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  #1  
Old 06-19-2021, 10:46 AM
SoftHeart SoftHeart is online now
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Default One Eye Jack-DArBad I Know How You Feel

Read your comment about deteriorating eyesight; my eyesight has been slowly deteriorating because of cataracts and worsening astigmatism.


The situation has forced me into a corner, as the venue where I go for my eyes, the Stein institute, is losing the surgeon who did the surgery on my rt eye soon, and if I'd declined to get the surgery done by him, I'd have to wait for his replacement, which I didn't want to do.


It was getting way tougher to continue the photography at a previous level/use my iron sights-gun mounted optics, and I was advised that in 1-2 years I was probably going to start losing my night vision.



The Eotech and Aimpoint and magnifier mounted on my shotguns were getting tougher to look through.











So I'll inject these comments about my experience w/the surgery so far, the good and the bad, and what scared me.


Don't take my advice of course, if you don't feel it's right for you, but be assured it's something that I carefully though through/over. Checking this out you may come to different conclusions, and that's fine.



I was fortunate to have surgery on right eye, by a top tier eye surgeon at the U.C.L.A./Stein Institute whose averaged 10-20 surgeries per day for quite a number of years.


The surgeon himself warned me about going to somebody "green", and he referred me to some videos of the procedure, and discussion venues where folks discussed their surgeries gone wrong. I appreciated him cluing me in on the good and the bad/the risks.


Watched these videos, due diligence and more due diligence, and listened to the comments of folks who drained their life savings to have this surgery done, only to find out that it had gone badly where they were going to need additional surgery to correct the problem made worse by the 1st surgery.

On the discussion venues, there was one gentleman who had extreme blurry vision after the surgery that was worse than before the surgery, the implant was off axis/not positioned to where it was supposed to be. No driving until he gets this corrected and no prospect whatsoever to put the money together anytime soon to get the corrective surgery.


There's a gentleman who cannot see the distinct edges of anything, and he expressed that he was profoundly disappointed and distressed, out of money, and still in need of corrective surgery.


Yes, I was advised that things can go wrong no matter how good the skill of the surgeon.


Said plainly, for me personally, this surgery was/is only an acceptable risk when it's done by someone w/experience along the lines of the surgeon who did my surgery, whose done the surgery for over 15yrs. averaging 10-20 surgeries per day in some stretches over his career.



There are several implants out there that try to give you the maximum distance from what you can render clearly at distance to up close, but they exhibit quite a bit of loss of contrast at night so you'll have problems like w/halos around light sources.


The class of implant I chose was the implant that gives the sharpest rendering/best contrast at distance but at the cost of being able to see close-up.


I chose these implants w/an expectation and the agreement of the surgeon that I'd have fairly sharp vision at distance, needing glasses for close up inside of 3'.


I stressed to the surgeon, in no "ifs, ands, or buts" that I didn't care if I had to wear glasses up close, that at distance I wanted the implants w/the maximum contrast, and my astigmatism fully corrected.

He advised me that there were lenses that have been out for about ten years that would "fill the bill" and I said go, although I'll add that the price for these lenses is breathtaking.


When I asked the price, I knew I was in trouble because the surgeon smiled and asked me to sit down for an answer.


What am I going to do? "Nickel and dime" my own sight?


Christmas came early because I went back to the Stein center the day after the surgery, the surgeon examined my right eye, and it's back to 20/20 vision at least, w/some existing swelling/temp blurriness from the surgery.



Even better, I'm typing this w/my left eye closed, my right eye open, and I can clearly see the screen from 18 inches away. Close my rt. eye, open my left eye, screen is blurry from 18" away.


I can hold my hand 8-9 inches away from my right eye, and can clearly see each pore and hair; so the result is I have better "close up" vision than the 3' threshold I was expecting.


I can see clearly including type from 8-9" and so I haven't been wearing my glasses because they're now giving me a headache.



Obviously shooting anything w/a recoil, subjecting my body to anything that's going to be like a punch, let alone shotguns, is absolutely out of the question, and for a very long while.



I'm sharing what I know, and my experience going through this w/anybody considering this surgery so they can maybe "glean" something that would give them a chance at a happy outcome, and maybe avoid some of the dangers out there involving this type of surgery.
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  #2  
Old 06-19-2021, 3:25 PM
DArBad DArBad is offline
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Hi There!

So, we are not alone in this. In my case, I have cataract on both eyes, high astigmatism, high myopia, and few months back, I had " Vitreous Humor Detachment on the right eye ".

It was sudden, heralded by seeing bright flashes and lots and lots of dark floaters. Then, the peripheral vision (vision of the sides) started deteriorating.

I can't drive at night since I couldn't see the edge of the road, incoming light washes out the vision. The cataract can be improved by surgery, the other condition can't.

That is my eye condition. I also started getting painful gout attacks, the pain is quite horrible.........damn this mortal existence!!!!

Anyways, I hope things would get better for you. Hang in there, at least......we are still alive. That's a blessing.

Good luck.

Last edited by DArBad; 06-19-2021 at 3:30 PM..
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  #3  
Old 06-19-2021, 3:45 PM
SoftHeart SoftHeart is online now
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Right back at you Brother!!!

Yes, life is a blessing, plenty of folks in the cemetery would trade places w/either of us in a heartbeat.

Yes, I have 4 floaters, stopped at 4, didn't get worse thank God.


I'll say some prayers and send 'em your way.
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Old 06-19-2021, 6:39 PM
squeeze squeeze is offline
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what kind of surgery was this? Did I miss that in the OP?
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  #5  
Old 06-19-2021, 8:14 PM
pacrat pacrat is offline
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SoftHeart;

Quote:
The class of implant I chose was the implant that gives the sharpest rendering/best contrast at distance but at the cost of being able to see close-up.


I chose these implants w/an expectation and the agreement of the surgeon that I'd have fairly sharp vision at distance, needing glasses for close up inside of 3'.
My wife did the same. Her surgeries were in Dec of last yr. And Jan of this yr. She developed cataracts and had astigmatism.

Quote:
When I asked the price, I knew I was in trouble because the surgeon smiled and asked me to sit down for an answer.


What am I going to do? "Nickel and dime" my own sight?
Cost of the upgraded lens implants were $2k per eye. Which my wife choked at, but I insisted on. Our out of pocket cost would have been 0 without the upgraded lenses.

She went from tri-focals and blurry vision. To a pair of "2.5 reading glasses" from the dollar store.

I with all confidence recommend this fella. https://health.usnews.com/doctors/thomas-choi-165866

He ticks all your boxes
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  #6  
Old 06-19-2021, 8:40 PM
SoftHeart SoftHeart is online now
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When DArBad mentions this condition, " Vitreous Humor Detachment on the right eye ", it was something that happened to me, which caused me to go down to the Stein Ist. in the 1st place, where they conducted a battery of tests.

What happens is you start seeing what looks like "black specs" and in my case there are 4 of them, these "specs" have come loose from your eye. They're called "floaters".


I went down to the Stein institute so they could do whatever tests they would do to let me know what was going on, and after a battery of tests, they discovered the floaters were being caused by a build-up of pressure inside the eyeball because my rt. eye wasn't draining properly. I was given some medications to relieve that pressure and since taking that, there were no more floaters.



The tests revealed the degree of my cataracts, and how much astigmatism I had in each eye. The doctor who I was seeing is also the surgeon that did my surgery on my rt. eye, and will be doing the surgery on the left.



He mentioned that my cataracts would not be a problem in terms of worsening and affecting my night vision and my ability to drive at night for maybe 1-2 yrs. down the road. Why wait for the inevitable? No way.


Waiting might lead to a scenario where my cameras and guns become useless to me, and not being able to drive at night.



The surgery was to replace my cataracts w/lenses that can also correct for
astigmatism, and these lenses have been out for about 10yrs, and they work because my rt. eye, post-op is w/o astigmatism. GONE.

He also installed a stint in my rt. eye to relieve the pressure that was causing the floaters and doing that now was just another reason to do the surgery now.


This surgeon is a caring individual, dialed in to helping people, and when I told him that I was a photographer, he said that he was glad I told him and that he would work it out for me.


He stays current on the latest technology, and I was lucky to draw him for my surgeries.
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Old 06-19-2021, 8:42 PM
SoftHeart SoftHeart is online now
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Quote:
Originally Posted by pacrat View Post
SoftHeart;



My wife did the same. Her surgeries were in Dec of last yr. And Jan of this yr. She developed cataracts and had astigmatism.



Cost of the upgraded lens implants were $2k per eye. Which my wife choked at, but I insisted on. Our out of pocket cost would have been 0 without the upgraded lenses.

She went from tri-focals and blurry vision. To a pair of "2.5 reading glasses" from the dollar store.

I with all confidence recommend this fella. https://health.usnews.com/doctors/thomas-choi-165866

He ticks all your boxes


He's from U.C.L.A. YES


Congrats on her being happy w/the results.

Last edited by SoftHeart; 06-19-2021 at 9:00 PM..
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  #8  
Old 06-20-2021, 2:32 PM
pacrat pacrat is offline
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Quote:
Originally Posted by SoftHeart View Post
He's from U.C.L.A. YES


Congrats on her being happy w/the results.
That is an affirmative.

Quote:
UCLA Medical Center J Stein Eye Institute

Residency, Ophthalmology
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  #9  
Old 06-24-2021, 5:47 PM
SoftHeart SoftHeart is online now
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Had 2nd/Final Chapter of this "opened" w/surgery on my left eye yesterday.

They had a surgeon who was there to learn from the surgeon who did my surgery, ditto an anesthesiologist watching the anesthesiologist doing my surgery.



The experience of my surgeon came into play during the procedure, he explained what happened today in my post-op examination, that my left eye began filling up w/blood after the incision at a dramatic rate compared to the 1st surgery.

He had to rinse out the area 5 times, and he said he was past the commit/point of no return, so he was able to orient/position the toric lens on the right/exact axis and he confirmed that position this morning.



I had the "pleasure" of watching a nice round blob of blood in the center of my vision in my left eye last night which has gone away.



Based on my pre-op physical my surgeon made a judgement call during my surgery as to getting out of my eye w/more blood than ususal and depending on healing to get rid of it. Despite my age he said he felt my system was in good enough shape that the area would heal properly.

He volunteered what was up, but I could tell yesterday during the surgery there was a point where although he remained calm, but his voice/tone/commands to others in the room, changed to a different gear.

I remembered a definite moment during this when he mentioned to everybody "NO TALKING".



Also had "good music" coming through the sound system. They said "hey enjoy, just don't try to get up and dance." Everybody had a nice laugh.


Here's a link to the class of implants/Toric lenses they put in with the math behind what they're supposed to do.

https://en.wikipedia.org/wiki/Toric_lens


A bit of trivia, the surgeon ordered a second set of eyedrops for the left eye; instructed me not to use the eyedrops I already had for the rt. explaining that there's a different "flora" in one eye as opposed to the other, so don't confuse the bottles so I wouldn't infect the left eye.

You "live and learn" because I never realized that.

Last edited by SoftHeart; 06-25-2021 at 5:25 AM..
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