Anne has said that my medical episodes come in twos, heart, ankle etc so that the second detached retina operation will be the last. The power of positive thinking which Anne has always been good for. Two weeks after the surgery is my first followup and I have a long list of questions, mostly around understanding the recovery process.
This must be a question that many people ask after surgery. Is the level of pain, discomfort, weeping etc within acceptable bounds? You do not want to be a hypochondriac but conversely neither do you want to miss something important. I was provided a checklist of issues to look out for, but what about other symptoms not on the list?
I am very pleased and relieved, as we both are, to report that the recovery is progressing in a timely fashion and all that I am experiencing is normal. While I still have to undergo surgery next year to remove the silicone oil which has some risks of further retinal detachment, we are on track and will be back for a further follow up in early December to look at my other eye.
I thought that those of you who have been brave enough to see the graphic photos from my operating team might be interested to see, some non surgical photos of the retina pre and post surgery to round out your ophthalmic education.
My retina, detached from the back of the eye. The bottom of this image shows the retina reattached.
Finally I would like to say a big thank you to all of you who have sent messages, prayed and otherwise wished me well, both via the blog and Anne on Facebook, through this eventful journey.
Since receiving many positive comments about the blog entry “Detached in Rockhampton”, I have been concerned about how to keep that level of excitement and interest in the blog given the lack of travel opportunities. So I have done what film producers do when bereft of ideas, create a sequel.
As I sit in the entrance of St Andrews hospital (last Thursday), I am reflecting that this blog entry was planned to wax lyrical about the marvellous progress I had made since my detached retina operation four weeks ago. Alas, I am scheduled for more surgery in two hours’ time as the first round is failing. In spite of the great surgery, careful recovery progress, the bottom of my retina is detaching again and will continue to do so unless more radical surgery is undertaken.
Our first checkup after four weeks saw us travel to the Queensland Eye Institute armed with a list of questions based the next phase in the recovery, when to swim, bicycle, travel etc. It took less than a couple of minutes for Dr Shama to dissolve this plan after reviewing left eye scans.
Plan B: a rubber band and some 5W-20 or was it 10W-30 given our warmer climes? I believe that the technical term is a Left Vitrectomy, detached Retina with buckling. Yes they use a belt and buckle around the eyeball, what fun.
Seriously, as the gas bubble dissipated and was being replaced by natural liquid, the pressure was reduced and the retina has not stayed stuck to the back of the eye. The gas bubble works in 80% of cases, just not in mine. The planned option is to fit a silicone belt buckled around the eyeball and inject a silicone based oil then in place of the removed gas. The oil will remain in place for up to six months before a further operation to remove the oil next year. If successful, I should recover 30 to 50 percent of my left eye’s vision. I got all this news at 11am just before we were due to have lunch with friends. No eating and drinking allowed for me. I just had to watch, as no food or drink for at leat six hours before surgery, while Anne and our friends tucked into a tasty looking lunch.
I think hospital wards must be a little like aircraft, the crews are always different as no one from my last operation four weeks ago is around this time in the same ward (2F). The paperwork is significant and duplicates all that I did four weeks ago. However it is to ensure I get the right surgery so no complaints here.
I have the same surgeon and anaesthetist as last time so the team is all together again. Dr Sharma organised the people he wanted on the team again with little notice. A big thanks there.
I just hope the after party blues will not be as bad as last time. Sadly I have been told the procedure will be more uncomfortable than the first time. My discussion with the anaesthetist about how seedy I felt leads to a change in anaesthetic mix. I had been chatting with the anaesthetic nurse and she had enlightened me to all the mixing drugs and monitoring of the patient that goes on during the operation. I just thought that the mask went on and then it was off to coffee for the anaesthetist. Must be all the old masters paintings I have seen where they anaesthetic was administered via alcohol or a piece of blunt wood. Science has moved on, thankfully.
Let’s get this show on the road.
I am told I have wiggly veins in my hand so the cannula into my arm near the elbow. Sadly no more commentary as the lights go out pretty quickly so over to my photo team.
Anne has asked that I include a warning this time for those of a more sensitive disposition. So here goes WARNING – DETAILED MEDICAL PROCEDURES ARE INCLUDED IN THE FOLLOWING PHOTOGRAPHS.
The team hard at work to save my retina.Look at the neat stitching.Just pull the thread a little tighter.Amazing the skill level to do this. (A Closeup)
Back in recovery and while I drift in and out of consciousness in the first few minutes I do not feel seedy as I did last time. The change in the mix of anaesthetics has worked and I feel good.
Back to my room in ward 2F and a quiet night’s sleep as there is very little elective surgery that day. I am the only patient for eye surgery.
Taking it easy after a busy evening on the operating table.
Two new things I learnt in hospital this time, firstly some people have this operation up to five or six times, not me I hope. Secondly remember, while recovering from the effects of the anaesthetic, the nurses adjust the bed up and down for treatment and when you get out of bed they have not shortened or lengthened your legs.
Safely home with Anne caring for me.Day 6
So what’s next? After a week on my back, opposite of the last time, and a further week of recovery, I return to the surgeon for a follow up. I must wait for three to six months before the oil is extracted, yes another operation under general anaesthetic, but I am planning for this to be the last of the eye blogs. Again a big thanks to all involved in my treatment and this was all done in the space of 10 hours, two less than last time.
2slowspeeds 