“Complicated.” That’s the word Dr. Levine used again and again to describe the condition of my eye at our last appointment. After we thoroughly discussed my condition, the options, and the potential complications, he recommended, and I agree, that I wait on getting a lens implant. Yes, it is generally true that one needs a lens to see, but he thinks that the current shape of my eye will leave me very nearsighted but not exceedingly so, even without a lens. Between the accident and the buckle put on my eye to retain the retina, my cornea is now severely astigmatic (misshapen, not spherical) in a way that counters the elongation of my eyeball, potentially leaving me with vision that will be able to be corrected with glasses. Complicating the situation, my damaged iris may mean that I will need to wear a contact lens (tinted or printed with an opaque iris) to shield my pupil from too much light. Ideally, such a contact would also be a corrective lens, but my astigmatism may be too severe for correction with a contact lens, in which case I would have to wear glasses with the contact. In addition, my damaged eyelids may make wearing a contact lens difficult. So another consideration in waiting on a lens implant is that having one now might prevent me from getting a prosthetic iris implant in the future, if I cannot wear a contact lens or it does not prove sufficient. Once the silicone oil is replaced with saline (which Dr. Harris will do on Tuesday, March 19), we will be able to evaluate my vision and my light sensitivity without guessing.
And at the end of April, I will see Dr. Polonski to schedule further surgery for my eyelids.
At the end of my appointment, in order to avoid any more surprises like I had with my iris, I asked Dr. Levine if there was any other damage I didn’t know about. Here is a summary of the damage to my eye: My conjunctiva is scarred. My cornea is dry and severely astigmatic. My lens and capsule are gone, surgically removed. My sclera has a thin spot. My iris is ruptured, leaving my pupil wide open. The structures that maintain the balance of fluid in my eye (which are part of the iris) are damaged. My retina, especially the macula, is very scarred but no longer detached.
Yes, it is a miracle I can see. Hurray for miracles!