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Tuesday, November 15, 2011

Cornea Transplant Update

Okay, first of all, thus far, it seems it is NOT rejecting. But it was getting infected, and in turn THAT could have started a graft rejection, if I waited another day or so.

But I did have the BEGINNINGS of an infection, thanks to a stitch that had popped loose from the graft. So, the doctor I had to see on Triage/emergency basis removed it just with the tweezers. I asked and SHE (who is a Retina Specialist, not cornea) said it was ONLY the popped stitch, and kept me on my OmniPred steroid drop every 4 hours, and added Vigamox antibiotic drops 4 times a day.


I'd gone back yesterday (Monday) for a re-check with my regular doctor, the Cornea Specialist. And he found something that must have developed over the weekend, otherwise the other doctor, I'm certain would have seen it while looking at my eye on Friday.

It seems that I have developed an abscess where the stitch was loose and just "floating" there. So, now I am a self-proclaimed walking Drug Store. At least through tomorrow morning, when the decision will be made to either keep me on my drug plan, or take a knife (again) to my eyeball (same thing he said, as when he removes the stitches). Yes, he may have to lance the abscess, let it drain, and grab a culture to see exactly what kind of infection is growing.

Of course, I'm hoping and praying feverishly that the drugs all are WORKING.

What's my drug regimen, you ask? The kind where it has made it impossible to volunteer at the school at all this week.

Twice a day, Aleve (one in morning, one at nighttime, both with food).

Once a day, Doxycycline (at bedtime, no dairy/calcium at least 2 hours before taking)

EVERY (waking) hour, Vigamox drops (antibiotic to stave off rejection and bacteria).

Every 2 hours, OmniPred drops (steroid) to ward off swelling and inflammation and eye pressure problems.

Every 4 hours, Bacitracin Ointment in lower eye lid, also an anti-bacterial medication.

To say I feel like I'm on a never-ending merry-go-round is probably a horrible understatement at the moment. And I have to do this regimen AT LEAST through a part of tomorrow morning. Probably even longer if he has to cut in to the abscess.

But!!!... Yes, there is a "but". There is a so-called silver lining in all of this mess.

It seems (seeing as I haven't seen the doctor in over a year) that we BOTH got a surprise. Because the doctor on Friday claimed I still had five stitches to go, but I don't know if she was actually looking for anymore of them other than the infected one. My regular specialist (Cornea) said he saw NONE.

Either he already removed some (which he did, a total of eight altogether), the other doctor removed the one, or they even actually DISSOLVED somehow, though they aren't considered "dissoluble" by what I had always understood.

So, that is ONE less worry to have to go through anymore. And that is apparently why my vision was now pegged in that eye as being either 20/50 or 20/40 (depending on which test I took between two different eye chart tests that they give me).

We'd talked about it many times in the past (and yes, he reminded me yesterday lol) that as stiches came out, being that the graft was sewn in pretty tightly and "flattened" it, to where it 'touched' my pupil, that the cornea would round its self out, and that this is FINALLY happening..

Now it seems that it is NOT the stitches, but the cataract that I have had since about a month post-transplant, that is hindering my peripheral vision on the outer left side of the eye.

So, of course, that means I am STILL facing (at least) one last surgical procedure to remove the cataract-ridden lens, and have it replaced with an implant.

So, there's the current news from the last post, If It's Not One Thing, It's Another... (WARNING!!!! language laced!) .. At least this one isn't filled with words that would make a sailor blush and pass out. (=


Singedwingangel said...

AAckk the thought of them coming near my eye to take out a stitch or anything else makes me cringe.. How do you do that girl

Missy said...

I do what I gotta do. It helps that they numb it REALLY well with drops. Plus, my good eye is focused on the doctor's ear (as to ensure I'm looking straight), the nurse talks to me lowly and calmly, describing a beach scene, and I just sit REALLLLLY still as he does what he has to.

Honestly, I do *not* see him really coming at me. But I KNOW it's coming. That's the worst part. Thankfully, his hand and the scope light mostly block the view of the eye he has to work on.

AubrieAnne said...

Oh Boy! I do not envy you and that drug regimen. It reminds me of when I had my gastritis, but even then I never had to do anything every 2 hours except eat tums!

Glad to hear that the infection was caught on time and that you are doing better. :)

Diana said...

Hang in there Missy. Things will work out one way or another. Just stick to what you're supposed to do and hopefully you'll turn a corner soon.
Love Di ♥

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