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Thread: Corneal opacity options

  1. #1
    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    Corneal opacity options

    My sister has been dealing with corneal opacity from an implant after a vitrectomy (several years ago) where the implant last May slipped and cut her iris. The doc (an ophthalmologist) first thought it was retinal bleeding and only after a couple of days of increasing pain that made her physically ill (to the point of thinking she may die!) did a middle of the night phone call have the doc tell her to take a med that he said was only to be taken if he told her too (steroid?). A visit to the office first thing the next morning had him realize the blood was in the anterior chamber causing severe glaucoma.

    After removing the blood a corneal viral infection set in and her cornea is slowly dying and looks like she will need a transplant, which she is reluctant to do, or other options such as contacts.

    Her other MD, a corneal specialist, is also favoring the transplant so what are the pro's and cons of her options?

    What timetable is she looking at as far as doing this? Is sooner rather than later best? And are there questions we should be asking before any procedure is done?

    fwiw- I have a durable power of attorney and health care proxy for her as this happened a few weeks after her husbands funeral. (Talk about piling on!!!)
    Last edited by Uncle Fester; 03-03-2023 at 12:10 PM.

  2. #2
    What's up? drk's Avatar
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    Is she diabetic?

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    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    No. Past smoker and blue eyed.

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    What's up? drk's Avatar
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    A full-thickness corneal transplant is not fun, but it depends on what layers are involved.

    I don't know what is meant by her cornea slowly dying. Do you understand that?

    I can see where corneal endothelium can be damaged from IOP or blood.
    Last edited by drk; 03-03-2023 at 01:26 PM.

  5. #5
    What's up? drk's Avatar
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    https://eyewiki.aao.org/Corneal_blood_staining

    This is kind of hard to do over the internet, though...

  6. #6
    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    Quote Originally Posted by drk View Post
    https://eyewiki.aao.org/Corneal_blood_staining

    This is kind of hard to do over the internet, though...
    I agree but my hope is to understand if the transplant allowing light to the retina outweighs the risk of greater complications from a cosmetic GP which I assume would blind her to create a matching "black" pupil.

    Never worked any w/ CL's.

    Probably off until Tuesday so thanks for the replies so far and any future thoughts.

    afk...

  7. #7
    Eyes eastward... Uilleann's Avatar
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    No medical advice here - but sincere best wishes to your Sis, Fester. This sounds completely awful from any angle. So sorry this happened to her.

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