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Suggest Treatment For Redness, Photophobia, Edema And Watery Discharge From Eye

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Posted on Fri, 21 Aug 2015
Question: In 2011 I sustained a corneal abrasion. I went to a local emergency room with increasing redness, photophobia, pain that was spasmodic deep and sharp,, edema, watery discharge and my eye was shut secondary to pain. The treating doctor prescribed erythromycin ointment to be used with a pressure patch and patched my eye. The next morning I awoke with bluish green discharge, unbearable pain, disorientation and completely blind in my left eye. under the discharge there was a white "sore? completely covering my iris and pupil area. the rest of my eye was blood=-red. I had developed a super infection overnight caused by pseudomonas aeruginosa. Now, four years later, I've undergone a corneal transplant to try and restore my vision which was severely compromised due to corneal scarring, centrally. The operation was not successful in restoring my vision which remains at 20/100 in my left eye and is not correctable. Additionally I have floaters, headaches, no peripheral vision on my left side, posterior synechiae, neovascularization, and a +2 cataract that formed during the infection. I also have constant anxiety and depression. It is hard to avoid near =uninterrupted foreign body sensation, distored vision caused by scarring from the transplant and 20/100 visual acuity in one eye. My question is: Is there any hope for my prognosis? I've been told that the other conditions in my eye may contribute to a futre graft rejection. Is it possible that I could require the removal of the eye itself due to the residual conditions I've listed?
doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
Removal of the eye ball is not required.

Detailed Answer:
Hello
Welcome to Health care Magic.

I am Dr. DADAPEER K, an Ophthalmologist and I will be answering your question.

I reviewed your history.

I can understand your concerns and no need to be worried.
The removal of the eye is not required for this condition. Removal of the eye ball is done only for painful blind eye.

It seems from the history that you have undergone keratoplasty for a corneal scar following healing of corneal ulcer.

The next treatment options are use of artificial tears eye drops for symptomatic relief.
You can go for repeat keratoplasty if there is scarring following the keratoplasty. But removal of the eye is not advised as you are having a visual acuity of 20/100 and there is always of chance of improvement in the vision following repeat keratoplasty. If this also fails then we can try other options like keratoprosthesis.

Hence I advice you to consult cornea specialist and discuss with him all these options.

Hope this answers your question and the information is helpful to you.


Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dadapeer K

Ophthalmologist

Practicing since :2003

Answered : 5709 Questions

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Suggest Treatment For Redness, Photophobia, Edema And Watery Discharge From Eye

Brief Answer: Removal of the eye ball is not required. Detailed Answer: Hello Welcome to Health care Magic. I am Dr. DADAPEER K, an Ophthalmologist and I will be answering your question. I reviewed your history. I can understand your concerns and no need to be worried. The removal of the eye is not required for this condition. Removal of the eye ball is done only for painful blind eye. It seems from the history that you have undergone keratoplasty for a corneal scar following healing of corneal ulcer. The next treatment options are use of artificial tears eye drops for symptomatic relief. You can go for repeat keratoplasty if there is scarring following the keratoplasty. But removal of the eye is not advised as you are having a visual acuity of 20/100 and there is always of chance of improvement in the vision following repeat keratoplasty. If this also fails then we can try other options like keratoprosthesis. Hence I advice you to consult cornea specialist and discuss with him all these options. Hope this answers your question and the information is helpful to you. Thank you