Monday, June 15, 2009

No swimming, no hot tubs, no MASCARA --Eye Surgery

When I was in high school, we’d always ask the question, “What two things would you take with you on a deserted island?” My response was always books (or, if the island had electricity- my stereo and collection of albums and 45’s) and mascara! While my response to that question today would probably be more of “a Kindle and my PC” – mascara wouldn’t be one of my first choices. But, it is still one of those things that I count on every day. The Summer of ’09 however, was going to be my “Summer of no mascara”.

About 3 years ago during a routine eye exam, the doctor found some scarring on the cornea and sent me to a specialist in Boston. He diagnosed something called “Saltzmann’s nodular degeneration”. It’s basically the growth of nodules on the surface of the eye – a bit like a callous on skin. The condition isn’t usually treated unless the nodules start to get close to the center of the eye. Last year, I had another visit with Dr Talamo, the specialist, and he gave me the news that it was time to remove the nodules via superficial keratectomy (a Super K).
The procedure: “A superficial keratectomy is usually done under topical anesthesia (drops or ointments that numb the eye) and usually no shots or injections are needed nor is it done under general anesthesia. A special knife is inserted partially through the cornea and a dissection carried out to remove the growth. This leaves a raw spot on the cornea and a bandage contact lens is generally worn for 7-10 days while the tissue heals. Pain varies but usually is not severe and relived with medication.” (http://www.medhelp.org/)


Image courtesy of visionassociates.net
So, after putting off the inevitable as long as possible, we were in Salem/Boston for the summer and it was time for the procedure. No surgical gowns necessary- only little blue shoe covers and a blue cloth “shower cap”, some numbing drops in my eye and it was time. Laying down on the surgical table with my head firmly held in place, they rolled me under a machine with an orange blinking light. The doctor put a patch over my left eye and two pieces of what felt like scotch tape to hold my eyelashes/eyelids open. A few more numbing drops and he said, “You may feel a slight pressure on your eye”. It was almost an out-of-body experience—you knew that there was some hazy silver implement approaching your eye-then a feeling of a light touch. Within minutes, the cut was made and the “callous” was being peeled off and a “bandage contact lens” put on to cover the scraped surface. John was amazed when I walked over to him as he waited in the cafeteria and said, “It’s all done”. The next few days were tough- my eye was constantly tearing and it looked pretty awful, but my vision was relatively clear and there was no pain at all.
One eye down, one to go…

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