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 a good friend who has been receiving shots of Lucentis

Resolved Question:

I have a good friend who has been receiving shots of Lucentis for macular degeneration for 4 1/2 years. She was not happy with quality of care, changed Dr. and did ok with the first shot. For the second one she had told them she is allergic to betadine which they used and the Dr. injected her eye 4 times at angles to keep the numbing agent shallow and then gave her the Lucentis. She had so much pain, she went back the next day, they put a numbing agent on her eye and a contact to cover. The pain increased, her eyesight was much worse than before the shot and they put on a clean contact again. It has now been 13 days sense the shot, 10 of those days spent in great pain which she had not had before and she still does not have the eyesight she had before the shot. Do you have recommendations for her as she only has this eye, the other eye has no central vision. Thank you.
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. Rick replied 1 year ago.
Hi. I'm online and happy to answer your question today.

I am a retina specialist.

It sound like she may have a corneal abrasion that is refusing to heal.

You said she has had pain for the last 10 out of 13 days....does that mean that her eye no longer hurts?

Is your question concerning her decreased vision or the episode of pain, or both?



This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.

Customer: replied 1 year ago.


Her eye no longer hurts, vision is better but not as good as before the shot. Her upset is after having had 40-50 shots she has never had this severe reaction. The dr. did tell her that she have a large corneal abrasion afterwards but could not answer why. She had told them not to use the betadine and they did, he was quick to answer they washed the betadine out right away, but if that is the problem they must not have gotten it out of her eye. She is very aprhensive about having another shot, she hadn't been before, she cannot afford to lose her eyesight as her other eye is legally blind. Do you have suggestions or ideas for her? Thank you.

Expert:  Dr. Rick replied 1 year ago.
I agree that the pain was from a corneal abrasion. While it unusual for the diluted betadine to cause an abrasion, it could have been due to her allergic reaction or, possibly (and most likely) from trauma when the technician rushed to get the betadine out of her eye.

In any event, to answer your question: What to do now in order to preserve her vision and, hopefully, get her vision back to the level it was before this all happened.....

If lucentis has been working for her all this time, then I suggest she continue with the lucentis shots. There are two other shots available to treat her condition (sub-foveal choroidal neovascular membrane secondary to wet age related macular degeneration) at this time. They are called avastin and afibercept.

Should the lucentis stop working then I would try either of the other two...but...I'd not switch drugs just because of this painful episode.

The only other option (I don't believe in submacular surgery...yet) is to have a laser treatment, like we did before these shots were available. Laser will cause her to loose vision right away, but in the long run her central blind spot would be smaller....

So. What is the take home message? Make sure her doctor uses a different method of preventing infection when giving the lucentis shot (such as antibiotic drops etc) and she should continue with the lucentis.

This is what I would do if she were a patient in my retina office.

Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.

Thanks in advance,

Dr. Rick MD FACS


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
Customer: replied 1 year ago.


Thank you for your help, I am calling her and giving her your information as it comes to me. She has to decide if she will continue with the same dr. but does appreciate your input.

Expert:  Dr. Rick replied 1 year ago.
My pleasure.

Don't forget to mash the positive feedback button for me :)

It's safe for you to press the positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you, but, as I do work for tips, I want to make sure you are happy before rating me.

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