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Eye & Vision Message Board

Eye & Vision Board Index

I should clarify-I have a macular pucker diagnosis from a vitriol specialist. My vision in the bad eye is 20/40. The distortion varies from cloudy to cob web like.
I just can't balance and accept the distortion. I have been told it's anxiety.
I've been to ENT and while I have had issues with my ears nothing was noted about balance and the inner ear.
The surgery for my eye is up to me. I don't know what to do. I just want my normal life back where I wasn't constantly wondering why I don't feel the way I once did-carefree and worry free about my health.

If it is, indeed, a confirmed case of macular pucker or ERM, please ask the retina specialist how bad it is. What grade (see above)? If your uncorrected vision is 20/40, then it can't be that bad. Floaters and cobwebs are quite common and annoying for all of us, but one doesn't do an eye operation, like vitrectomy, just for removing them.

Has he taken your OCT scans? OCTs are 10-second photographs of your retinal cross-sections, and give much better indication of the state of your retina than just normal external retina examination with an opthalmoscope. This ERM condition and its details are easily captured on OCTs. There is another thread on OCT discussions on this board.

You are rightfully concerned since ERM or ILM peeling, which is one of the operations I know of which is used for removing the pucker, is a "very delicate" operation. Is your doctor suggesting that for you? Please read as much as you can about it on the web. I have written a little bit about it elsewhere on this health board and others have too. Perhaps, you should even take a second or third opinion before going ahead with any such operation. And, then you have to finally balance it by asking yourself what is the risk and success rate of such operations, and if it is worth taking the risk, as opposed to your current state of affairs with vision or imbalance.

Since ERM grows slowly, unlike retinal detachment cases which are urgent, you have some time to think too. As I said, I also have very slight ERM but it has not bothered me at all. The doctor had told me about it more than two years ago just before my vitrectomy operation for a retinal detachment, and asked me if I wanted to remove the ERM too. I was also scared then, and said no, since it did not bother me then. The doctor also thought that it was not really necessary in my case. But it's possible that it may come back to haunt me after a few years. And, with regards to your sense of imbalance, please rule out all other non-eye related things by a thorough examination from your regular doctor.


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