It took about a month for my surgery date to come through and it was a month later, 11 November 2015. After the uphill struggle to reach this point it suddenly became very real.
On the day of the surgery I took some diazepam tablets that
my GP had given me. I had been told at
the first pre-op assessment that if my blood pressure was high then they
wouldn’t operate. Since I have high
blood pressure coupled with white coat syndrome and the added stress of surgery
it was considered wise to take something to try to calm me down. As it happened all it did was give me a
blinding headache and make me sleepy.
On arriving at the hospital I was shown to a waiting room
with seats around the walls. It was
quite small and close to the operating theatre. I would spend most of the afternoon in this
room. Paperwork was checked and double
checked, I had an arrow drawn on my forehead to make it obvious which eye they
were operating on and then my wife was told that she would have to leave.
Whilst I waited for my turn I chatted with the other
patients. They were all a lot older than
me, having the surgery at the more usual time of life. Some were in for their second eye so were
able to reassure the rest of us that it was painless and quite simple. When my turn came I was put in a wheelchair and taken
through to the anaesthetic room adjoining the theatre. Once you are transferred from chair to bed it's
suddenly VERY real and there is no going back.
Looking back the anaesthetic and nerve block are the worst
parts of the whole procedure. An
injection first to nub the outside of your eye. Relatively minor but needles do freak me out a bit. The nerve block was the traumatic part. You are already anaesthetised but you can
feel the pressure as they push a small tube into your eye socket and around
behind your eye. It feels like its being
pushed into your brain and all you can think is “Are you not there yet?” Once they reach the desired spot they use a
syringe to push the nerve block into place and you feel increasing pressure in
your eye socket. It seems to take an
age. After everything I’ve had done to
my eyes I’m fairly robust and not squeamish about eyes but this was really very
unpleasant.
I have to say that the nurses appear to appreciate that you
are having a really bad day and are very sympathetic. Having a total stranger hold your hand and
talk about the mundane really does help.
When its time to go you are wheeled through into the
theatre. Its surprisingly small in there
and really quite cold. I appreciated the
low temperature as its easier to cope with than being too warm in these
situations.
A drape is placed over your face which has a hole in so that
only the eye to be operated on is visible to the surgeon. It's adhesive and sticks to your face around
your eye. At this point you can see light and dark and some vague movements
with the anaesthetised eye. I asked Ms Bailey to talk to me and give me a running
commentary so that I had something to concentrate on and it gave me an idea of
how far through we were. She was very
good and her calm voice throughout put me at ease. She asked me not to talk back to her as this
would make my eye vibrate slightly which, when viewed through the microscope
she was using, would make it difficult for her to be precise.
A small incision is made with a scalpel and then the old lens is
removed with a small suction device which crunches up the lens as it goes. It makes a fair noise and its probably best
not to dwell too much on what its doing at the time. It takes a few minutes and then the new lens it
ready to go in.
There is no change in your vision as the new lens goes in as
your eye is still frozen. I had a few
injections of an anti-inflammatory around my eyeball as I suffer from iritis
and inflammation is always a risk.
A large cotton wool pad and a hard plastic protective cover
are taped on and then you are wheeled out, back to the waiting room you started
in.
I was lost as the patch arrangement made it impossible for
me to put my glasses on and with a -14 prescription I couldn’t see anything
without them. Fortunately, I was able to
work a mobile and call my wife to collect me.
I had a large bag of drops to take home with me. There was an antibiotic drop to keep it clear
of infection, a dilating drop to keep all the muscles relaxed and an
anti-inflammatory to ward off the iritis. They all needed administering at different intervals so Rachel had to
draw up a chart so that we wouldn’t miss any.
Next morning was the moment of truth, the big reveal. It's quite daunting that you have to do this
by yourself at home. There is little
concrete guidance given. You may be able
to see, or it may take a while for your vision to clear. At this point how do you know if it's been a
success?
We sat in the en-suite and carefully removed all of the
surgical tape securing the patch to my eye. Gingerly we removed the patch. I
kept my eye shut whilst Rachel bathed it with some cooled boiled water to
loosen the crust of tears and blood. It
wasn’t a gory mess fortunately as Rachel “doesn’t do eyes”.
When I opened my eye I was very relieved to at first see
light. There is always a worry in your
head that you will open your eye and just see darkness. What I could see was blurry but straight away
I noticed that the colour temperature of what I was seeing was much
colder. With my right eye (as yet
untouched) everything had a warm yellow tinge to it compared to my new
eye. What the true colour should be is
anyone's guess but my new world seemed brighter.
I went back for a check-up in a week and all looked good so I was able to start tapering the drops. My vision started to noticeably improve at
this point with the vision in my new eye improving steadily. It was a new experience for me to be able to
see without glasses as I had been first prescribed with glasses at the age of five and been dependant on them for many years.
Waking up and being able to see without the usual fumble on
the bedside table for my glasses was quite exciting. Being able to see in the shower was quite
liberating. Previously everything had to remain in the same place as there was
no way of me telling shampoo from conditioner from shower gel once in the
shower. Now I could see, albeit at arm's
length.
I had wanted to keep working as much as I could (I work from
home) so I optimistically removed one lens from my old glasses so that I could
theoretically see with both eyes at a distance. This really didn’t work as the images (as I had been told they would)
were very different sizes and it made me feel quite sick.
It's surprisingly difficult to buy an eye patch without resorting to a fancy dress shop |
I resorted to using either my good eye with an eye patch over the other, or covering
my left with a cotton wool pad when I was wearing my glasses. I had some +1 reading glasses from before the
operation that I used when wearing contact lenses. I found these worked reasonably well for computer
screen distance. I also bought some +3.5 glasses off the shelf from Sainsbury’s which I could read with although they did feel a bit strong as
I had to hold whatever I was reading quite close.
With a combination of
glasses I managed to get around and to work, watch TV etc. although I did
decide that this was a suitable point to stop driving. I had been driving up to this point as
legally you only need to be able to see out of one eye. My right eye was good so the left gave me
some peripheral vision if not clarity.
I was given strict instructions not to bend over, do
anything strenuous or exert myself.
Anything that might increase the pressure in my eye was outlawed and
Rachel strictly enforced this. It's
surprising how little you can actually do if you stick to this regime. I don’t idle well but potential blindness is
enough of a motivator to ensure compliance. On the day of the first operation I was given the
appointment paperwork for the second cataract operation which was four weeks later. After a very slow start it appears that once
you are in the system things move along quite quickly.
Sometimes the obvious solution is the best |
On the day of the second operation I was familiar with the
set up and it went as it had before. We didn’t congregate in the waiting room this time but in one of the day wards on
the floor below. We had more room but
this also meant that we didn’t really speak to each other.
Once upstairs the anaesthetic block seemed to take longer
and be even more uncomfortable that it had the first time. In the theatre it all proceeded as it had
before and I was quite relaxed. Whilst I
was waiting for them to prepare the new lens, after they had removed my old
one, I started to feel a bit uncomfortable. I couldn’t put my finger on it but something didn’t seem right. This feeling got worse once Ms Bailey
started to put the new lens in place. I
could feel her manoeuvring it. The lens
goes in through a small incision folded and then has to pop back to its normal
shape once its in the lens pocket. I
could certainly feel her trying to get it to reshape and settle.
Conscious of the previous instructions to not say anything I
gritted my teeth and was pleased when she announced that it was in and all
done. As I breathed a sigh of relief
Ms Bailey administered the injections of anti-inflammatory into my eyeball.
I definitely felt that and gave an involuntary jump. She noticed and asked if I could feel
it. She was concerned when I confirmed
that I could and I had been feeling for some time. Another splash of local anaesthetic and she
finished the injections and bandaged me up. I never did find out if she had subsequently had a few choice words with
the anaesthetist but she wasn’t too happy.
All done |
I left with a now familiar bag of medication to return in a
week for a check-up.
The start of drops in my right eye coincided with the end of
drops in my left. Unfortunately, my left
eye took this as a sign that now was an ideal time for an outbreak of
uveitis. It’s a painful auto-immune
condition which leads to an inflammation of the front of your eye. It is treated with the same drops as I had had post
operation so the hospital gave me yet more of these and I started a different
regime of drops into my left eye. This
was familiar territory though.
At my check-up everything was proceeding well except that I
was developing PCO in both eyes. PCO or
Posterior Capsule Opacification is where, following cataract surgery, the rear
wall of the lens pocket becomes clouded. The symptoms and effects are very similar to cataracts themselves. The treatment is to use a laser to cut a hole in the
rear pocket wall which is so simple an operation that it's done in clinic as an
out patient. Ms Bailey said that once
the inflammation in my eyes from the surgery and uveitis had settled she would
do this before discharging me. So, I
went into the Christmas holiday optimistic that the worst was behind me. How wrong I was.
The next post in the series will be up next Friday and will cover what happened next...
The next post in the series will be up next Friday and will cover what happened next...