The eyes have it

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The eyes have it

Maggio 2, 2019, 7:59pm

I turn 65 this month, which means a trip to the Dept. of Motor Vehicles for license renewal. They have you put your face in this box and read the letters. Fail!

So a quick trip to the optometrist today was required. It's been way too long since I've been. But Dr. L remembered me, and reassured me.

Despite posterior vitreous detachment in both eyes, macular degeneration and beginning cataracts, he was able to correct to near perfect. And without resorting to bi-focals. Yay!

Read on!

Will they last as long as I need them?

Maggio 2, 2019, 8:15pm


Modificato: Mar 17, 8:01am

Ouch! This outfit at the Met Gala hurts my eyes:

Mar 19, 6:50pm

More stars in both eyes and accompanying further blurred vision prompted me to find an ophthalmologist. They savaged my eyes today for a couple of hours. Drops for this, drops for that, here, let me poke you in the eye. Oh, let me jab you forcefully with another instrument. Blazing light flashes in dilated eyes; nope don’t blink; here I’ll hold your lids open for you. Aw, you get the prize today for the most sensitive eyes.

PVD is not supposed to happen repeatedly. So this doctor assumes my previous experiences were misdiagnosed.
He says too that I don’t have macular degeneration, also diagnosed by two previous doctors. And that hole in my vision at night? That’s not it, but *shrug* don’t know what it could be.

Mar 19, 10:13pm

>4 2wonderY: You need to find a really, really competent ophthalmologist to treat you. Macular degeneration doesn't just go away. I don't know about PVD. Did you have treatment for that? Who diagnosed your previous eye problems? Were they optometrists or ophthalmologists. Not having macular degeneration would be good news though!

I am a PhD who works on vision, so my clinical knowledge is not great, but I would think if you had macular degeneration, you would have a hole in your vision during the daytime because your cones, which work in bright light, are in the center. Do you have it in both eyes or just one? Is it related to the PVD and is that in just one eye or both?

Good luck!!


Mar 20, 1:41am

I was diagnosed with macular degeneration about 2 years ago. I do see floaties (which can be a sign), but mine is the "dry" type, which I guess is the better of the two. I take Vitaeyes, which has lutein. It is a non-prescription eye vitamin that the ophthalmologist hooked me up with. So far, the disease has not progressed, according to overlay xrays of the retina.

Mar 20, 3:55am

I was venting after a rough day.

My first experience with posterior vitreous detachment (PVD) was around 2010 in one eye and 2012 in the other. Stars in a pattern and lots of floaters. I saw ophthalmologists both times, and the macular degeneration was diagnosed in the first visit as an aside and a “Please take vitamins.”
My optometrist took pictures last year and pointed to the MD spots.
I guess there might be some confusion in terms. This doctor says it’s myopic degeneration; so not centered at the macula.

I’ve recently moved to KY, and hadn’t yet established a relationship with doctors, so I got the brusque, ego-driven one in the large practice. (Nine doctors and three metro areas.). But his assistant answered all my questions and translated his remarks for me.

I couldn’t arrange for someone to drive me home, so that was torture; though I did have good sunglasses to go over my regular glasses. Just a miserable afternoon.

I did have time to visit Home Depot beforehand and pick up supplies for more projects; so my weekend will be happily busy.

Mar 20, 8:55am

>7 2wonderY: Well you deserved to vent. I hope you find someone who can treat to better both medically and personally. Good luck!

>6 Tess_W: Glad it is the dry form! Good luck on the vitamins!

Mar 20, 1:25pm

2wonderY, I hope you get an accurate diagnosis. Dealing with doctors can be very frustrating.

I had a hemorrhage in my right eye some years ago and have had to get those painful eye-poke exams ever since. Was that PVD? I have no idea because no one tells me. The retinal specialist mentioned that I have a film on my retinas. I had never heard of that before and when I asked for more information he said "Save your questions for the end." At the end he said everything's okay, come back in six months and walked out of the exam room! So much for my questions. At the next visit I was able to ask him what I should be looking out for regarding the film. He sighed and said, "Well, some people are bothered by it and others aren't." The next time I saw him he said the layers of the retina in my left eye are separating. Another problem I didn't know could happen. I suppose that bothers some people too. And yes, driving home with dilated eyes is scary.

Apr 5, 7:28pm

Follow-up visit, and Dr. Ego wasn’t there, so I saw a Fellow, there on 6 month rotation. She was much more willing to discuss the various issues and questions. We looked at the scanty 2012 notes. Her opinion is this last episode was likely not PVD and I agree. Much more random lights, not in a pattern. My eye pressure was up; which never happened before. 25 in one eye; max normal is 20 or so. They didn’t seem concerned, but I want to track it. My blood pressure was higher than normal as well, so possibly just stress.
She referred me to a cataract specialist who also has a glaucoma specialty.

The vitamins I’ve been taking for macular degeneration must be doing the right thing. This dr. reassured me that things aren’t very bad and most issues can be corrected.

The clerk assigned me to the female partner in the practice for next visit. Relieved.

Apr 5, 11:37pm

>10 2wonderY: I'm so glad you has a more positive visit this time. I don't know much about glaucoma but wonder if eye pressure and blood pressure are at all related. I might ask a friend of mine who studies glaucoma (PhD).

Good luck with everything. I'm glad the vitamins are working.


Modificato: Apr 6, 9:41am

>10 2wonderY: The right doctor makes all the difference, doesn't it? I have a variety of complicated ailments, and have come to believe that the willingness to listen and to give a sh*t outstrips every other medical skill.

Giu 22, 6:35am

It’s been almost six weeks since my first visit to the cataract specialist; and I’m still processing it. He is also a glaucoma specialist, but wasn’t very informative.
He prescribed eye drops to reduce eye pressure. The doctors office, pharmacy and insurance company have miscommunicated a lot. I’ve had to make calls all directions myself and wait too long for the meds. What started as $200 co-pay is now $5.

I hate that I’m being treated for a condition I only might be developing. Online info isn’t answering my questions and the only book I’ve located is almost 20 years old.
The doctor's assistant is willing, but not educated to my level of questions. My second visit is this Friday and I will have a page of questions.
As to the cataracts, I qualify for surgery on the right eye because of the triple vision. I’ve not read anywhere that cataracts can cause that though.
As I waited in the exam room, I heard a conversation from another room. The patient asked about the risks of surgery. The doctor replied “There are risks in everything.” If that had been addressed to me, I think I would have punched the doctor and walked out. I don’t think it was my doctor speaking.

Giu 22, 9:53am

>13 2wonderY: Good luck! The older you get, the more doctors infantilize patients and blow off questions. If you're an older woman, it's worse.

Giu 22, 10:30am

>13 2wonderY: Glad you were able to lower that co-pay! However, I feel bad for those older people who don't have the wherewithal to be able to do that, so they will go without.

Here's wishing you good luck at your next appointment.

Giu 22, 11:01am

>13 2wonderY: With glaucoma, the earlier the treatment, the better. It might help you avoid surgery. If you have any specific questions, I might be able to find some more up-to-date information for you.

Best wishes,


Giu 25, 11:01am

Second visit with the surgeon. He answered all my questions satisfactorily.
Last month my IOP was 25/25, and the drops were precautionary. Today it’s 15/15. He doubts glaucoma is an issue and says the cataract surgery will likely help to bring the pressure down again.

It’s now up to me to determine when to schedule surgery. I’m looking at early fall; depending on daughters schedules.

Giu 26, 10:15am

>17 2wonderY: Good luck! That should go well!

Giu 30, 11:50am

Just FYI - it is true that floaters can be a sign of the onset of macular degeneration but not necessarily. I've had them all my life and until one eye doctor a long time ago asked me about them I just thought they were something everyone had.

Giu 30, 1:51pm

Yes, I’ve had them all my life too. They increased dramatically after the posterior vitreous detachments and I either got used to them or they settled down. Now I have smudges that can sometimes be blinked away.

Lug 1, 12:58am

I’ve had one for years. If the number increases suddenly, it’s worth seeing a doctor.