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Question regarding Pterygium Scar I had a pterygium removed from my eye 8 months ago... I had some granuloma on my eye in the healing process that took 6 months to "melt" down. After the suregery there was a small spot of white near my cornea.. The rest was all red.... Then some new vessels started to for up the white patch... There is no sign of recurrent pterygium ..But there is a lot of vascular scar tissue in the spot where the pterygium was..I hate the sight of this!!! My whole eye is really red on the nasal side.. When I had the pterygium on my eye it wasn't half as red as it is now... So my question is: can anything be done to remove the scar tissue for good? (radiation) and will the vessels disappear with the removal of the tissue? Can my eye ever be white again? I feel as if I can handle the redness due to the pterygium but not the scar tissue... Tell me all my options.. Thanks so much you can't imagine how much a thorough reply will mean to me! Question regading Radial Keratotomy Question regarding "Lazy" Eye Question regarding Pseudo-Exfoliation Question regarding Trabeculoplasty Question regarding Shock Sensation and Nausea Question regarding Vision Therapy Question regarding Redness Question regarding Macular Degeneration | |||||
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Question regarding Pterygium Scar I had a pterygium removed from my eye 8 months ago... I had some granuloma on my eye in the healing process that took 6 months to "melt" down. After the suregery there was a small spot of white near my cornea.. The rest was all red.... Then some new vessels started to for up the white patch... There is no sign of recurrent pterygium ..But there is a lot of vascular scar tissue in the spot where the pterygium was..I hate the sight of this!!! My whole eye is really red on the nasal side.. When I had the pterygium on my eye it wasn't half as red as it is now... So my question is: can anything be done to remove the scar tissue for good? (radiation) and will the vessels disappear with the removal of the tissue? Can my eye ever be white again? I feel as if I can handle the redness due to the pterygium but not the scar tissue... Tell me all my options.. Thanks so much you can't imagine how much a thorough reply will mean to me! Unfortunately scar tissue after pterygium removal can be difficult to eliminate entirely. Surgical treatment can help to decrease the hazy or whitish scarring as well as the blood vessels covering the cornea, however, there is a risk of recurrence after second surgery as well. Unfortunately, there is no commonly successful nonsurgical treatment. A corneal specialist should be able to give you advice as to the advisability of additional surgery and the likely success rate. Question regarding Redness The redness you describe is most likely due to a chronic dry eye condition. As you described these symptoms occur primarily when your eyes have been exposed to conditions which could exacerbate the dryness. Allergy drops can have a "rebound effect" which may make the redness worse when they wear off. I would recommend a trial of artificial tears, which are available without a prescription from the pharmacy. These should generally be used, at least four times a day on a regular basis, in order to assess their effectiveness for a period of at least one month. Question regarding Focusing The visual problem you describe is difficult to assess based on your symptoms alone. It may be a focusing problem, a structural eye problem or a visual interpretation problem. I would recommend a comprehensive evaluation by an ophthalmologist for a second opinion and perhaps this will lead to some additional information, which will be beneficial to you. Question regading Radial Keratotomy A +4 diopter over correction from radial keratotomy can be improved by excimer laser surgery for hyperopia. However, you should consult an excimer laser surgeon with regard to the degree of improvement possible and the potential complications in doing excimer laser surgery on a patient who has previously had radial keratotomy. Nevertheless, it is likely that some or perhaps even substantial improvement could occur. Question regarding Keratoconus One of the criteria for corneal transplant surgery and keratoconus is difficulty with contact lens wear. If your lenses are still comfortable and you continue to see well with them, many surgeons may recommend waiting for transplant surgery. However, the most definitive correction usually comes with surgery in patients with keratoconus. If you have not already consulted a corneal specialist, you may wish to do so, or get a second opinion. Question regarding Floaters The sensation you describe is most likely due to vitreous floaters. These are densities in the vitreous jelly within the eye that show up as translucent moving objects in certain lighting conditions. In general, they are not harmful but if they develop suddenly or increase in quantity or are accompanied by flashes of light or visual disturbances, they should be checked by an eye doctor as soon as possible. For most normal floaters, there is no treatment, but they are not a danger to the eye. Question regarding Contact Lenses If you develop irritation and light sensitivity when you have not worn contacts for at least several days prior to the onset, it unlikely that your symptoms are related to contact lenses. You may have some superficial inflammation of the eye. While this is not likely to be harmful, you may wish to consult an eye doctor in order to determine any preventative or curative treatment that is available. Question regarding Iritis Unfortunately, approximately 50% of people with iritis do not have any associated physical problems that help to explain why it occurs. Generally the presence of iritis indicates that the body's immune system is somewhat overactive and there are some tests that can confirm this condition. However, they do not change the nature of the treatment for iritis. As you know, treatment is primarily anti-inflammatory drops, pills or injections. There is no new treatment at present that is applicable to most people with iritis. If you wish to get additional information, you may wish to consult the iritis web site. Question regarding "Lazy" Eye The term "lazy" eye is somewhat imprecise. Most ophthalmologists use this to mean an eye that cannot see as well as the other eye, despite the use of glasses or contact lenses. This can come from a host of causes. However, many members of the public think of a "lazy" eye as one that drifts or does not hold its position aligned with the other eye. For most conditions where the eye is not straight, surgery can be beneficial, thought it may not align the eyes perfectly and the condition can recur. However, the visual problem associated with a "lazy" eye is usually not treatable after childhood. Question regarding Allergic Problem What you describe sounds most characteristic of an allergic problem affecting the eyes and particularly the eyelids. This can occur independent of your other treatment for allergies. It is reassuring that there are no other physical problems, based on your examination, but I would recommend consulting an ophthalmologist as there are other treatment methods that can help to alleviate the inflammation that you have been experiencing in your eyes and eyelids. | |||||
Question regarding Pseudo-Exfoliation My friend/neighbor's wants to learn more about a retina treatment called "pseudo-exfoliation", which has been recommended for her case. In my web searches I could only find a journal article referenced, but not the text. Can you point to any public resource on the subject? Many thanks. Pseudo-exfoliation is a condition of the interior of the eye, which may in some places lead to glaucoma or cataracts. I am not aware of any "retina treatment" referred to as pseudo-exfoliation. If you have any additional information I would be happy to investigate further for you. Question regarding Trabeculoplasty If you wish additional information beyond that provided in the Glaucoma and Glaucoma Surgery sections on EyeSearch, you may wish to consult the American Academy of Ophthalmology web site. Question regarding Shock Sensation and Nausea The symptoms you describe should be evaluated by your physician and, in turn, if necessary by an ophthalmologist. It is not possible to know the source of the problem without a physical examination. Question regarding Retinal Distortion Your symptoms suggest that there may be some retinal distortion from your original retinal surgery, although they can also be caused by postoperative inflammation or astigmatism. This may improve as you continue to recover from your operation. However, if it does not, an evaluation of the retina to determine if some distortion exists would be indicated. Questions regarding Near-Sightedness 1. The fact that your near-sightedness has increased steadily during your teenage years is not unusual. To the best of our knowledge this is genetically determined and will not continue indefinitely. You will never go blind from increasing near-sightedness. It is hard to predict when this process may slow down, but most likely it will do so by the end of your teenage years. 2. The ghost image you describe is very characteristic of distance vision in near-sighted people. 3. The mild ghosting you experience with your glasses on may indicate that your current glasses prescription is just slightly off or that the glasses may have been made based on a slightly difference correction. 4. Contact lenses can be a very effective treatment for near-sightedness in teenagers, though they do not prevent near-sightedness from increasing as it would if you wore glasses. 5. Glasses unfortunately do not "cure" vision problems. They are a device to enhance vision in eyes that do not focus perfectly on their own. As you have experienced, the need to change glasses or contacts is common in young people, but this process always stabilizes at some point. However, it is difficult to know exactly when that stabilization occurs for any individual. I hope these answers are helpful. Please contact us if you have further questions. Question regarding Vision Therapy Vision therapy can be helpful for certain eye conditions. However, depth perception problems can occur from a myriad of causes. Before you begin a long course of vision therapy you may wish to get a second opinion as other doctors may have a different approach to your problem. Question regarding Eye Patching Patching and eye treatment for children can be extremely challenging, as you know from personal experience. When a lens implant is necessary in a child, patching is almost always required in order to encourage the child to use the eye that has had surgery. If it is not done frequently the natural impulse is to use the eye that is "easier" to use. The initial patching treatment should help substantially though further patching can be necessary during postoperative treatment. There is no easy way to accomplish patching in a young child, but your eye doctor may have some suggestions with regard to the types of patches or other strategies, which make it easier. Best of luck. Question regarding Retinal Tear The description of your condition suggests that there was some retinal damage despite the laser treatment. If the retinal tear has been successfully treated, you are not likely to experience additional problems in the future. However, you may wish to ask your retinal specialist how much of the retina was affected and whether this correlates with the area in which you have difficulty with your vision. Question regarding Redness The condition you describe is most consistent with dryness in your eyes. You may wish to consider lubricating eye drops on a regular basis to avoid the symptoms of redness you have experienced. Question regarding Macular Degeneration The condition you refer to sounds most like macular degeneration of some type. If you know further details I would be happy to give you additional information. | |||||
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