Astigmatic Keratotomy Surgery - 12/04/2018

Hi all!

So back on Tuesday morning (10/04/2018), I underwent cornea incision surgery to help point me in the right direction of possibly, but most likely, having laser eye surgery. As for my last two surgeries (CXL and DALK), I wasn’ t nervous until I went into theatre. So I think it could be safe to say that I’m somewhat of an expert at this now. Just need to master the not-getting-nervous-at-the-start. 

My Tuesday started off incredibly early. 6am early. I changed into my day surgery clothing which consisted of a pair of jogging trousers, a basic white shirt with a nice floral pattern on the sleeves and one of my grey jumpers. I was pretty much ready to go! The family and I set off for a McDonald’s breakfast (by we I mean just me… on my own). Very tasty, and by the time I was finished with it, we had arrived at the hospital. We highly underestimated our timing because we were very early. So early we had to wait for 30-45 minutes for the actual eye day surgery unit to open for business. 

One thing that was quite weird is that although everyone goes to the receptionist to sign in, you are actually told to sit down anyway and wait for your name to be called out. So I sat down for about 15 minutes and my name was called out, went up, verified and updated some personal information, and was sent back to my chair. Then one of the consultants wearing their surgery uniform came up to me, briefed me on what was being performed that day, the risks, the usual stuff they have to tell you before you sign the consent form, and that was that. I was on my way towards something that has been in the making for well over a year. 

I was then called up by a nurse who again made me verify my information, all my personal needs, health problems that they may need to know, and also more information about next-of-kin and how I would be getting back home. And was once again sent back to my seat… UNTIL I was called up again by my consultant who had a look at my eye. Another weird experience that I had was I believe he drew on my cornea while he was looking. At least I think it was a pen. He numbed my eye, and then very carefully drew a line of my cornea. I have to admit I was gutted when I went to the toilet before being called in for surgery to have not seen a Picasso piece on my eye. But you can only do so much.

So I was called in, put on my fashionable shoe covers and hair net, and I walked to the same old anaesthetic room that I’ve been in twice, laid down on my operating bed while they dowsed my eye in local anaesthetic, and I was wheeled in. The anxiety started skyrocketing at this rate, but luckily it didn’t last a long time. 

The con that I did have to go through was the bright lamp I had to look up to. It was incredibly bright. I don’t normally moan to my eye team about stuff, but when I do, it’s only because it really is unbearable. And they dimmed the light for me, which was still bright, but not like looking-at-the-sun bright. It was more tolerable. 

Then… It was done. Literally, after only 10 minutes in theatre, they finished it and I didn’t know it. I honestly thought they were just drawing on my eye once again, but it turned out they were doing the incisions. So I was wheeled out of the theatre, and was helped out of the bed, offered a wheelchair back to the waiting room, but I insisted on just walking back. I don’t like making a fuss out of the staff. So I waltz back into my family who was happy to see me and shocked at how quick it was. They commented on how red my eye (which I will include of photo of, it’s the second photo), and I did feel a tad lightheaded. After some discussion with the nurse about what to do what meds and new eyedrops, I was discharged. 

And that was my day.

Just two days after my surgery, I hardly feel any discomfort, and I’m almost back to normal except I still feel exhausted and feel like I can’t do as much physical activity as I want. And I still have to take it easy for the next two weeks. Which sucks. But the consultant’s advice is the best.

So I hope you enjoyed this somewhat rushed blog of my experience, and if there any questions, please feel free to private message me!

Ollie 

Glasses/Contact Lenses Appointment - 26/07/2017

Before I start off this post about my recent appointment trying to correct my vision, I did happen to go hospital the week before in the form of an emergency one. I was experiencing very painful headaches. So this leads to me going in, but the pressure in both my eyes was apparently okay, and the onboard eye expert said it could be the eye drops making some trouble, in which to just try and relax as much as possible, and use moisturising eye drops whenever possible.

Anyway, here’s the main blog:

Yesterday, I had an appointment to see if glasses/contact lenses would help with the severe astigmatism that I have after my cornea transplant.

All I know about the astigmatism is that it’s very severe. Glasses COULD help with my vision, but as I do have one good eye, the glasses would consist of one thick lens and the other being normal. This would cause some problems with my brain trying to understand what’s going, thus confusing, and then thus making it a very difficult job to try and tolerate it. So the glasses are a no.

EDIT: Glasses would be a no for me anyway because, apparently, my pupil doesn’t contract as well as it should, as thus have a larger-than-normal pupil. <insert bowie eye reference here>

We did try contact lenses, but the ones that the lovely ladies fit in were a tad tight and were very uncomfortable. So my contact lens specialist said that we’d have to go back another time while she orders some more lenses, but did say that the lenses would likely not improve anything. Which would mean having incision surgery to fix the astigmatism. YAY MORE SURGERY YAS!!! I say that with sarcasm, obviously.

I don’t know when I come back to try out the new contact lenses that are being ordered for me, but the next time I definitely know I’ll be back with my consultant is late October.

Removal of All Stitches & Another Minor Graft Rejection (Hospital Appointment Update) - 08/03/2017 & 17/05/2017

Hi all,

Sorry for not updating this blog as much as I should be, but to be honest with you all, not a lot has gone on. I have spent most of my time since the post forgetting that I even had eye problems. It’d only be until people brought it up and asked that I remembered again.

One thing that I did do was an interview for the NHS Blood and Transplant Department. I’ll be doing another post about that once all the material is approved and, hopefully, sent out into the world.

Let’s start with the first appointment. 

March 8th ‘17:

It’s the same old, normal routine, various eye tests and scans. HOWEVER, the one unique thing in this appointment was that I’d have all remaining stitches taken out on the day.

I won’t bore you all with the minor details and such, but let’s just say that it all took but 45 minutes to cut and pull out around 8-10 stitches that we still in my cornea. Painless but tense, but nevertheless went through it without a hitch. Well… Apart from one part where I accidentally flinched and it looked like I lunged right into my consultant’s forceps. But nothing bad came out of it. After that was all out of the way, I was told to expect the process of trying to improve the vision even better as it was still not good.

I was then sent home and I rested for the remainder of the day.

Onto the next appointment which was this week…

May 17th ‘17:

Again, the standard routine of the eye tests and scans. I see my consultant, which was a bit of a surprise as I had been expected to see my contact lens expert, but nevertheless, I and the Mother walked into his office.

Instead of immediately looking through my eye with his slit lamp, he asks if he could try a little experiment. I obviously agree and he goes and fetches this large wooden briefcase, which when opened, showed off a huge amount of lens inside it. He starts combining some of them and then proceeds to ask me the standard questions whenever you do an eye chart test. 

What was weird was they weren’t standard lenses as per say, but whenever he twisted the lens cap, it would sway side to side, obviously trying to amuse my eye. But, like me, my eye was very stubborn and didn’t want to do anything with this test.

Thus then, I find out I had astigmatism. It’s a fairly common thing among us humans, and I’m sure something that is very common when you undergo a cornea transplant.

He then proceeded to check my eye like the normal way he does, but much to his dismay, he saw minor graft rejection in progress. ANOTHER ONE?! WHEN WILL I GET A BREAK? Well, the question to that answer is never. I did sign up to this, so I can’t really complain. 

But I do however feel a bit foolish as I did have some stabbing pain and a sore eye for a couple days, and I hadn’t realised that was warning shots to me that something wasn’t right. But we all live and learn. So I was told then that if even it’s a small thing, to ring them and explain the symptoms and go into them as I was a high-risk case. So, again, lesson learnt.

So because of not me going into the hospital when I should’ve, I am back onto steroid eyedrops and following a strict regime. The drops I am taking are called Dexamethasone Sodium Phosphate. They’re a lot gentler than the ones I’m used to having, but they do however have the inconvenient feeling of stinging when I have them (speaking of which, I just had to take a drop a few minutes ago as of writing this). 

I was on an hourly drop, but that has been downgraded to one drop every two hours. And then when every new week passes, the frequent amounts of drops needed are less and less.

As I do have astigmatism in my left eye, it does mean that they’re looking into having what I believe is LASIK laser eye surgery to fix the problem. Yay, more surgery. But no, seriously, I do forward to seeing (pardon the pun) how this surgery could help improve with my current redundant eyesight. Now if LASIK surgery is on the NHS or I have to go private, I don’t know, but I’m sure that will be discussed when I go back there next month.

I do have to say that my Eye Clinic team are an amazing bunch of people that do so much for so many people. I can only hope one day to repay back their hard work. 

That’s all the updates I have really.

I hope you all have a brilliant, rainy (where I am), week. 

Ollie