Tuesday, 17 September 2013

Eye surgery .....

So I begin this post by yet again apologising for not posting in such a long time!

I'm not going to bore you with a reel of excuses but what I will say is I definitely won't leave it so long next time, blogger has changed so much since I last posted - it's like starting all over again [serves me right I guess!]

So why post now?  This week will mark the anniversary of Emily's second eye surgery - for those who know us ...... can you believe that nightmare was a year ago?

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These two images are the 'before' shots for both of her surgeries.
If you look closely at the first image you will notice Emily's right eye [left as you look at image] looks strange ..... basically at the time she had NO sight in her right eye what so ever!
So what happened you are probably asking?
At the end of July last year, Emily woke one morning and her right eye was wandering in all directions.  We have always been used to it pulling inwards and also wobbling fast due to her on going visual impairments but to be wandering in all directions wasn't normal.  It soon settled down - so we thought we would monitor.  Two days later I began to notice a very faint cloudiness appearing on her pupil.  We took her to the doctors the same day who could see something on her lens but wasn't sure what it was, however, it did have some things which he felt definitely needed to be ruled out so sent an urgent fax to her Ophthalmologist consultant.  Unfortunately, Emily's consultant was on sick and his understudy didn't feel it was urgent so gave us an appointment for the end of that week. The following day I was doing something whilst Emily was stood next to me with her right eye nearest me - when I smiled at her she didn't respond, so I stuck out my tongue - again no response...... the sudden realisation that she had no sight in that eye hit me like a steam roller!
To cut a very long story short as we were passed from pillar to post, with many very scary scenarios been mentioned to us we finally got to see her consultant a week after the nightmare began.
Emily's anxieties run extremely high at hospital appointments so we are very limited to what tests she will allow, the consultant had given us an idea on what he thought was the problem although he was shocked that it could be this himself as there had been no previous sign of the occurrence - so he felt he needed to arrange for a full eye examination under GA to definitely confirm what he was thinking.
This happened on 13 August 2012 - thankfully his initial diagnosis was confirmed [the better of two evils really] - Emily was diagnosed with fast onset significant cataracts in her right eye causing complete sight loss!  We were all shocked at just how fast this had developed - she had only seen the consultant a few months earlier but the diagnosis was better than some of the other possibilities.  He then went on to say it is also developing in her left eye too - currently 'moderate' in progression but considering how fast her right eye had gone we knew we perhaps didn't have much time to play with.  This was a huge blow - and quite frankly shocked all of us.  Emily has quite a severe nystagmus in her right eye so we couldn't afford for her left eye sight to deteriorate any otherwise she would struggle to see very much at all due to continuing eye wobbling.
The options were lens removal and use contacts and glasses, or have implants in both eyes and use bi-focals.  We knew Emily would never cope with us putting contacts in her eyes everyday so made the decision for the consultant to attempt implant surgery - if it failed then she would have to wear very very very thick glasses.
Her right eye surgery went well - thankfully the amazing surgeon managed to fit an IOL.  We didn't know however how much of her eye sight she would regain - that was to be a waiting game.
The consultant felt it necessary to proceed with her left eye as soon as possible so she didn't begin to lose her sight in that one also.  The surgery on her left eye was performed two weeks later.  Again with success implantation of an IOL.
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We had many months of regular hospital appointments, eye drops and creams to be administered regular both during the day and night but as always - we survived it!
It was a stressful summer to say the least!
We still go for regular check-ups of which are never easy - Emily's anxiety is through the roof and even a year later she still won't conform to some necessary tests that she needs to ensure there is no signs of pressure behind her eyes.  She is now at a high risk of developing glaucoma.  We have tried some ad hoc sedation prior to appointments which she has had a severe reaction too - so the next option will be to be examined under GA again.
Her vision improved in her right eye - and is probably about back to where it was prior to the cataracts developing - which is fabulous news, even though her vision was not perfect in the first place.  Other than her now wearing bifocals - you would just never know that she has had cataracts and doesn't possess her own lenses in her eyes.

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