Would be very unfair of me to suggest I've been pushed Jay. More that I'm surprised how quickly it swung from a graft not being appropriate to the opposite. I don't know if there are any alternatives which is why I'm picking the brains of all you well-informed folk here.
Fact is the sight in my right eye though not terrible isn't good enough so that I rely on the very good grafted left eye. If a graft will do the trick with little downside I'll vote for that. I'd previously been totally unaware I had a cataract. That was something completely new in my calculations and sort of expected further tests to evaluate how much of a factor it was.
Time for a corneal graft?
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Barney, I think they should have slowed down the consultantion for you and may be done it over stages, as i think your case and for many others, its just the way any one consultant wants to "see it".
Anyway, do you think a second opinion (or even a third) medically, is in order? Has anyone offered Scleral lens as an option for you? Do you have central scarring at all? and my last question is can you live with yourself with one eye, do you think? (I ask this because it reminds me of someone i know, who said that they could see there nose after their operation and could not live with it!!, and that it was freaking them out?!)
Anyway, do you think a second opinion (or even a third) medically, is in order? Has anyone offered Scleral lens as an option for you? Do you have central scarring at all? and my last question is can you live with yourself with one eye, do you think? (I ask this because it reminds me of someone i know, who said that they could see there nose after their operation and could not live with it!!, and that it was freaking them out?!)
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jayuk
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Barney
Not trying to confuse you here mate, but I do agree with Sajeev on this one!..as you can prob tel from my posts to you from the start.
As said, Im never against grafts but they should always be the last option....and to me it just seems you havent been given the options for other lenses?...Sclerals, Rose k2, etc.....even if you request a fitting and see if they can be of use?
Clearly, at the end of the day..its entirely your own decision...we can only feed in our information based on our own experiences...
Unless of course you have another chat with them during your pre-op....
Again, not trying to confuse you...just asking the questions....
J
Not trying to confuse you here mate, but I do agree with Sajeev on this one!..as you can prob tel from my posts to you from the start.
As said, Im never against grafts but they should always be the last option....and to me it just seems you havent been given the options for other lenses?...Sclerals, Rose k2, etc.....even if you request a fitting and see if they can be of use?
Clearly, at the end of the day..its entirely your own decision...we can only feed in our information based on our own experiences...
Unless of course you have another chat with them during your pre-op....
Again, not trying to confuse you...just asking the questions....
J
KC is about facing the challenges it creates rather than accepting the problems it generates -
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(C) Copyright 2005 KP
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GarethB
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- Keratoconus: Yes, I have KC
- Vision: Graft(s) and contact lenses
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Guys,
Remeber that Barneys case is not a simple case of KC, he does have a cataract too.
So any new lens is still likely to leave a fog/mist due to the cataract.
Operating on the catarcat willm cause eye trauma which we all know can cause the KC to suddenly accelrate so why not do the two together?
This is a question only a consultant can answer which I am sure Barney will ask as the pre-op consultation.
Remeber that Barneys case is not a simple case of KC, he does have a cataract too.
So any new lens is still likely to leave a fog/mist due to the cataract.
Operating on the catarcat willm cause eye trauma which we all know can cause the KC to suddenly accelrate so why not do the two together?
This is a question only a consultant can answer which I am sure Barney will ask as the pre-op consultation.
Gareth
Not confusing Jay, well ok a bit, but your input very much appreciated. This isn't going quite as smoothly as I'd hoped. 
Latest is that because I hadn't had a pre-op appointment I phoned last week. Arranged one for this Thursday. Confirmation letter arrived at the weekend which also said that for a cataract op I needed to leave out the lens for four weeks prior to the pre-op - which is in four days time. Phoned this morning, explained the contradiction and asked if it was important. They said it was and put me through to consultant's secretary but was only an answerphone where I left a message. Now 5pm and no one has got back to me.
The consultant is someone who will be well known to you so his expertise isn't a concern. But I don't know for sure that he will do the op and the general casualness is becoming a concern.
I would now like to know for sure whether he will do the op and if not how experienced the person who does it is in combining the cataract and the cornea ops. The consultant explained the technique for combining the two procedures to the doctor who examined me but I wouldn't relish being someone's first crack at it. Would like to know the issues for doing the cataract before, after, or at the same time. I'd also have liked there to have been some attempt to ascertain what proportion of the sight problem is caused by the the cataract and the cornea respectively. If I have a cataract in the left eye too it doesn't seem to affect my sight.
Jay, I get on fine with RGP lenses. Are there any lenses that could improve my sight rather than just be more comfortable? If so, that's never been suggested to me.
Latest is that because I hadn't had a pre-op appointment I phoned last week. Arranged one for this Thursday. Confirmation letter arrived at the weekend which also said that for a cataract op I needed to leave out the lens for four weeks prior to the pre-op - which is in four days time. Phoned this morning, explained the contradiction and asked if it was important. They said it was and put me through to consultant's secretary but was only an answerphone where I left a message. Now 5pm and no one has got back to me.
The consultant is someone who will be well known to you so his expertise isn't a concern. But I don't know for sure that he will do the op and the general casualness is becoming a concern.
I would now like to know for sure whether he will do the op and if not how experienced the person who does it is in combining the cataract and the cornea ops. The consultant explained the technique for combining the two procedures to the doctor who examined me but I wouldn't relish being someone's first crack at it. Would like to know the issues for doing the cataract before, after, or at the same time. I'd also have liked there to have been some attempt to ascertain what proportion of the sight problem is caused by the the cataract and the cornea respectively. If I have a cataract in the left eye too it doesn't seem to affect my sight.
Jay, I get on fine with RGP lenses. Are there any lenses that could improve my sight rather than just be more comfortable? If so, that's never been suggested to me.
Sajeev wrote:Barney, I think they should have slowed down the consultantion for you and may be done it over stages, as i think your case and for many others, its just the way any one consultant wants to "see it".
Anyway, do you think a second opinion (or even a third) medically, is in order? Has anyone offered Scleral lens as an option for you? Do you have central scarring at all? and my last question is can you live with yourself with one eye, do you think? (I ask this because it reminds me of someone i know, who said that they could see there nose after their operation and could not live with it!!, and that it was freaking them out?!)
Sanjeev, I don't know what the options for a second opinion are. I'd be fairly content with the opinion of the consultant I have but at the moment it's an issue that I'm not too sure what his opinion is on some aspects. The consultant was there for barely a minute and his view was different to the doctor who did the initial examination. I was handed the appointment letter for the op there and then without moving from the examination chair whch I assume is their usual practice.
No one has suggested any other type of lens. Could they improve my vision?
Do you mean living without one eye literally? Hope there isn't much chance of that. Why could they see their nose for the first time?
Hello Barney,
I think it was a odd case where you know when your looking at something you don't see your nose... well for him he could... he told me quickly just before i put the phone down after he had called me... may be he wanted to tell someone, so he told me... (BTW his op was not a transplant) He had laser... my guess is that his cornea got too flat!!
I think it was a odd case where you know when your looking at something you don't see your nose... well for him he could... he told me quickly just before i put the phone down after he had called me... may be he wanted to tell someone, so he told me... (BTW his op was not a transplant) He had laser... my guess is that his cornea got too flat!!
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