As laymen, we still find learning about the experience of retinal ablation surgery that Zauji experienced. A retinal dialysis is a condition of detachment of the retina, or the membrane of the eye, from its original position that can cause permanent blindness because the retina lacks oxygen and nutrients. Retinal ablation is included in a medical emergency that must be treated immediately so that there is no permanent blindness.
I
had postponed checking further after the initial diagnosis of the Mitra Anugerah Lestari hospital doctor, commonly known as MAL Hospital. Finally, we accepted the fact that the operation was our only way so that
Zauji's eyes could be cured as usual. And Mata Cicendo Hospital is our
choice for reference from Bandung Eye Center (BEC).
The first operation
was performed to install 1300 cSt silicone oil. Just one week later, a new
tear appeared that required Zauji to undergo a second operation, namely
silicon oil with higher viscosity, 5000 cSt, plus cataract surgery.
Subsequently, several scleral buckling installation operations
(silicone belt on scleral/outer vertical parts of the eye) and the
addition of CF6 gas. Because CF6 gas is not effective, doctors decide to
reinstall silicone oil 5000 cSt. In total, Zauji Lakoni had six operations.
By
the fourth month after the sixth retinal ablation surgery, we again
exercised control in Cicendo Hospital according to the schedule. We hope
that silicone evacuation will be implemented soon because, in theory,
silicone should be evacuated within 3-6 months post-operation.
Operations in Pandemic Times
The
COVID-19 pandemic made all lifelines change, including procedures for
conducting examinations at doctors' offices and hospitals. During the period of
large-scale social restrictions (PSBB) in the city of Bandung, our movement is automatically limited.
The
examination by the doctor at the regular clinic of Cicendo Bandung
Hospital is limited, and all surgical actions are eliminated, while the
pavilion clinic is not opened at all. We just continued the post-PSB
control routine that was stopped. Absolutely, after the 6th operation of the 5000 cSt silicone oil, the doctor found an indication of a tear of the retina again, so the doctor suggested semi-circuit surgery (cito = immediately).
There's a difference when we'll queue at a regular clinic;
COVID-19 screening is done before the patient and the introduction to the chamber registration. Patients and introductions must be checked for temperature and fill out forms.
Screening. Only one introductory person was allowed to take it inside.
All items that will be brought into the hospital will be sprayed with disinfectant first.
An interview was done by the hospital team to find out the history of illness and travel. According to information, the patient quota in one day is limited to 40 patients
per sub-clinic. Much less when compared to normal conditions.
For us, this is more of a relief because the queue becomes shorter. It's just that the doctor who checked became less because the doctor was a resident (a general doctor who is taking an optometry course) and a doctor fellow
(an eye doctor who is taking a subspecialty of retinal/glaucoma, etc.). Helping with the examination is not so much.
Operation Ablasio Retina 7th
Armed with drugs and doctor's records at the Cicendo Hospital pavilion clinic, the doctor in the regular clinic recommends the 7th surgery no later than 2 weeks.
Alhamdulillah, even though the scheduled operation is very strict due to delays
During the PSBB period, Zauji got a schedule 10 days later. Pre-checking
Surgery, including rapid tests and HIV, was completed in one day.
Although it has repeatedly faced the operating table, the taste of Deg-degan still exists. Surgery is the key because of the beginning of Zauji, and
I've given everything to the doctors and nurses as an intermediary for our efforts.
As usual, the patient enters the hospital room H-1 after
passing a series of checks at a regular clinic. I don't know what's wrong, times
This pressure of the right eye of Zauji again rose drastically, reaching 46, a red alert
for glaucoma. Although not complaining of dizziness or severe nausea as the case
Previously, of course, this was not a normal thing, and good for Zauji.
Doctor
The retina refers back to the glaucoma and is treated immediately. This condition is of course dangerous and the subspecialist doctor for glaucoma recommends surgery specifically the manufacture of channels to remove fluid when eye pressure has not been.
It was also normal the next day. Just another stress for us :(
Reflecting on previous experience, I also brought all types of drugs this time, including eye pressure-lowering drugs: timol, glaucons,
and aspar K, so that Zauji can drink them directly. We passed the night ahead of the operation with more chat, joking, bracing, and hoping
this would be the last operation.
The patient is still not allowed to
Visited by anyone, for 3 days and 2 nights only, I was on guard. The atmosphere is quiet, quiet, and relaxed. Some nurses know well. It feels like
every room of bougainvillea (class I) we have is filled 😊.
Regular Clinic Registration Section
The morning before the operation, as usual, Zauji prepared.
Shower and wash the hair that starts to get pushed (I haven't allowed Zauji to shave hair at a subscription barber shop), switch with space-entering surgery clothes, mark the top of the right eye with the marker, and wait for the call of the visus examination.
Zauji
will usually be called
for a visa examination around 7 a.m. and begin to be escorted to the
room OK (surge) at 8 a.m. for the operating schedule at 10 a.m.
But this time,
until 10 a.m., there was still no call. It turns out Dr. Andika, the subspecialist glaucoma doctor who will perform a new channel creation operation, comes
at 10 a.m. Based on examination of Zauji's eye pressure, visus is < 20, so that
inoperative operations are no longer needed. Thank goodness.
Silicon Oksana HD
The operation was fast. When you go back to the room,
Zauji's condition is conscious, meaning it is not as in total ado as
planned in advance. Qodarullah, it turns out that the doctor who did the operation
This time it wasn't Dr. Rova Virgana, Sp.M.K., but Prof. Dr. Arief S.
Kartasasmita, Sp.M.K., senior doctor at Cicendo National Eye Center (PMN) Hospital.
This time the doctor installs silicone oxaline HD, a silicone mixture
with the toughest viscosity to overcome retinal ablation. Everything will
be within the time that God has set. Similarly, who will
perform the operation this time?
We
who had been waiting for a long time to meet with Prof. Arif finally met him at unexpected times and places in the operating room.
What is silicone oxaline
HD? The experience of having retinal ablation surgery seven times made us
learn about the new vocabulary, including the type of silicon used to
press the retina to get back in its place.
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