CONTINUING EDUCATION, 1 CE Credit – $14.99, 1 Hour, General Knowledge, Level 1, Release date: October 2007, Expiration date: October 31, 2012

 
 
 
 
 
 
 
 
 
 
 
 
LAST WORD

Macular Scare Close to Home

Jim Magay
Jim Magay

"I'll get the bed made immediately – please sit down," said Aura. We were back in our room at the Holiday Inn on Blossom Street, walking distance to Ophthalmic Consultants of Boston. Eddi, my wife, had just undergone surgery for a macular hole and needed to do a "face down" recovery. Our floor maid was so kind and concerned – I've never seen a bed made so fast, with so much empathy. Moments later, Eddi was lying face down on a special wedge of foam with a custom adjustable face rest as she began her recovery period.

I hate to admit a lack of knowledge of anything optical, but after years in the business this was the first time I'd heard of this procedure, an unusual surgery called a vitrectomy to repair a macular hole - and it concerned my wife!

It all started a couple of weeks back when Eddi complained of a sudden blurriness in her vision. Our OD, Doctor John Dadah took a look at her on his day off and said, "Get thee to a retinal specialist!" A few days later we were at OCB visiting with Doctor Tina Cleary.

After a thorough exam and imaging, the hole was judged to be at stage two (operable with a good chance of success). "We can schedule you tomorrow!" Whoa!

With all that needed to be done – a physical, work arrangements, and leasing special recovery equipment (more on this later) we pushed the surgery up two weeks.

The surgery went smoothly and the next day we were home settling in for a one to three week recovery period – in a face down position. During the surgery a gas bubble is injected into the eye and acts as a bandage for the repaired area, but you must remain in a face down position 24/7!

To help accomplish this, several companies rent special equipment to aid the patient. We chose Oakworks Equipment as recommended by OCB. There is a foam wedge with a head support, a special chair, a table and travel support, and a double mirror so the patient can view TV or the scene in front of them while looking straight down.

After a week of drinking meals through straws and suffering from neck and backaches, (I even had sympathetic pains for her) we trekked back to OCB for a follow-up.

Hooray! The hole was closed and no more face down positioning was required. It felt like Christmas – what good news! A further month or so of no heavy lifting, no bending from the waist, a protective shield over the eye at night, piece of cake!

Doctor Cleary looked as happy as my wife at the outcome. What a piece of surgery - and what a lucky thing that we were able to deal with it promptly, a long delay in seeking treatment could have resulted in central vision blindness.

Postscript:
After a week of soup and pureed food through a straw, stopping at Frank's Steak House in Cambridge for a sirloin on the way home from OCB was sheer heaven.

Jim Magay
jmagay@ziplink.net

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