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Hello Joy:

After reading your posts, I researched Dr. Tseng and contacted him for more information regarding my dry eyes as well as a pingueculae on both eyes which are also a contributing factor to my problem. I have an appointment with him scheduled for early November, and a tentative surgery set during the same trip, if warranted by the evaluation.

My question to you is regarding your post-surgical results. Although I have read through the forum that those results were very good, if you could provide greater insight on the following, I would greatly appreciate it:

1. Previously, I had surgery using the AMT (amniotic transplantation method) on the site where I had a elastoid degeneration (ping) removed. Although the growth is gone, there is some discoloration at the site where I had the surgery. From what I've read, you also had the same type of surgery for conjunctivochalsis, and would greatly appreciate if you would give more details on the results from that surgery from a cosmetic point of view. In other words, when you say the white of your eyes are now clear, are you stating that the conjunctiva tissue itself is white, similiar to what a normal, non-dry eye, non-irritated eye looks like?

2. Any visible scarring and or appearance of the eye looking like it was surgically altered? The area where I had the excision with the AMT, does look a bit altered, but hopefully that will improve over time. My only concern is that if I have the same type of surgery to remove the other areas where the pings have formed, that the whole eye will look similiar to that same area in question.

Thanks so much for not only giving me greater insight to this eye issue, but more importantly for sharing your positive experiences with Dr. Tseng. From my correspondences with him thus far, as well as a phone conversation, I am incredibly optimistic about the outcome. He is not only a brillant doctor, but it quite apparent that he is a compassionate individual. Any questions that I've sent him by email have always been responded with a sense of urgency on his part.

Thanks,
Susan
Joy:

Thanks so much for answering my questions. What I didn't mention about the doctor and the surgery is that the excision was done on the wrong side of the eye, and although there was a miniscule growth on the op-site, it was so small that I didn't even realize I had one there.

I would prefer to not mention who did my surgery as it may give stigmatize that doctor as being incompetent when he isn't. In spite of the surgery mishap, I still have the highest regard for him as a person and doctor. He was visibly distraught that this error occurred, more so because he felt he let me down. At the same time, I regard his error as a blessing as that gave me the opportunity to do more research, thus finding this forum and enabling me to find out about Dr. Tseng: thanks to you, Joy. So, in the end, I feel that everything happens for a reason, and this further proves that every challenge is an opportunity in disguise.

I am looking forward to sharing my experiences with Dr. Tseng on this forum in the months to come. I'm scheduled to meet with him on Nov. 1st, so I will provide an update at the appropriate time, in hopes that it will provide further clarity for others on this forum.

Susan
Joy:

No black and blue marks? Thank goodness. I guess that's why he has me on steroids now too. I believe I've read or heard that in doing so, this helps with the surgical outcome.

Yes, the recovery time frame sounds the same. Were your eyes really red during that whole time? Immediately following the surgery my eyes were perfectly white for the first day or so, and then due to gravity, the blood started creeping down to the surface, until eventually, it faded away several weeks later.

The pingueculae is located on both eyes. Left eye - nasal and temporal, and right eye - temporal with the nasal side surgically removed in March. As far as problems, it definitely exacerbates the dry eye issue as well as redness and blood vessels growth to the area where the "pings" are located. Plus as Dr. Tseng mentioned, over time, the pings make the eyes look very yellow and tired looking. So, I guess you can say it's a cosmetic issue along with quality of life issue. For those of us who suffer from pings or dry eyes (and surely most of us on this forum are) that cause chronic inflammation, redness or irritation can relate to this.

Susan





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