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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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I had a vitroctomy for a macular hole on April 24th. A gas

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I had a vitroctomy for a macular hole on April 24th. A gas bubble was inserted and I I
had to lay face down fof 10. Days. The post op exam showed the debris from previous laser surgeries to repair retinal tears worked--but the macular hole was still there. I fee like make sight has not improved and maybe has decreased. I only have perifrial vision but a blank in my central vision area--bot***** *****ne, I cannot read with this eye. The doctor said there was a good chance that macular hole would heal I f he inserted a larger gas bubble and I laid face down for 6 weeks. If I go through this ordeal, ill end up with a cataract, but that can be removed. I scheduled the surgery for this coming Wednesday. I hope I'm making the right decision. My work is 90% on the computer. If lose my eyes, I lose my job. What do you think I should do about the surgery? Kim
Doctor DanB : Hello and thanks for your question. Are you available to chat?
Doctor DanB : First of all, I think your chances of having a cataract are already significantly increased because of the vitrectomy that you had initially. So I wouldn't worry about your risk of that increasing with a second retinal surgery. I do think you'll need a cataract out. But given that this first retinal surgery was not successful in restoring your sight, I do think it is worthwhile to try to surgery. Even though it does require significant postoperative position, to restore your function to work I think it is likely worth it. Does this make sense?
Doctor DanB : Do you have any other questions about this?
Customer: Yes, it does make sense. Thank you for your quick response. I guess I just needed reassurance that I was on a reasonable path. I have read where UK doctors do vitrectomy and cateract procedures simultaneously; but US doctors don't agree with this protocol. Is this true? I appreciate your comments. Kim
Doctor DanB : Well, I think it's not so much that they don't agree with it so much as not wanting to do an unnecessary procedure. While most people do have cataracts form as a side effect of vitrectomy, it doesn't happen with everyone and to take out someone's lens who wouldn't have gone on to need a cataract surgery induces unnecessary risk to that person.
Doctor DanB : Do you have any other questions about this?
Doctor DanB : If not, 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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