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Suggest Treatment For Temporary Episodes Of Blindness, Headaches, And Blurred Vision After A Virectomy Done On My Right Eye
Hello, I had a virectomy done on my right eye on 09/12/2022 to correct severe eye floaters. The surgery resulted in excessive bleeding in the eye that took several weeks to clear up. When the vision came back it seemed okay for awhile. But shortly there after I began experiencing blurred vision along with occasional total loss of vision in the eye. The treatments I received were mostly steroids to begin with along with drops to combat infection. Over time it was determined that I have a swelling behind the eye that refuses to heal. The steroid drops have raised my eye pressures and I have now been told I have glaucoma. My right eye is very light sensitive and I get daily headaches on that side. Tylenol takes the edge off but the basic pain remains. I am currently using Prednisolone , Dorzolomide with Timilol, Brimonidine, & Rhopressa. After 8 months I am starting to doubt that I am on the right path. Can you please advise?
Sat, 3 Aug 2024
Hi,
There is no magical answer for this: you have complications from the surgery with new things that you did not have before (namely, glaucoma and the "swelling behind the eye"). You have to be under the care of a glaucoma specialist as you are being treated with multiple (x4) topical eye drops and to make sure the eye pressure is under check to prevent long-term effects and with follow ups with imaging (optic disc head OCTs).
Now, the swelling in the back of the eye is mainly a collection of fluid in the retina as a side effect of the operation (post-op cystoid macular edema) which could be challenging. Still, the mainstay of treatment is NSAID topical eye drops (ketorolac) and sometimes a steroid depot inside the eye (Ozurdex) which also needs to be given in check with the opinion of the glaucoma team (who might suggest a intraocular pressure-reducing surgery).
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Shehab Al-Abed, Ophthalmologist
There is no magical answer for this: you have complications from the surgery with new things that you did not have before (namely, glaucoma and the "swelling behind the eye"). You have to be under the care of a glaucoma specialist as you are being treated with multiple (x4) topical eye drops and to make sure the eye pressure is under check to prevent long-term effects and with follow ups with imaging (optic disc head OCTs).
Now, the swelling in the back of the eye is mainly a collection of fluid in the retina as a side effect of the operation (post-op cystoid macular edema) which could be challenging. Still, the mainstay of treatment is NSAID topical eye drops (ketorolac) and sometimes a steroid depot inside the eye (Ozurdex) which also needs to be given in check with the opinion of the glaucoma team (who might suggest a intraocular pressure-reducing surgery).
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Shehab Al-Abed, Ophthalmologist
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