Saturday, November 12, 2011

Cataract Surprises, Part 2

By all reckoning, Dr. Michael Negrey of Koch Eye Associates has superb technical skill. His problem is arrogance that manifests as God Complex
"Doctor God" failed to tell me vital things about the cataract surgery in January 2010.
Doctor God had not told me that cataract surgery poses risk of diabetic retinapathy, or that the blood spilled by the Cialis-induced hemorrhage had filled the center of the eye in addition to the cataract.
Doctor God did not tell me that I had a choice in cataract lenses that could be put in my eye to replace the lense that would be surgically removed. Instead, Doctor God chose for me. Four doctors later I heard an explanation. Doctor God had put in the lense that best let doctors examine my eye, rather than the best lense for me to see out of.
The new lense provided great distance vision. I was not used to that. What had been distant fuzzy lights of houses through the tree out my bedroom window now became entire houses.
The new lense destroyed my close up vision. Even at 40 I had needed no correction for reading. Post hemorrhage, I could not read for the ruddy cloud. Now I could not read because the inflexible artificial lense did not allow focus at close distances.
I am a writer. I had been an avid reader. I have a bookcase full of volumes I just had not gotten to yet, that I now probably will never get to.
I had not been able to read the anthology that included my first publication in book form when it premiered a few weeks after the hemorrhage. Now, I could not read it because the cloud was not gone as expected, and my eyes were unable to focus at short range. That bookcase of esoteric science fiction novels that will probably never see audio format remained out of reach even as I was mostly homebound and bored. The lifelong collection of comics were rendered worthlessly unreadable.
The blood cloud in the center of the eye behaved differently that when a second obstruction had existed in the cataract. The obstruction in the cataract had always been there. The blood within the vitreous gel mixed with the eye’s natural fluids. When I remained perfectly at rest for prolonged periods, the blood and the vitreous gel would separate like oil and water. I had perfect clarity when I woke. Unfortunately, any motion mixed the fluids back together, rendering me blind again. A walk some fifty feet and back from the recliner to the bathroom mixed the blood enough to blind.
I questioned Doctor God about these things on the first follow up to the cataract procedure. God doesn’t like being questioned. I didn’t get any answers, and my second appointment had been chanced to a different doctor.
In theory, the eye should clear up over time. Once it cleared up enough for me to be able to get to Dr. Krosschell’s office with clear vision, glasses might restore the close range vision.
I clung to that hope.

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