The patient is now concerned about the number of daily drops as instructed by the surgeon for one of the 3 meds he's currently on:
(1) Accuvail drops 0.45% (brand/non-perservative) ...patient just read package-insert which stated: 1 drop/ 2x per day/ for 2 weeks post-op.
But he's on 1 drop/ 3x day/ - and administration will be longer than 2 weeks ( as 'recommended' in the insert) (until he sees surgeon on Jan 4th) .
Patient is now 'weaning' off the Zymad;
but staying on Predilisone 5x day.
Also would you have any 'reservations' on the possible next step in 6 weeks which would be direct interoccular (sp? ) injection if no improvement from the drops + the steriod injection behind the eye that he had 1/2 aweek ago. Again, thank you for your kind advices.
My concern is the diagnosis of cystoid macular edema as the cause of your blurred vision. With a typical case, the angiogram should be positive as should the OCT. The vision should not be quite as blurred as the 20/400 which you mention. And the usual onset is later after the cataract surgery.
Regarding the 'reasons' as to 'why' this happened basically 'overnite' we will do as you suggested...at next visit to the specialist i.e. ''other possible causes' ?...
Insofar as blurred vision at testing times, pt. had been pre-op on Acuvail and post-op at time of OCT & angio studies ? - could that med ' (and/or the others) have contributed' to amount of blurriness ?
many thanks again for your kindess extended ....
Returns to surgeon in 2 weeks and retina specialist in 3 weeks for 6 wk evaluation. (drop regimine continues)
Hopefully 'this' is an improvement? ...but big question - is it possible progress could be 'arrested' at this level above and not continue to improve
(2) is there any chance of 'reversal' back to the original reading of 20/400?
....I realize this is difficult for you not knowing, or examing patient ...but thought i'd ask. Many thanks again
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