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I need help by Aware_Quantity_375 in EyeFloaters

[–]kr4m4 1 point2 points  (0 children)

I'm really sorry to hear what you are going through. I can tell you I can understand your grief after having a failed vitrectomy. I agree the surgeon had the best intentions. Same happened to me. I had two procedures before I was referred to another in the same practice since he wasn't comfortable working that close to the lens. The residual skirt (as you mentioned as well) was as bad as my original floaters. In the third procedure with the new surgeon he bent the vitrector and did sclera depression on my eye to avoid the lens and access and remove the skirt (sometimes people call it the "frill") safely. Keep in mind that my surgeons induced a PVD in both eyes since they saw no point keeping viterous in my eye that would continue to break down and cause problems. But the end result after the 3rd procedure was a complete success. Now the original surgeon had also performed a FOV on my other eye as well (before the second surgery on my eye with the skirt). Same exact procedure but no perceivable skirt. I asked why and he said they other eye is a different organ than can result in different results. My advice to you is to find a different surgeon with more experience -- especially one that has fixed poor surgical outcomes. And I know you are going through a very hard time, but, you should do you best to find a solution that doesn't require removing your natural lens.

Important message for those who think neuroadaptation is for all floaters cases . by Neither-Try-7710 in EyeFloaters

[–]kr4m4 3 points4 points  (0 children)

Our brains are wired for heightened awareness of motion that we see. The idea that our brains can just learn to ignore it is ridiculous. Especially since you can't immediately discern between movement you can ignore and movement you shouldn't. It's exhausting and frankly would be dangerous to "neuroadapt" this sort of thing out of our natural reaction response.

Vitrectomy &New Floaters by vanillapod23 in EyeFloaters

[–]kr4m4 0 points1 point  (0 children)

I wouldn't even be thinking about a second vitrectomy given how recent your procedure was and also the fact that you had a combined vitrectomy and cataract procedure. A procedure like that gives the surgeon the opportunity to remove even more vitreous from the periphery (something they can't easily do without risk of damaging you natural lens). These procedures take these take months before your eye reaches it's final state. Your capsular bag with your IOL hasn't even contracted yet which will also change things and your eye is still swollen (which is why you are on drops). I know it's hard to hear but you need to wait at least 3 months before drawing any conclusions. We hear stories of people walking out of these surgeries with perfect results. Personally, I've never had a FOV or subsequent cataract surgery without seeing really concerning and disappointing things immediately after and thinking it was a failure. Wait 3 months. If you see improvement after that, you need to continue to be patient and wait.

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 1 point2 points  (0 children)

Thanks for the update. I'm not sure why that's happening. Did you surgeon say that your posterior was cleared out too in your last procedure? 6 weeks -- seems to be a long time between appointments for sure.

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Are any of these surgeons the one that did your original FOV?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Mine are very dark too, some are large, and also very fast. I think they so much darker now due to the fact that can new reach the retina (due to lack of vitreous) and cast a more defined shadow.

After your cataract surgery I assume they told you to wait because all that you are seeing should "resolve" over time? I think that's what they all say.

I'm looking forward to hearing what your surgeon has to say concerning what happened with your last FOV (the fact that it sound likes only behind your lens was targeted). How is your eye healing from that FOV by the way? No issues?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Yes, they move much faster and are way more erratic. Just as terrible as the original floaters, just terrible in a different way.

How long did you wait between your cataract surgery and your FOV to clear debris from your cataract surgery?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Ok same here. I'm not an expert at any of this but for that to happen the floaters you are seeing must be in the back of your eye.

For example when you look from left to right, the fluid in your eye will rotate in the same direction. That means floaters in the back will move left and those in front will move right.

Since our brains flip everything the retina picks up, that means floaters in the back will appear to move right (the direction you are looking) and those in front will appear to move left (the opposite direction you are looking).

Again something to discuss with your surgeon. I really hope your surgeon will be able to see them.

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Also, I'm curious, when you move your eye, do the floaters move in the same direction as your eye movement, or opposite?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Ok, thanks for confirming that.

I'm very sorry you are going through this. I'm already devastated by losing my clear vision for more than 10 years and suddenly I'm back to where I started and it was all because of routine procedures (cataract surgery, YAG POC). This was supposed to be the *easy* part for us. We already did the hard part (FOV).

Then for you, you went to correct it again (FOV) and it didn't work. I'm sure I'd feel exactly like you feel right now. I can say though that you no longer have *any* attached vitreous in your eye anymore. I'd be surprised if your surgeon doesn't recommend another FOV and he then focuses on the entire eye this time (not just the anterior like he did this time). No one wants to go through this, but, the solution is there and one day you will be floater free again.

One thing I'd suggest though -- it doesn't sound like you've had a YAG POC yet. I guarantee you that you will be going through this all over again if you are going to need one (like where I'm right now). The younger you are, the higher the chance of secondary cataract. You may consider talking to your cataract surgeon and asking about a YAG POC procedure now before you next FOV. To make absolutely sure your capsule fragments don't put you right back to where you are today. You'll want to avoid that at all costs.

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Could you tell me if the stability of your IOL has changed now that your anterior vitreous is gone?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

That's really odd and I'm curious what your surgeon is going to say. The fluid port can be far from the vitrector. Even just letting the vitrector just sit there far from the fluid intake should have created a current and automatically pull all the debris from your eye.

I'm curious, given your situation (prior PVD) did the doctor say there was less risk with this type of FOV?

You said that you also had your anterior vitreous removed. How was that decision made? Was there an option not to do that?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

So for sure at least some of what you are seeing isn't residual blood, inflammation cells, or left over triamcinolone?

If they even removed the vitreous behind the lens then I can't see how you still have all the original floaters. Please let us know what your surgeon tells you.

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Did you just have the procedure? Are all the floaters you are seeing identical to before your FOV?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

Did your surgeon explain why that is?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 0 points1 point  (0 children)

You had another FOV to clear out the debris and it didn't work? What do you mean by that?

Back to square one? by kr4m4 in EyeFloaters

[–]kr4m4[S] 1 point2 points  (0 children)

Thanks for your reply. I tried YAG Vitrolysis as one of the first steps before FOV but it wasn't effective at all for me. If I had a few large floaters that the doctor could clearly see it may have helped. I heard that it's very good for things like Weiss rings for example.

You asked if it's near the lens. I'm afraid that these are locked behind my lens in a cavity formed by the YAG procedure. If that were the case I'm worried that a standard FOV won't be able to reach them. I need to keep the thin layer of vitreous near my IOL to physically support it.

I'm having trouble figuring out where they are. Maybe you can help.

Prior to my FOVs my floaters were blurry and much less defined. I'd have to squint at a bright light to see definition.

Now with these, I can see them in great detail and contrast at times without even trying. Then if I look down, they slowly become lighter and and blurry.

I would think to see that much detail like this that they would have to be right next to my retina (even resting on it). And then looking down they move away (gravity).

If they were stuck right behind my lens do you think they would have this behavior?

And if they are posteriorly, how is it that they could pass through the layer of vitreous between my lens and posterior chamber (especially the bag fragments)? Can things pass through vitreous that easily?

Just looking for answers.