How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7750
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

I have eales disease and they want me to take 60 mgs of predisone

Resolved Question:

I have eales disease and they want me to take 60 mgs of predisone a day what are the side effects. If I regain some of my vision will it be worth it. I have had laser surgeries steroid drops and injections in the eye.
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Rick replied 2 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

There is a long list of side effects to taking prednisone at that level. How old are you? Male or female?

Dr. Rick :

I have treated a number of patients with this disease and it is very important that your doctor, hopefully a retina specialist, has ruled out the many other eye/retina diseases before saying that you have this rare condition.

Dr. Rick :

Hi. Welcome to chat. It sounds like you have had significant vitreous hemorrhage and abnormal blood vessel formation. Laser works very well to get these vessels to go away.

Dr. Rick :

There was also a study that looked at the use of lucentis to treat swelling of the retina (macular edema) and abnormal blood vessels. It was found to be of benefit but required repeat injections.

Dr. Rick :

Since the cause of Eales disease is not known a wide variety of treatments have been used. In your case I would bet the high dose steroids are being used to try and stabilize your blood/retinal barrier and decrease retinal swelling.

Dr. Rick :

Are you there/

Dr. Rick :

?

Customer:

Yes, I have had several injections and the retinal doctor has been doing everything

Dr. Rick :

In some studies of eales disease, when everything is said and done, up to 2/3 of patients have useful (20/40 or better) vision when the disease is stabilized.

Dr. Rick :

Sounds like your Retina doc is doing a good job. I am a retina doc also.

Customer:

That is great news and what about the peripheal view. Right now I have

Customer:

less then 20% in both eyes and 20/400

Dr. Rick :

So. To directly answer your question. Yes. I believe, in your case, the possible benefits of taking the steroids outweigh the risks as long as your are closely followed by your doctor, perhaps with the help of an internal medicine doc.

Customer:

Why a internal medicine doc

Dr. Rick :

All the blood vessels in the edge plug up/block off and therein lies the problem....so we work to preserve the central vision as much as possible.

Dr. Rick :

The peripheral retina, unfortunately, doesn't do well in Eales disease........

Customer:

If I do get 20/40 without correct peripheral that is great I thought I would go completely blind soon

Dr. Rick :

Incase your retina doc doesn't want to deal with any possible complications of the steroids. I would guess that you are an otherwise healthy, young man (since you have eales....) so you should tolerate the prednisone fairly well.

Dr. Rick :

In most of the studies I remember (It's been a while since I reviewed them) over 80% of patients, even when the macula is involved, end up with 20/200 vision. Total blindness is rare with treatment

Customer:

Can women and men get eales? What complications could I have?

Dr. Rick :

Yes. It seems to occur in men more then women, but it occurs in both. The complications mostly involve the eye.

Dr. Rick :

Most of the problems are with the retina due to the non-perfusion from the plugged off blood vessels. This causes abnormal blood vessels to form, leak and bleed into the vitreous. Swelling, inflammation and macular edema also occur, all leading to loss of vision.

Dr. Rick :

So, I think you are doing the right thing in taking the prednisone and having all this treatment. What you are doing will give you the best chance of preserving useful vision. To do nothing is to invite serious vision loss.

Dr. Rick :

Does this make sense to you?

Customer:

I am 45 and female are my side effects going to be worse then mens

Dr. Rick :

Ya....as women have less bone mass then men you have a higher risk of breaking a bone or a hip. This would be worse if you were already monopausal. That is one of the reasons your retina doc may want a internal medicine doc to help co-manage your treatment.

Customer:

I have had a hysterectomy 10 years ago and on hrt but I should see an internal medicine doc I will look in the morning.

Dr. Rick :

Ok.

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)


I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.


 


 

Dr. Rick :

It has been a pleasure helping you tonight. Is there anything else you would like to ask me about eales?

Customer:

Thank you for all your knowledge I greatly appreciate it

Dr. Rick :

My pleasure. Take care

Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7750
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 2 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 2 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 

Related Eye Questions