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 Cataract Surgery. Have you had it?
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 10/26/2011 :  11:35:40 AM  Reply  Reply with Quote
Judy, I knew you would be upset because I knew you expected me to have an easy time. It is actually possible that the anesthetist did her job ... I should have spoke up and raised a fit. She did not put in the IV. Maybe it was not in correctly. My surgeon is a highly respected doctor with a well known eye center. He is a specialist in conditions of the eye caused from diabetes. He was very upset also that I had such a rough time. Several people in the waiting area were talking about the surgery and how they felt nothing, and on and on, so I know this could not happen as a rule.

After the stink I have raised I do not think I will have a problem in the future. And, since the doctor has specifically told me to loudly make it known to him if I am having discomfort, I will take him up on it. No more trying to be a nice patient.

As for the twilight sleep, I knew I would be awake. They even told me that. They said the doctor would have instructions for me and he did, like "look directly at the light" and things like that. But they also said I would not be aware of much and would not remember much and most importantly would be comfortable through the procedure. Something went wrong and right now nobody seems to know what it was. I don't think I was given something different because of the diabetes, or at least they didn't tell me so. My diabetes is well under control and my glucose level was acceptable the day of surgery.

Judy, I really appreciate your concern and I am sorry I had to let you know what happened. But honestly, if someone asked me personally about cataract surgery, I would only have my experience to tell them about and then say that most people say it is an easy procedure with little discomfort.

I am just happy I went in feeling confident and now have almost perfect vision in my left eye.

I will let you know how it goes the next time.




Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 10/26/2011 :  2:57:20 PM  Send JudyK an AOL message  Reply  Reply with Quote
I sure hope the next surgery is nothing like experienced with this one. Not too sure Id like being awake to see everything they do. Just the thought of seeing a scalpel coming towards me would be enough to tell them to get me out of there.lol Then to know eactly what theyre doing, nope not for me. It is amazing that surgeons would even think a patient would elect to have it that way, unless there were circumstances when one would be safer than the other due to health conditions. How's it going trying to wear your glasses? I ran to Walgreens and bought an over the counter pair of glasses directly after the first checkup (day after surgery), when vision testing showed what diopter and sight Id have. The Dr told me what Id need which helped a great deal. My vision went from -7.25 down to 20/25 and only require glasses for reading. Isnt it amazing we are able to see so great?
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 10/26/2011 :  4:23:50 PM  Reply  Reply with Quote
Judy, you don't see the things being done except as shadows. I saw a long dark shadow. The doctor said that was when they were suctioning out the lens. I saw a brightly lit circle where the lens was inserted and could see it being adjusted. Everything was in black and white. Being able to see these things was not unnerving at all. And, even the pressure I felt, and the pulling sensation were not too uncomfortable. It was the sharp feeling like the point of a knife that made me come unglued. It was definite pain.

What also bothered me was when they flushed the eye with cool water. I wanted to blink and tried very hard to do so because my eye was not 100% numb. I would try to look away from the light and the doctor needed me to look at the light and try not to blink.

I can see why they would want a patient awake. If a person went to sleep I guess there is a possibility of going into a deep REM sleep where the eye moves back and forth rapidly.

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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SheilaC
Star Contributor

Philadelphia, PA
USA
274 Posts

Posted - 10/26/2011 :  6:33:13 PM  Reply  Reply with Quote
Juanita,
I've had 5 fairly serious surgeries under total anesthesia and there is no REM sleep. Not when you're that anesthetized.
I used to date a guy who had a fairly serious injury to his eye from a bachelor party (I know- what a story!) I dated him soon after his injury and went through his multiple surgeries by his side. He was totally anesthetized for those but when he came out of it he was in serious pain.
I know, well I've been told that the most complications from surgery are a result of anesthesia so this is why doctors try to use the least amount possible. I know I don't come out of anesthesia well.... it usually takes me hours. I'd heard enough nightmare scenarios before having my first surgery I was a wreck. Now I'm cool and calm going into surgery.
I hope you're feeling confident going back for the next surgery. That's most important..... confidence and comfort.
Sheila
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 10/27/2011 :  07:41:16 AM  Reply  Reply with Quote
Sheila, you are correct. It is important to feel confident and be comfortable.

I do not need to be fully asleep for this surgery but I do need to be "somewhat sedated" so that I am relaxed with that "I don't care what you do" feeling. But because the sedation did not work at all, I felt more pain than I am willing to feel.

The sedation that I have had previously works very quickly. One second you are wide awake, the next split second you feel almost like you are floating on air. I have had it for endoscopies, some types of dental work and prior to major surgery to relax me.

So I thought that they would give me the anesthetic just before the doctor started working and it would take effect immediately. But not so.

Next time, and I have already told the doctor, nobody starts on the eye until I feel that relaxed feeling.

I am having the second eye done 11/8 and will follow up. This morning my vision is even better than yesterday. I am a full 20/15 with no guesswork. Yesterday it was "almost" 20/15. I was guessing at some letters. Today I see clearly.

Also, I only got the unifocal lens but it looks like my vision might be perfect for near, intermediate and distance. The multi-focal lenses at $2700.00 each might have been a big waste of money if I got them.

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 10/27/2011 :  08:46:12 AM  Send JudyK an AOL message  Reply  Reply with Quote
Jaunita, I am VERY happy to hear you are doing great and seeing much clearer. Once you have both eyes working, youll be amazed at the change.
The ONLY problem I am having is driving at night is still a problem. I feel like Im playing russian roulette. I dont have a need to be out at night,so I WONT be trying that again!
NOW, I have an appointment for testing to be done for the eyelid surgery on Nov 4. An appointment at my physician is Nov 7th, and IF surgery is to be done, it will take place on Nov 28th. If its decided surgery isnt required, then I can cancel the pre-op physical. All of this is going so fast because the supplemental insurance I have has to be renewed, or changed before the cut off date in Dec., if I want to change providers my Insurance man said. I want to make the change to another company that would provide the same services I have but, at a $100 less. One of the provisions the new company has are health questions. One being, are you anticipating surgery in the next few months, or however it was phrased. Im healthy as a horse, not on any medications whatsoever, and if it werent for my eyes, I wouldnt be using the best plan available. Getting older, I thought the best plan was the wisest as I dont want to pay out of pocket for anything that might throw me into bankruptcy, or in case of death, my kids would have to deal with. Ive taken steps to make sure EVERYTHING is in order right down to choosing my own funeral needs, and paying for it. Im totally debt free and want to stay that way, and definitely dont want the kids purchasing unecessary funeral expenses in a time of grief when ones' thinking is scattered.
I, as Im sure all of us, will be concerned for you, hoping the next surgery you go through is a much better experience. Keep us posted.
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 10/27/2011 :  1:25:45 PM  Reply  Reply with Quote
Judy, if you do not mind me asking...what is the eyelid surgery you are talking about. Did you mention it before and I did not pick up on it?

Thank you so much for your concern. I am still pinching myself to see if I am really, and truly, driving without glasses. I have not been able to drive without glasses for 50 years.

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 10/27/2011 :  2:19:14 PM  Send JudyK an AOL message  Reply  Reply with Quote
It is my understanding that this procedure is to lift the eyelids because having such an extremly far distance, created a high sensitivity to light, that I squinted for too many years, causing the lids to droop. It is also my understanding from friends who have had the surgery the surgeon marks how much lid to remove, and then after are stitched in the crease of the eyelid and not noticed at all. Not knowing exactly what the tests involve, Im told the determination of whether the surgery is needed depends on things like pheriferal vision loss, and if a person looking sraight ahead can see the ceiling above them. Correct me if Im wrong somebody. The surgeon said having this surgery done will take years off! Now if shed just do something about the wrinkles, I might feel younger too! In my little book, I feel like I see everything just great, but since my eye straightening my pheriferal vision isnt as good. Before the straightening, I could see a car come over the knol by my house long before it actually did!
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 11/08/2011 :  10:29:23 AM  Reply  Reply with Quote
I had my second surgery this morning and it went great. I felt the sedation right away and, even though I was awake, I only felt when they flushed the eye with cool water. I felt no pressure or pain whatsoever and felt totally relaxed.

They were all apologetic that I had a problem the first time with pain and the fact that I did not feel the sedation. They bent over backwards to make this visit comfortable and it was.

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 11/08/2011 :  12:07:28 PM  Send JudyK an AOL message  Reply  Reply with Quote
So VERY happy all went well.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 04/15/2012 :  07:15:45 AM  Send JudyK an AOL message  Reply  Reply with Quote
Has anyone else heard the rumor that Medicare will not be covering this procedure any longer? I know there has to be many others in need of this curgery, if so, Id be trying to get it done SOON, BEFORE its cut.
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 04/15/2012 :  11:12:31 AM  Reply  Reply with Quote
I have not heard that but it would be awful. I can only imagine how many seniors would lose their sight because they cannot afford the surgery. Cataracts are so common as we age. Keep us posted if you hear any more about this. I'll be watching also.

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 04/15/2012 :  12:55:12 PM  Send JudyK an AOL message  Reply  Reply with Quote
Jaunita, how is your vision now? Are you still having pressure problems??
The sad part of having cataracts is that they are hereditary also. So if a parent/grandparent had them, we may be in line to get them too.
Yesterday, I went to visit my brother and sister-in-law, and both couldnt believe the difference in my appearance since having the eyelift surgery. The scars are nearly impossible to see now. We were talking about various procedures, when my brother told me about medicare going to drop providing the cataract surgery coverage. As we all know, or have heard, there will be a LOT of changes coming with the next administration. Most of which are going to hurt us elderly. Im betting these "young" representatives havent got elderly parents, or theyd realize they wouldnt want them to be shut out of much needed services. SAD how the world is changing to me.myself and I, and screw all others! Weve worked our entire lives knowing one day wed have coverage, but now, they want to change everything "they" think isnt necessary to us.
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 04/15/2012 :  3:44:46 PM  Reply  Reply with Quote
Thanks for asking, Judy. The doctor thinks I should just stay on drops for the glaucoma from now on. My pressure went down to 20 with the drops, which is still high. They took some films of the inside of my eyes and there is absolutely no damage from the high pressure. My numbers used to be 27 to 28 all the time.

I bet you are glad to finally be mended completely. You really had an ordeal to go through. I am about halfway considering a little tuck on the neck.

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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JudyK
Star Contributor

Eau Claire, WI. 54703-1729
USA
1349 Posts

Posted - 04/15/2012 :  5:09:33 PM  Send JudyK an AOL message  Reply  Reply with Quote
Oh my gosh, now youve been diagnosed to have Glaucoma? Im surprised the Drs didnt find this before you had the cataract surgeries. Is this the reason the pressure didnt come down? Are you still having to wear several different pairs of glasses?
A "little tuck" in the neck? That doesnt sound any more fun than the eyebrow lift I had. lol. My daughter told me, the only thing that would help me is a face lift..lol The wrinkles and droops are here to stay!! To top it off, the fashions today sure dont help us one iota either.
Sure wish someone would have written a book on aging, explaining what things to expect by each age milestones. Instead, we have to play it by ear, then wonder what the heck happened to the person we once knew in the mirror.
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 04/15/2012 :  9:10:09 PM  Reply  Reply with Quote
Judy, I have had Glaucoma for many years but the pressure has stayed under control. First I took drops in the eyes. Then I started taking Atenolol for my blood pressure, which is a beta blocker, and it kept the pressure down so I did not need to take the drops.

They always referred to it as "borderline" glaucoma. The pressure was high but not into the area that would surely cause damage. I go to the ophthamologist regularly.

They just feel it is time to take the drops regularly because my pressure will spike into the 30's and that is bad enough to do damage.


Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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LisaOV
Star Contributor

MN
USA
2659 Posts

Posted - 07/23/2012 :  4:23:19 PM  Reply  Reply with Quote
I'm having my cataract surgery next month!! Woohoo eye surgery number NINE! They have to put me under for it...too many other issues with my eyes. It's considered pretty major surgery for me.
They think it might help me be more comfortable, but I'm still going to be legally blind.
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JuanitaJ
Star Contributor

Houston, TX
USA
1085 Posts

Posted - 07/27/2012 :  06:21:54 AM  Reply  Reply with Quote
Lisa, I hope you are comfortable during and after your surgery and that it does help you.

You said that you are legally blind. How much are lenses able to correct your vision (if you do not mind me asking)?

Juanita
MSPA Gold Certified
Happily shopping the Houston, TX area.
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Jnanne
Star Contributor

LA
USA
3049 Posts

Posted - 07/27/2012 :  10:30:17 AM  Reply  Reply with Quote
My mother-in-law has had trouble with one eye for more than a year after the original surgery. The other eye was a breeze. She's always felt like there was something in her eye, like a lash, but never could find anything. The eye doctor removed a very small piece of the suture thread that had been stuck way up in there all this time! Apparently it didn't cause any physical damage, but it sure has irritated her. And the money she has spent on a variety of drops to make the feeling go away is pretty steep.

Jnanne
Silver certified
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LisaOV
Star Contributor

MN
USA
2659 Posts

Posted - 08/07/2012 :  2:20:25 PM  Reply  Reply with Quote
Jnanne, that is terrible!! And kind of scary!!

Juanita, I'm still wearing my glasses...but my RX has changed a lot and keeps changing so they only help a little bit. I see better with them, but sometimes they give me a headache so I take them off a lot and just live in a blurry world.

After this surgery (and can you believe my recovery time is up to a year??) they will be able to fit me for new glasses, I hope. I got my heart set on a new pair of "sexy librarian" ones....LOL

I might be blind, but I still want to look good!! :)
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