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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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About 10 years ago, my right eye had a serious retina

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About 10 years ago, my right eye had a serious retina detachment about six months after a cataract operation on the eye. Over a number of operations, including a buckle, the eye was repaired and has been fine since.
About 4 months ago, I noticed the image in the eye was as if I were looking through a dirty window. I immediately went to my eye doctor whi examined the eye and found no sign of a problem, but who cautioned me to be more regular about using artificial tears in that eye. (I have no tear duct in that eye.) Several hours later, the problem was gone.
Yesterday, the problem came back, I stepped up the tears and about 6 hours it was better, but not great. It was okay most of today, but about 7:00 PM, it got worse. I took more drops and can't tell if there's a change but it's only been two hours.
I will of course see the doctor tomorrow but wonder if I should be heading to the ER? It doesn't look like a detachment, and I should know. Does it sound serious to you?
Doctor DanB : Hello and thanks for your question. No, this doesn't sound serious and I don't think you need to go to the ER. It sounds like this improves with using the tear drops which tells me that the problem is the tear film which is not a serious problem. I would just recommend using artificial tears 3-4x/day regularly to help get over this problem. Does this make sense?
Doctor DanB : Does this information help address your concerns? Do you have any other questions about this? It appears as though you are not in the chat room currently. I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need. If you would like to ask further questions or clarification regarding anything I've said, please let me know and I will be happy to address your concerns when I return to see if you've responded. If your concerns have been resolved... Your feedback is important to me and will help me improve my encounter with future customers. Please rate your encounter with me by providing positive feedback (by pressing the smiley face); any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied. My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!
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Customer: replied 4 years ago.
Thanks for sending the reminder just now. I saw an associate of my regular eye doctor on 5/13 and then my regular doctor a couple of days later on 5/15. Neither saw any sign of detachment but did see evidence of inflammation but not in the retina, so they prescribed Lotemax steroid drops and I am to see them on Wednesday 5/22. They also want me to see my retina specialist, but I cannot get an appointment until late June and am considering seeing someone else meanwhile.
I didn't mention that I have a sclarel buckle in that eye.
After the drops, the problem is much less pronounced, but I notice another strangeness since then. When I first awake, I see a folded effect in my vision, as if I am looking through a gauze that is not ironed flat. It's never in the same place, and moves as I look at it, even though the eye is stationary. This lasts about 5 minutes and disappears until the following morning. It doesn't sound like a retinal fold/tear and there is no gap or distortion in my vision, that is, I see a full, accurate image.
This fluctuating, first in the morning distortion to the vision is almost certainly tear-film related and very likely not anything to worry about.
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Customer: replied 4 years ago.
That's a relief. thanks.
Customer: replied 3 years ago.

I just came across this exchange and thought I'd update you. They found that the lens implant in that eye was rubbing against something and that was causing the release of blood cells in the eye. So, in November, they removed the lens in the OR and right now I have no lens and the clouding is completely gone. Amazingly, I have a lot of vision in that eye without a lens and we're working on what to do now. They want to avoid another implant for various reasons. So far, using a contact lens seems to work and gives me great reading vision, which is what I want. When I'm a lot older can I still insert the contact? Don't know. Most people my age have stopped using their contacts, so I'm starting when most people have stopped.