an afternoon nap, I woke up to see a shadow at the bottom of my left vision. It was not black or grey shadow but simply shadow which I could not describe. It was almost 5PM and I quickly told LA to give my doctor a call and hopefully still could catch him at his clinic. The doctor told us to check in his clinic and he would wait for us.
By the time we arrived at his clinic, all his staff had gone back after clinic hour. He was waiting in his office. After the examination, he told us everything was stable and nothing to worry about and he gave me another (4th) round of laser retinopexy. According to him, he felt better to give me another laser to secure the area surrounding the broken capillary which ruptured last Wednesday.
After the laser, he assured us again everything was stable and I would be fine. He sent us home and told me to check in again the next day for a follow up. He also told us that he would not be in so another doctor from Terendak Military Hospital would replace him.
Clearer vision
Today, my left vision has become very much clearer comparing to couple of days ago. This morning, I went to the clinic for a follow up and the doctor’s feedback was encouraging and calming. Everything is stabilizing and nothing to worry about but still more bed rest until I see his retina associate on next Monday after his holiday.
We went home happily and had a good relieve. LA and I had been in and out of the clinic for almost three weeks since I had PVD (Posterior Vitreous Detachment) and retina tear on May 18. I guessed, at least for this moment, nothing to worry about.
Veil vision
My left vision has turned yellowish and veil due to the blood and debris in the vitreous humor. I can see black shadow at the top of my vision which is actually remnant of the blood which has sunk to the bottom of my eye. It will take a few days for the eye to absorb whatever debris and remnant of blood.
Sedated
This morning went back to the clinic for followup of yesterday treatment. My doctor prescribed Xanax to sedate me. One in the afternoon and one at night for three days so that I could sleep better not to worry too much of my condition.
After lunch, I took one tablet and felt very relaxing and fell asleep very soon. For almost two weeks, I have had too much bed rest and it becomes quite difficult for me to fall asleep. Xanax has been a great temporary relief.
More floaters and bleeding
My vision became clearer and appeared to be very much better after the incident last Thursday. LA and I were relieved after my eye test and the examination. The doctor told us that my condition was stabilizing but not totally out of the loop yet. So, more bed rest. I felt quick sick with all the bed rest and lack of physical activities. My whole body was aching madly.
After returning home from the clinic, I sat at the couch talking to my mum. We were catching up what had happened in the family and the conversation was delight and relax. At about 3PM, I got up and went to the bathroom to take a leak. Then I got some drink and went back to the couch. Not long after I had seated, through my vision, I could see stream of blood oozing out. I knew I was having a bad tear and a blood vessel on my retina had ruptured. That’s why I could see a stream of blood was flowing.
LA called my doctor and rushed me to his clinic. On the way there, the bleeding did not stop and I was extremely freaked out. LA was freaked out by my worries. When we arrived at the clinic, the bleeding stop. At this time, the blood in my eye was enough to cloud my vision.
The bleeding stopped shortly after our arrival. After the examination by the doctor, he gave me another round of laser retinopexy to reinforce the area surrounding the blood vessel. The doctor ensured us the situation was under control and we could return home but to come back for a follow-up the next day.
Scleral buckle and vitrectomy for retina detachment
I found a video on YouTube showing how a scleral buckle and vitrectomy is done to repair detached retina. It was yucky the first time I watched it and felt like puking. After watching several time, it became more interesting and I knew what had happened to my right eye almost three years ago. I prayed it would not happen to my left eye.
More floaters
Yesterday, I went to the library to read some books. I returned home at about 6PM in the evening and a market surveyor from an established survey firm came knocking at the gate. I talked to him and accepted his survey. At about 7PM, my vision became worse. I was beginning to see curtain/veil vision. I knew my condition had just become more serious.
The market surveyor was taking too much time and when he was finally finished with LA about the survey, I told LA about it and we were worried.
We rushed to the clinic this morning and the doctor gave me second round of laser retinopexy. He said there was a large tear and required more laser to hold up the area to prevent retina detachment. He also said that there was no detachment as yet and not to worried. We went home after that.
6 days after my eye surgery
It has been 6 days after my surgery. My doctor told me on Monday that I had to lay down or sleep on my left side for the next 10 days. I can only get up for 10-15 minutes for some activities after every two hours of laying down in the day time. It is really suffering to be able to lay only on my left side. Every night, I will have to find new posture for sleeping. It seems like every posture is only good for once only.
The reason to lay on my left is to allow the air bubble in my right eye ball to push my retinal onto the wall of upper right corner of my eye ball.
I had both procedures called pneumatic retinopexy and scleral buckle.
The vitreoretinal specialist and night before surgery
YC asked me to call Dr. Lim if I could admit to the hospital at 2000. YC said it was not possible that the op will be done right away as it was not life threatening. He was right.
I waited at YC house for LA and the kids to arrive. They arrived around 1900. We had quick dinner and shower and off we went to the Hospital. By that time, the horse shoe shape had covered more than quarter of the lower left corner of my vision.
I was admitted to the Hospital around 2015 and waited until 2100 for Dr. Lim to examine my eye. His presentation had reassured our decision that he was the right doctor despite of good comments from YC’s friends. He took half hour to explain in great details about my condition and my surgery procedures. He advised me to sleep on my right side. This might help to prevent or slow down the retinal from further detachment. The detachment was on the upper right of my right eye. I could have think of that. Our eye sees things in opposite sides. Bottom to the top. Left to the right. I was too worry to think about this basic science I learned from my high school. What an idiot am I?
The nurse wheeled me back to my ward. LA settled down with me and I kissed and said good night to LA, Dmitry and YC. They told me not to worry and rest well and they would be here in the morning.
I felt calm and I guessed I had accepted the faith. I slept on my right through out the whole night.
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