The surgery went well! The only notable event was that because of her “healthy” (aka chubby) body, the anesthesiologist had a very hard time finding a vein for her IV, so she has little bruises all over her left arm and leg.
As far as the actual surgery on her eye, they confirmed that her left eye did in fact have glaucoma, and they performed the goniotomy on her. Between the exam and goniotomy, the total procedure time was 2 hours, and it went very well.
Once they got in and were able to truly examine the eye, the doctor saw that the glaucoma was much more advanced than she had hoped. She had to scrape Adelaide’s cornea to get rid of the cloudiness so she could actually examine the eye, and upon examination saw that her cornea had started to tear because of the immense pressure. That tear will never completely heal and will always be an artifact in her vision. She is lucky, though, that the tear isn’t in her direct field of vision (it’s down and off to the side) so she should learn to see right past it. It will make her more sensitive to light, though, so sunglasses will be a good friend of hers.
Recovery has been hard, very hard. The doctor told us that since the glaucoma has been treated she isn’t feeling any pain from the pressure, however, she is in a great deal of pain from the corneal scraping. We’ve been trying various combinations of infant Tylenol and Motrin to find something that keeps her comfortable, but we haven’t had much luck.
In addition, we have three different eye drops that we have to give her (four times a day) to keep infection and inflammation at bay. It’s been an exhausting weekend, and she’s only halfway recovered from this first procedure.
We have a doctor’s appointment with the surgeon tomorrow to see how things are healing, and a second EUA scheduled for either the 28th or the 5th depending on how things go tomorrow.
Sleeping after her post op visit.
Angry eye, post surgery.
We had another followup appointment this afternoon (9/21). Adelaide was fussy and crying the entire day leading up to the appointment, and we were really worried about what Dr. Edmunds was going to find. Her assistant advised us, prior to the appointment, that if the pressure in her eye was still too high, we would be going immediately back into surgery.
We got to the appointment and Adelaide was still very fussy and upset. Dr. Edmunds gave her some numbing drops to examine her eye, and Adelaide immediately calmed down. The doctor then figured something in her eye was still irritating her since she calmed down so much with the numbing drops. She checked her eye, while numb, and found the pressure was just as it should be—the surgery did what it was supposed to do.
Dr. Edmunds then gave her some staining eye drops and checked her eye under UV lighting. She showed us that a large section of Adelaide’s cornea has not healed, and she is basically constantly blinking over a raw spot on her eye.
Adelaide immediately got some drops and antibiotics on her eye, and is again sporting a lovely gauze patch. The patch will keep her from blinking over her sore spot, and give it another opportunity to heal.
Adelaide has been in good spirits since then, and is sleeping comfortably now.