What are you doing today?

[Cmaier]

No spoilers, please.

Oh, FFS, I’m halfway through episode 2 and Apple TV froze up and now it looks like I can’t load any apple tv content from any of my devices (presumably some sort of outage?)

 

[Herdfan]

Retina guy promised me I can be unconscious for the right eye surgery (cataract + retina cleanup). I am going to beg the cataract surgeon to allow me the same for the left eye.

I don’t care if it’s 10 minutes or 10 seconds - I will have a panic attack as soon as I see her approaching my eye.

Yeah, and do yourself a favor, don't watch any YouTube videos of it beforehand.

Do some deep research into the actual implant. When I had mine done 15 years ago, multi-focal implants were still newish. But I got them and haven't seen this well since I can remember.

 

[Cmaier]

Yeah, and do yourself a favor, don't watch any YouTube videos of it beforehand.

Do some deep research into the actual implant. When I had mine done 15 years ago, multi-focal implants were still newish. But I got them and haven't seen this well since I can remember.

Now they have implants with continuous focal range. I’d still need reading glasses, but no halos. Lots of decisions to make, but they may be narrowed down due to the minor retina issue in one eye and astigmatism in the other.

 

[Roller]

Retina guy promised me I can be unconscious for the right eye surgery (cataract + retina cleanup). I am going to beg the cataract surgeon to allow me the same for the left eye.

I don’t care if it’s 10 minutes or 10 seconds - I will have a panic attack as soon as I see her approaching my eye.

General anesthesia will render you unconscious, but you’ll probably have to be intubated and ventilated, and recovery will take longer. The only times I’ve had it for eye surgery were for long, complex procedures.

So-called conscious sedation lets you breathe on your own with varying degrees of awareness. I’ve had (and administered) it multiple times. For my second lens implantation I vaguely remember seeing blurry colors, but I don’t recall any adverse sensation.

I’ve also had laser retinopexy and even had an injection into my eye without any sedation. So when someone says they’d rather have needles stuck in their eyes, I know what it’s like from firsthand experience.

Here’s a good description of the various types of sedation/anesthesia from the American Society of Anesthesiologists:

https://www.asahq.org/standards-and...l-anesthesia-and-levels-of-sedation-analgesia

 

[DT]

No spoilers, please.

THE WIFE DID IT !

 

[DT]

Retina guy promised me I can be unconscious for the right eye surgery (cataract + retina cleanup). I am going to beg the cataract surgeon to allow me the same for the left eye.

I don’t care if it’s 10 minutes or 10 seconds - I will have a panic attack as soon as I see her approaching my eye.

OMG I started blinking, and wincing ... and sweating just reading about all this eye surgery

 

[DT]

Tonight! Whiskey and Wildlife!

Home | Whiskey Wine and Wildlife

Whiskey, Wine & Wildlife combines renowned beverage tastings and inspired cuisine from some of the South’s best chefs, while experiencing Vilano Beach’s coastal wildlife up-close, November 4 – 6, 2022.

whiskeywineandwildlife.com

This is an annual event that provides some funding to local wildlife programs and provides people with some delicious eatin' and drinkin'

This is our 4th year, we always just stay down in the area, even though that's like a few miles south of us. Super nice, new Hyatt, can consume without driving concerns, and for the last couple of years, it's more or less in the Hyatt (with some overflow into the side streets). So the whiskey is just an elevator ride away Always a few smaller, but amazing distilleries show up too, so you get to check out products, you'd probably never know about.

 

[Cmaier]

General anesthesia will render you unconscious, but you’ll probably have to be intubated and ventilated, and recovery will take longer. The only times I’ve had it for eye surgery were for long, complex procedures.

So-called conscious sedation lets you breathe on your own with varying degrees of awareness. I’ve had (and administered) it multiple times. For my second lens implantation I vaguely remember seeing blurry colors, but I don’t recall any adverse sensation.

I’ve also had laser retinopexy and even had an injection into my eye without any sedation. So when someone says they’d rather have needles stuck in their eyes, I know what it’s like from firsthand experience.

Here’s a good description of the various types of sedation/anesthesia from the American Society of Anesthesiologists:

https://www.asahq.org/standards-and...l-anesthesia-and-levels-of-sedation-analgesia

I have an extreme phobia about my eyes. Started when I was a kid. I’ll have an anxiety attack (quite literally) when I pull into the parking lot unless I know I’ll be asleep during the procedure.

 

[Nycturne]

Retina guy promised me I can be unconscious for the right eye surgery (cataract + retina cleanup). I am going to beg the cataract surgeon to allow me the same for the left eye.

I don’t care if it’s 10 minutes or 10 seconds - I will have a panic attack as soon as I see her approaching my eye.

I'm in the same boat, knowing that with both parents having had lens swaps for cataracts, I'm likely going to need the same at some point.

For me, it's not so much a phobia, but just certain things trigger a weird reaction that's hard for me to control. I tend to meditate when getting blood drawn or when in the dentist chair to help keep that impulse in check. But I really don't think I could keep it in check during an actual eye surgery. I can barely make it through the retina checks during an eye exam because of how close they have to bring in the scope as it is.

 

[Herdfan]

Now they have implants with continuous focal range. I’d still need reading glasses, but no halos. Lots of decisions to make, but they may be narrowed down due to the minor retina issue in one eye and astigmatism in the other.

Those look awesome. When I got mine done I came up with a plan to use two different types of implants. The one in my left (dominant) eye is better for distance and the one in my right eye is better for close up.

Both suck at arm’s length so I do need cheaters for computer work. But I can see my phone just fine. Looks like the continuous focal range fixes that problem.

As for halos, they do go away over time, but that first night with one done I thought I had made a huge mistake. I dilate very easily, one drop is usually enough, but I think she used 4-5 and that evening I was riding when we took my daughter to swim practice and I was so dilated I was getting bright halos from the outer edge of the implant. I was thinking there is now way I can live with this. But as my eyes slowly returned to a non-dilated state it got better. Still looked like a mad cat for a few days.

Halos went away over the first year and the only thing I really still don’t want to look at is the lights on the Christmas tree. Too many little points of light.

Good luck. I really didn’t have any pain. The worst part was one drop I had to get almost felt like a shock to my eyeball. Was glad when I was done with those.

And I really haven’t had many issues with dry eyes. I just used Systane drops when needed.

 

[MEJHarrison]

I saw a post somewhere, "I look forward to changing the clocks so that it gets dark at 4pm — said no one, ever."

That is simply not true. I know because I'm one of those people who looks forward to it getting dark earlier. I might be the only person, but I do like it.

 

[Herdfan]

I can barely make it through the retina checks during an eye exam because of how close they have to bring in the scope as it is.

The one I hate is the puff test for glaucoma. I just picture some small bit of debris getting there and shooting into my eye.

 

[Cmaier]

The one I hate is the puff test for glaucoma. I just picture some small bit of debris getting there and shooting into my eye.

Before the retina photos they tested me with a physical thing that touches my eyeball instead of the puff. It made me miserable, even though they numbed my eye first. I’m a big baby.

 

[Katbel]

The one I hate is the puff test for glaucoma. I just picture some small bit of debris getting there and shooting into my eye.

I had, as a prevention, a laser iridotomy. Not fun but it’s done . Not knowing for sure the results.. I had decided to do it a month away for each eye. A friend ophthalmologist told me I shouldn’t have it done but didn’t explain why.
But I met him after, sigh. And the three colleagues I saw before, told me I had to do it and urgently.
Usually my attitude is to think at the day after any procedure to calm myself down.

 

[Cmaier]

Those look awesome. When I got mine done I came up with a plan to use two different types of implants. The one in my left (dominant) eye is better for distance and the one in my right eye is better for close up.

Both suck at arm’s length so I do need cheaters for computer work. But I can see my phone just fine. Looks like the continuous focal range fixes that problem.

If I can get clear vision from dashboard distance out to distant road sign distance, I will be happy to wear reading glasses when needed.

my wife and kid said i would “look weird” if i stopped wearing glasses, anyway

 

[DT]

That is simply not true. I know because I'm one of those people who looks forward to it getting dark earlier. I might be the only person, but I do like it.

We really love the temps dropping combined with the shorter day/earlier dark. Triggers our holiday good vibes

 

[cbum]

But I met him after, sigh. And the three colleagues I saw before, told me I had to do it and urgently.

Frustrating, I know. But we just don't understand enough about this disease, and when there are competing approaches, it takes a lot of time & effort & intelligent design (no, not that kind!) to identify the best approaches.
Assuming you have the more common chronic (wide angle) glaucoma, the competing rationales are
- you want to try to improve outflow, hence the surgery, vs.
- the underlying problem is that the fine lattice in the iris angle were ocular liquid resorption occurs is getting clogged with cellular debris with age, and any inflammation after a surgical intervention could make that worse.

So many opt for eye drops until those can't control the IOP any more. I would probably wait until the computerized visual field test shows some loss in your peripheral vision.

Acute (narrow angle glaucoma) is a whole different story - you can go blind overnight. Our dog just lost her first eye, and since its genetic, it's only a matter of time before the second is due for enucleation as well.

 

[Katbel]

Frustrating, I know. But we just don't understand enough about this disease, and when there are competing approaches, it takes a lot of time & effort & intelligent design (no, not that kind!) to identify the best approaches.
Assuming you have the more common chronic (wide angle) glaucoma, the competing rationales are
- you want to try to improve outflow, hence the surgery, vs.
- the underlying problem is that the fine lattice in the iris angle were ocular liquid resorption occurs is getting clogged with cellular debris with age, and any inflammation after a surgical intervention could make that worse.

So many opt for eye drops until those can't control the IOP any more. I would probably wait until the computerized visual field test shows some loss in your peripheral vision.

Acute (narrow glaucoma) is a whole different story - you can go blind overnight. Our dog just lost her first eye, and since its genetic, it's only a matter of time before the second is due for enucleation as well.

Thank you for the very detailed explanation. Yes, the wide angle glaucoma, but I didn’t have any symptoms, just my annual check up. And I don’t belong to any category where it’s common to happen . I guess they prefer "to pierce" your eyes just for precaution?! And they scared me a lot about a possible Acute glaucoma, sic: we were flying a lot at the time so I decided to do it.
Sorry for your dog!

 

[Roller]

I have an extreme phobia about my eyes. Started when I was a kid. I’ll have an anxiety attack (quite literally) when I pull into the parking lot unless I know I’ll be asleep during the procedure.

Hope the procedure goes well.

 

[Cmaier]

Hope the procedure goes well.

me too! i’m looking forward to seeing again. i have a little macular pucker in the right eye, which is the only reason i got in to see an ophthalmologist - optometrist told me i had cataract in left eye but never told me the right eye had one too, or that they were bad enough to seek treatment. Retina-surgeon: “brother, you’re blind. If you were a family member I’d tell you to get those lenses replaced right away.”. So i’ll see the cataract surgeon monday and hopefully work out how this will all be done.

it’s amazing how the brain compensates for the pucker - i only noticed it when looking at my kid’s math homework on graph paper when I had my left eye closed for some reason.