Hi. I'm online and happy to answer your question today. I am a retina surgeon.
I have not seen your response
We're still working on it..... :o)
Yes, given what you have told me, surgery is your best, XXXXX XXXXX option to improve your vision due to your full thickness macular hole. Are their risks? You bet. Is the post op positioning difficult? Yup, but there is equipment you can rent to help with that. Can you do nothing? Yes, but I would expect the hole to enlarge, causing a larger blind spot/wavy area in your central vision. Will no treatment cause you to to lights-out blind? No, but you will, most likely have such limited central vision in that eye that you would be considered "legally blind"
Let me find some good webpages for you....brb.
http://my.clevelandclinic.org/disorders/macular_hole/hic_macular_hole.aspxhttp://vitrectomyrecovery.org/MacularHole/?gclid=CL6JvOa02q4CFcsAQAodAUJGdghttp://www.youtube.com/watch?v=jA7rjIxwGHg (this is in a patient after cataract surgery)
Please also let me know if I could go back to work after one week after the surgery and what I shouldn't do during this week to make sure I would get maximum benefit?
that is a pretty good start. You can google macular hole treatment etc and get a bunch more pages.
By the way I had cataract sugery on both eyes 4 years ago
When you can go back to work depends on what type of gas is placed in your eye, C3F8 of SF6. With the longer acting gas you would have to do the face down positioning longer, of course. Your surgeon could give you an estimate of when she thinks you can go back to work depending on her surgical plan, what type of work you do, if there were any intraoperative issues etc.
Good. That will prevent you from needing to worry about getting a catarct, which always happens after this type of surgery.
Your surgeon will also have a handout that will go over in detail the do's and don't after surgery.....every surgeons list is slightly different so there is no need for you to have mine :o)
I am glad that you are taking the time to learn all you can about your upcoming surgery. Post op care is very important and many times I sense that patients may not understand their very important role in the success or failure of their surgery. I don't think that will be a problem with you....
Thank you and please let me know if anything else I may need to know or of any additional references.
My pleasure. I will do that.
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