The experience of retinal ablation surgery has been undergone for almost two years. This story often brings us to meet many new surprises, such as eye pressure that goes up and down, eye exams such as optical coherence tomography (OCT), and sharing and strengthening fellow patients.
Almost a year later, we are 'friends' with retinal ablation. Retinal detachment is the release of the retina, causing visual impairment. One of the causes
of retinal detachment is minus height, as Zauji experienced as a
child.
Qodarullah,
a few days before the appearance of symptoms in the form of loss of
right eye vision, we both had a motor accident. I don't know what
exactly triggers a tear in the right eye, which was clear until now. Zauji
has a decrease in vision, even though it is not as severe as it was early before surgery. This June of 2021, exactly 1 year after the ablation of
the seventh retinal ablation that Zauji has undergone.
Post-Operation Ablatio Retina
In
theory, HD silicone should be paired with the operation of the seventh
retinal ablation and should be evacuated for a maximum of 3 months after the
operation. But with a history of recurrent retinal tearing, doctors
decided to delay as long as possible until it was certain that the
retina had actually attached.
Every
month, we routinely go to the regular clinic of BPJS, Cicendo
Hospital. In addition to ascertaining when to evacuate silicone, we also
need to check the pressure of the eyeball and the condition of the
retina, whether there is a tear or not. Thank God, until
Currently, the condition of the retina is still attached and stable, even
though the papilla is indeed visible and pale as a result of the length of silicon installation so that there is
a decrease in
vision.
Because
the pressure of the eyeball always goes up and down, Zauji also ended
up routinely consuming glaucons (glauseta) to make eye pressure so as
not to jump up. In theory, glaucons are not recommended for consumption
(drinking) in the long term, so doctors suggest glaucons are not taken
daily.
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Timol
eye drops become mandatory eye drops every morning and night, while
Glaucen eye drops are only dripped when eye pressure is > 24.
There's
nothing we can do to control the pressure of the eyeball. Unlike the
case with blood sugar levels or blood pressure that can be detected with
self-sustaining devices at home. Eyeball pressure can only be measured
with tools in eye hospitals, and of course this becomes an obstacle for
patients. Eyeball pressure can only be known at the time of routine
control at the eye hospital.
Control at Cicendo Hospital Pavilion Clinic
In
May 2021, we took the initiative to meet Prof. Dr. Arief S. Karta
Sasmita, Sp.M.(K)M.Kes., Ph.D., at the Cicendo Hospital pavilion clinic.
He was unable to do so and was replaced by Dr. Made Indra Widyanatha,
SpM(K). He is one of the doctors that we often meet in the regular poly
of BPJS Cicendo Hospital and several times replace Prof. Arief or Dr.
Rova Virgana, Sp.M. (K) at the Cicendo Hospital pavilion clinic.
He
explained that although in theory the HD silicone should have been
evacuated, the team of doctors decided to maintain the condition of
Zauji's right eye like this so that the retina sticks perfectly. The
doctor also calmed us so as not to worry about the vision that was
decreasing because the pupil continued to be palpable.
This
condition is not to be avoided. However, the experience of recurrent
retinal ablation surgery will have an effect on the right eye of Zauji.
Damage
to the pupil is different from damage to the retina. Damage to the papillae is irreversible, which means the condition of the damage cannot be
returned to the original condition (healthy and normal), but the process
of vision decreasing occurs over a long, long period of time. Unlike
the damage to the retina or retinal ablation that occurs instantly in a
short time, vision can be restored to the original condition (healthy
and normal) as long as the retina is reconditioned and attached back.
Currently,
Zauji's right eye has a small minus because Zauji's right eye has no
eye lens (which has been removed since the second operation), and HD
silicon is still attached to attach the retina. When using glasses, of
course, the difference in thickness between the
right eye lens and the lens of the left eye will be clearly seen.
He suggested that Zauji use a hard lens
so that there is no difference in the thickness of the right and left
glasses lenses. The minus glasses of both eyes use a minus size of the
smaller right glasses. On the left eye, Zauji plans to use a hard lens to establish a lack of minus in the left eye.
Doctor Indra gives a referral to a specialist doctor who can provide consultation on the use of this hard lens. His
experience of retinal ablation surgery made us acquainted with many
doctors at Cicendo Hospital. Because we often meet, we also ask him
various questions. There are many questions that we ask and
Alhamdulillah, Dr. Indra explained all the questions we asked clearly in
the next control
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