Let's hope I can meet your standards ;)
Let me go over your questions in order:
1. You can numb the eye more with a subconjunctival injection of lidocaine. This is called local anesthesia.
2. I use the qtip soaked in lidocaine jelly all the time. It works well in about 98% of patients.
3. It is hard to say why your mom jumped. Perhaps she was nervous, things were not well explained to her, she was sitting in an uncomfortable position etc. It would not be due to more nerves in her eye than usual.
4. No. The old OCT and/or fluorescein angiograms
themselves are not necessary to continue treatment. This is because every decision to give -- or not to give -- an injection is based on what the eye looks like on exam that day in the office....not what it was like in the past.
5. The needle is very, very small. I would bet that her fear, and not the actual pain of the injection, is the issue here....
Given what you have posted it is very important that your mother be treated by an ophthalmologist
who has an excellent bedside manor and whom she can trust.
Do not let her fears keep her from seeing an ophthalmologist for follow up. Wet macular degeneration, left untreated -- or delayed getting treated -- can cause permanent loss of central vision and legal blindness
Does this make sense to you?
Don't forget to mash the positive feedback button for me...the one labeled "excellent" is the most fun to push by far ;)
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.
Dr. Rick MD FACS