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Thanks For Your Reply To My Earlier Questions In The
Question: Thanks for your reply to my earlier questions in the thread
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=385892
I have three days ago done another OCT. Report uploaded now. This time is done by my first doctor using the same machine for the 1st OCT (report uploaded before in my first enquiry in mid Feb). I have arranged surgery after Easter holidays to match with my doctor’s schedule. Now, my vision deterioriated to 20/40. I have some queries and also wish to know more about my prognosis.
1. For my right eye ERM conditions, based on OCT, what is the extent of severity? Mild, intermediate or severe? From the latest OCT, the macular area is mostly “red” with some “yellow” area and no more “green” area. The thickness has also increased from 333 to 397 as compared to my first OCT in early Feb. It is alarming to me. Is my rate of deterioration rapid? What is / are the reasons for such rapid progress? Does it indicate other eye disease/conditions? I am worried.
2. Is the thickness of “397” refer to thickness of retina (thickened due to pulling by the erm) or the thickness of the membrane itself? Can OCT detect the thickness of the membrane? If yes, what is my ERM thickness according to my first OCT done on 1 Feb and the latest OCT? I understand that the thicker the membrane, the more difficult for peeling it off and hence may have more surgery complications. I am concerned.
3. Can you tell whether my case is simple or complicated for surgery? I am concerned about the possible complications. The macular membrane area is now larger, and get thicker.
4. Can OCT detect macular edema? Do I have edema based on OCT? One doctor said no edema in my case, one doctor said a bit. I am confused.
5. For the prognosis, what is the extent of improvement can I expect, in terms of VA and the reduction of metamorphopsia? How long will it take? Will my vision be worse than before surgery in the initial period right after surgery? When will I start to see notable improvement in vision ?
6. Apart from accelerated cataract, will the surgery put me in a longer term a higher risk of getting glaucoma, macular degeneration or other eye disease?
7. My work involves much computer operation looking at screens as well as paper work, and I need to work for long time dayily. I want to have very good recovery before returning to work. What is the rest period (sick leave) ideally so that my eyes can have adequate time to rest and recover?
8. For entoptic phenomenon present in my right eye. Will it go away after ERM surgery?
Thanks in advance for your reply
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=385892
I have three days ago done another OCT. Report uploaded now. This time is done by my first doctor using the same machine for the 1st OCT (report uploaded before in my first enquiry in mid Feb). I have arranged surgery after Easter holidays to match with my doctor’s schedule. Now, my vision deterioriated to 20/40. I have some queries and also wish to know more about my prognosis.
1. For my right eye ERM conditions, based on OCT, what is the extent of severity? Mild, intermediate or severe? From the latest OCT, the macular area is mostly “red” with some “yellow” area and no more “green” area. The thickness has also increased from 333 to 397 as compared to my first OCT in early Feb. It is alarming to me. Is my rate of deterioration rapid? What is / are the reasons for such rapid progress? Does it indicate other eye disease/conditions? I am worried.
2. Is the thickness of “397” refer to thickness of retina (thickened due to pulling by the erm) or the thickness of the membrane itself? Can OCT detect the thickness of the membrane? If yes, what is my ERM thickness according to my first OCT done on 1 Feb and the latest OCT? I understand that the thicker the membrane, the more difficult for peeling it off and hence may have more surgery complications. I am concerned.
3. Can you tell whether my case is simple or complicated for surgery? I am concerned about the possible complications. The macular membrane area is now larger, and get thicker.
4. Can OCT detect macular edema? Do I have edema based on OCT? One doctor said no edema in my case, one doctor said a bit. I am confused.
5. For the prognosis, what is the extent of improvement can I expect, in terms of VA and the reduction of metamorphopsia? How long will it take? Will my vision be worse than before surgery in the initial period right after surgery? When will I start to see notable improvement in vision ?
6. Apart from accelerated cataract, will the surgery put me in a longer term a higher risk of getting glaucoma, macular degeneration or other eye disease?
7. My work involves much computer operation looking at screens as well as paper work, and I need to work for long time dayily. I want to have very good recovery before returning to work. What is the rest period (sick leave) ideally so that my eyes can have adequate time to rest and recover?
8. For entoptic phenomenon present in my right eye. Will it go away after ERM surgery?
Thanks in advance for your reply
Brief Answer:
ERM
Detailed Answer:
My dear,
Good of you to get back to me.
There is an increase in thickness of ERM.This is responsible for diminision of vision.393 basically is thickness of ERM.Thicker the membrane,more difficult is the surgery.Thickness is increasing rapidly.Very thick membrane may lead to bleeding from the peripheral blood vessels,which may be torn.There is very questionable oedema in one of the pictures.That is the reason of different reports.More important complication after surgery is macular hole compared to glaucoma and cataract.
We in our practice allow patients one week rest.In complicated cases this can be extended.Entopic phenomenon will go away completely..
Be careful,visual recovery may easily take 6 to 8 weeks.
Go ahead with surgery with total faith and you will be fine.
ERM
Detailed Answer:
My dear,
Good of you to get back to me.
There is an increase in thickness of ERM.This is responsible for diminision of vision.393 basically is thickness of ERM.Thicker the membrane,more difficult is the surgery.Thickness is increasing rapidly.Very thick membrane may lead to bleeding from the peripheral blood vessels,which may be torn.There is very questionable oedema in one of the pictures.That is the reason of different reports.More important complication after surgery is macular hole compared to glaucoma and cataract.
We in our practice allow patients one week rest.In complicated cases this can be extended.Entopic phenomenon will go away completely..
Be careful,visual recovery may easily take 6 to 8 weeks.
Go ahead with surgery with total faith and you will be fine.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks Dr. Misra for your prompt reply.
Unfortunately, I hurt my teeth three days ago and my tooth is loosened and dislocated a bit. Dental work (e.g. fixation of the tooth) will probably be needed after a one to two week observation period, which will mean very close to my surgery date on 23 April. I am concerned whether the dental work just a few days prior to my eye surgery will have any impact/complications on my surgery and outcome. My dental work may be time critical if I want to achieve better results, but I also do not want to delay my eye surgery? Any advice? Or concerns or points that I should note and need to convey to my dentist and my eye doctor?
Unfortunately, I hurt my teeth three days ago and my tooth is loosened and dislocated a bit. Dental work (e.g. fixation of the tooth) will probably be needed after a one to two week observation period, which will mean very close to my surgery date on 23 April. I am concerned whether the dental work just a few days prior to my eye surgery will have any impact/complications on my surgery and outcome. My dental work may be time critical if I want to achieve better results, but I also do not want to delay my eye surgery? Any advice? Or concerns or points that I should note and need to convey to my dentist and my eye doctor?
Brief Answer:
ERM
Detailed Answer:
My dear,
Good of you to get back to me.
Since the dental work is a time bound procedure,it has to be taken up immediately.This will definitely not effect your ERM surgery so do not worry about it.
Go ahead and have your dental work completed.
ERM
Detailed Answer:
My dear,
Good of you to get back to me.
Since the dental work is a time bound procedure,it has to be taken up immediately.This will definitely not effect your ERM surgery so do not worry about it.
Go ahead and have your dental work completed.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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