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Monthly Archives: April 2012

Lens Difficulties (New lens ordered with different edge profile.)

Well, my first post-graft contact lens is wonderful, but I think the fit needs adjusted.

The insertion and vision have been just fine, but I’ve been having difficulties with removing the lens.  I’m competent with mini-Sclerals but this one seems too tight.  It’s nerve wracking to pull a “stuck” lens off a grafted cornea with a plunger.  I have this nighmare image that I’ll rip the graft off (I know, probably impossible.)

But this lens is too tight, so I’m going back to discuss it with the fitter.

Still thrilled!

Postscript:   Another great appointment at Koffler Vision… New lens with slightly different edge “roll” was ordered.  Also we looked at my topography to decide where it best for me to apply the plunger to remove the lens (cool use of technology!) … the traditional 6-oclock position may not be best for me – 4-oclock looks like a flat area I can use.   Will post again if I have new news!

Allergy News:  My eye has been getting red – allergies I’m pretty sure.  It’s not “rejection-red” but just red around the edges.  Any corneal transplant recipient will be hyper-vigilant about redness, so this causes some anxiety.  The best thing to do is just take some Zyrtec and check again in a day.    I’m now taking Zyertec daily again.

 

 

 
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Posted by on April 30, 2012 in Diary Entries

 

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Little Things: A Robin Feeding Her Young

Today I watched a robin working her nest.  My depth perception was, well, deep.  With keratoconus, I would previously have been less able to pick out the nest against the leaves in the background.  But this time, it was clear.  The colors were distinct, and the ugly little birdlings were even more homely than I recall before.   Brilliant.

 
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Posted by on April 25, 2012 in Little Things That are Better

 

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New Lens In!!!! Binocular Vision! The World is in 3D Now!

Everthing was in 3-d today!

A very big day on this long journey.  Today, I inserted the mini-scleral lenses in my grafted eye at Dr. Koffler’s office…and, for the first time in 15+ years, I had clear vision in my left eye.  My brain and eye muscles are not sure what to do with the new information so the crispness came and went, but here are my unfiltered first impressions:

  • Wow.  I can read the doctor’s diploma across the room.
  • The world is sparkly!
  • Everything’s in 3D!
  • Look at the birds!
  • Look at the clouds!!!
  • I don’t want to take this out!

I was only at a 3-hour wear limit today, so pulled them out mid-morning.  I’m looking forward to inserting them again tomorrow.

The removal was touch and go because I’m out of practice, and the eye is just slighly “dry-sore” tonight.  Nothing bad at all.  Totally expected.

I got a ‘care package’ with new plungers and other solutions, etc from the office.

NEXT UP!!!

Postscript:  Day 2, 3 of lens were tricky.  Eye was a bit sore from lens and insertion / removal was difficult.  I’m clearly out of practice on this.  Still feel a lot of anxiety about damaging my graft with lens effort.

 
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Posted by on April 24, 2012 in Recovery, Surgery-Story, Vision Improvements

 

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Contact Lens after Corneal Transplant – Trying a Mini-Scleral

Well, after a fair bit of anxiety and dread, I found my visit to Koffler Vision Group* for the fitting of a new mini-scleral RGP contact lens on my grafted eye to be quite uneventful.  We tried several diameters and shapes until one felt, well, like it wasn’t there.  (*My choice for contact fitting in Lexington.  I’m still Dr. Holland’s patient.  I would link to their site but it is not great and crashed my browser twice.  I will link to their Google Place page though)

Turns out the one with most comfort was a mini-scleral.

I hadn’t considered mini-scleral for my grafted eye, but it makes sense.  It forms a “helmet” over the graft and rests well outside my cornea.  It keeps the corneal hydrated and provides good vision.  I think I had put mini-sclerals out of my head after my less-than-stellar experience with them before my graft.  But that was not due to the lens, it was due to the cone and abrasiveness.

Anyway, I have my lens ordered and will post again when I get it in.  As usual, the Koffler staff were terrific.  By the way, Dr. Koffler was my second choice for my graft – but I just clicked better with Dr. Holland’s attitude about DALK options.  I feel confident either would do a great job, especially on a PK or other surgery.  I did apologize for being such a grump during my last visit to them 2 years ago (I was frustrated with trying to find a contact lens with a steep cone.)

Oh yes, they did a new topography.  Said it was “beautiful.”

 
 

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