Saturday 6 July 2019

Retinal Tears

I’m writing this with wonky vision due to having a patch over one eye. Yesterday I had an operation on my left eye to repair three tears in the retina. The problem began seven weeks ago when a branch whacked me in the face as I was mowing the lawn. I went to my optician with black floaters and blurred vision. He sent me to the Eye Hospital in Belfast, where a junior doctor said he could find no damage to my retina and sent me home. I was called to a follow-up appointment with the consultant earlier this week. Mr Chan examined me and found a tear in my retina which needed an urgent repair.

T drove me to the Eye Hospital first thing on Friday morning. The nurses went through the normal admissions procedure, even though I was a patient for a day procedure. In the room were two other patients, both in wheelchairs; due to diabetes they had more serious eye problems and would be taken first. After getting me to sign the consent form, which (as usual) contained a long list of potential problems, a junior doctor drew a purple arrow on my left forehead.

I was dilated with eye drops and we sat for a couple of hours until a nurse arrived to escort me upstairs. I declined the wheelchair she proffered and she pushed it along carrying just my thick purple folder of medical notes. I’d refused the chair because I had bad memories of being wheeled in to my four previous major operations. We took the lift to the top floor and entered the anaesthetist’s room. My heart sank, it was just the same as in each of my previous operations. He got me to lie on the table and put supports under my neck and both ankles. He then fixed a clip around my left eye to hold my lids open and squirted in local anaesthetic. It stung a little, but not too badly. I breathed a sigh a relief. But the next step was worse. He took a syringe and injected anaesthetic into either side of my eye. ‘It’s just like being at the dentist,’ he joked. I felt the pressure of the needle going in, but no pain. I lay there, trying hard to be calm, and felt my face and left nostril freezing up.

I was wheeled in to the operating theatre. The bright lights dazzled. Someone put a sticky apron over my face. It had an open patch over my left eye, but all I could see was starred lights. I could hear people talking in low voices. Then a man wearing a headset with two beaming lights came into view. He placed a lens above my eye and looked down. I heard more muttering and then Mr Chan spoke. ‘There are three tears in your retina, I’m going to fix them now.’ I felt some pressure on either side of my eye for a while. Then he spoke again.‘That’s it, done.’

A patch was stuck over my left eye and a nurse helped me off the table and into the wheelchair. Mr Chan was filling in the surgeons report for my file. He explained that it was difficult to examine the back of the eye fully in outpatients as it would be too painful. But under anaesthetic he could examine my retina thoroughly. He told me that the three tears were in different parts of my retina. He also explained that he had chosen cryoplexy (sealing the tears by freezing with an extremely cold probe) because of where the tears were located. I might see some white spots at the edge of my vision after this surgery or I might not. I thanked him. It didn't seem a big price to pay, I’d had white spots in my peripheral vision since the episode with the tree branch.

A nurse came and wheeled me back down to the day procedure room. My eye was a little sore, but it was nothing like the after effects of my previous big operations. I was given tomato soup; it was very good and tasted like it had been made from fresh tomatoes. A threat to your vision is very scary. Yet another brush with my own mortality again emphasised the everyday pleasures of life

I was told to keep the eye patch on for 24 hours then put in antibiotic eye drops four times a day. I was also told to take it easy for the next week; no bending, lifting or running in particular. My left is my dominant eye, so with the patch my vision was blurred and somewhat wonky. It was hard to judge distances, you need both eyes for that. T held my arm and escorted me down to the car park. I was very glad of her unwavering support, not just today but for the past six years. In the car I felt my eye getting sorer; I was looking forward to getting home and having a nap.



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