Showing posts with label papilledema. Show all posts
Showing posts with label papilledema. Show all posts

Apr 15, 2010

The Eyes Have It

Yesterday I meet with my neuro-ophthalmologist, Dr. Harrington, to follow up from my recent OCT & VER tests. I was very anxious leading up to the visit because I knew that I had problems with my eyesight and I was in fear of needing the optic nerve sheath fenestration – where they cut a slit in your optic nerve to allow the pressure to drain out behind your eye. However when I got there he actually had good news!

He confirmed that I have bilateral papilledema – which is swelling of the optic nerves in both eyes. That being said, he said that he didn’t want to go forth with the ONSF surgery unless my neurosurgeon thought it necessary. You see, the ONSF has a 50/50 success rate and for some people it helps – but for some it does nothing. In Dr. Harrington’s opinion, if Dr. Coimbra deems it necessary for a shunt (which he believes he will) then the shunt will fix the papilledema and there’s no need for two procedures. Can you say YAY!?

So tomorrow I meet with my neurosurgeon, Dr. Coimbra at 10am. Hopefully this will be one of the last appointments I have to endure for a good while. I’m still having daily headaches and my vision seems to be getting worse, if that’s possible.

On a better note, this past Monday was my husband’s 26th birthday and we celebrated by spending the day at the Fort Worth Zoo. Last year we took LB for his 2nd birthday and it was amazing to us to see how much he’s changed in that time period. You notice it, subtly, but when you look at pictures it’s night and day. My little man is growing up too fast!

Until next time, KC

Mar 30, 2010

It's Not What I Can See, It's WHERE

So a quick update about my visit to the neuro-ophthalmologist yesterday, because my eyes are still killing me tonight and I really just want to sleep it off.

I met with Dr. Harrington at TOPROSA and the first order of business was a field vision test, which is standard procedure. Basically you stare at a tiny dot and click a button every time you see a flash of light. When I realized I wasn't clicking very often I figured that I was in trouble, especially when I seemed to be clicking a lot more for the left eye. Back in February when I visited my optometrist for new glasses I had expressed concern about my field of vision going black in the left eye while staring and was told this was normal. Turns out, I was correct in thinking that it wasn't. By the time I had finished the test, almost 30 minutes later, my eyes ached and I knew I had failed that particular test.

Now let me say that I have worn glasses since I was seven and contacts since I was eleven so in all honesty I don't really know what it's like to have clear vision. Every time I started to get fuzzy I just saw the regular eye doctor and got new contacts/glasses. About 2 years ago or so I noticed that my contacts always seemed dirty, no matter if they were a new pair and I even had that sensation when I had my glasses on. This was due to my astigmatism, I was told. Wrong. I discussed this with Dr. Harrington and he said that was classic for papilledema, which is a swelling of the optic nerve caused by the excess spinal fluid built up in my brain - which is also causing my headaches.

He did a few more exams, once numbing my eye with these yellow drops that stung like crazy and then dilating my eyes twice to get a good look at my retina and such. He never told me what he saw, only that he wanted me to have an MRI done of my eyes and I have to take two more field vision tests down at Baylor University Hospital in Dallas. So tomorrow I have the MRI and then Monday I have the other tests. He basically explained everything I already knew about the swelling and we discussed an optic nerve fenestration shunt, which essentially drains the excess pressure from your eye into the fatty tissue behind the eye. From everything I've read it's a very common procedure for pseudotumor patients and pretty easy. If that's the route I take, I'll be anxious to see how much better I can see.

Today my eyes have ached because they strained so much yesterday but I did manage to get my contacts in. Between that and all of the staring at the computer I did today it's no wonder they hurt; imagine the worse sinus headache you've ever had and multiply it by 10 - that's how it feels.

At any rate, that's what's going on now. Thursday morning I have my repeat lumbar puncture and I can't wait. Sweet relief!

Love, KC
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