Exploring Treatment Options for Long-Term Eye Injuries

Eye problems

Hello, Doctor.
About 20 years ago, I was hit in the right eye by a baseball while serving in the military.
At that time, I went to Chang Gung Memorial Hospital's emergency department, where they said I had retinal edema and needed surgery.
However, due to my military status, I was unable to receive treatment at a civilian hospital, so I was transferred to the Tri-Service General Hospital.
The military doctor there told me that treatment was not possible and that I would go blind.
After my discharge, I returned to Chang Gung for a check-up, but since I didn't have health insurance at the time, I couldn't access my emergency records from Chang Gung.
Many years have passed, and I have gotten used to not seeing out of my right eye, but friends often suggest that perhaps advancements in medical technology over the past 20 years could offer treatment.
I would like to ask the doctor if there is a possibility for treatment now.

Mr. Huang, 40~49 year old female. Ask Date: 2020/10/14

Dr. Cai Wenyuan reply Ophthalmology

You can inquire at the medical center.

Reply Date: 2020/10/14

More Info

Hello,
Thank you for sharing your experience regarding your long-term eye injury. It’s understandable to have concerns about the possibility of treatment after such a significant amount of time has passed since the injury. Let’s explore the potential treatment options and considerations for your situation.

Firstly, it’s important to understand that the eye is a complex organ, and injuries to the retina, such as those caused by trauma, can lead to various complications, including retinal detachment, scarring, and vision loss. The fact that you were diagnosed with retinal edema and advised that surgery might be necessary indicates that the injury was quite serious. Unfortunately, if the retina has been damaged severely and has not healed properly over the years, the chances of restoring vision can be limited.

However, advancements in medical technology and surgical techniques over the past two decades have indeed improved the options available for treating eye injuries. Here are some potential avenues for treatment that you might consider exploring:
1. Comprehensive Eye Examination: The first step would be to undergo a thorough examination by a qualified ophthalmologist, preferably one who specializes in retinal diseases. This examination will help determine the current state of your eye, including the condition of the retina, any scarring, and the overall health of the eye.

2. Retinal Surgery: Depending on the findings from the examination, surgical options may be available. Procedures such as vitrectomy (removal of the vitreous gel) can be performed to address issues like retinal detachment or to remove scar tissue that may be affecting vision. Advances in microsurgery techniques have made these procedures safer and more effective.

3. Laser Treatments: In some cases, laser therapy can be used to treat retinal tears or to reduce the risk of further complications. Laser treatments can help stabilize the retina and may improve vision in certain situations.

4. Prosthetic Devices: If the retina is irreparably damaged, there are emerging technologies such as retinal implants or prosthetic devices that can help restore some level of vision. These devices are still in the experimental stages but show promise for certain types of retinal damage.

5. Low Vision Rehabilitation: If surgical options are not viable or do not restore vision, low vision rehabilitation services can provide support and strategies to maximize the use of remaining vision. This may include the use of specialized optical devices, training in adaptive techniques, and support for daily living activities.

6. Regular Monitoring: Given the history of your injury, regular follow-ups with an eye care professional are essential. This will help monitor any changes in your condition and allow for timely intervention if new issues arise.

In conclusion, while the prognosis for vision restoration after such a long time may be uncertain, it is worth consulting with a specialist to explore the current treatment options available. Medical advancements may offer new possibilities that were not available at the time of your injury. Don’t hesitate to seek a second opinion or to inquire about the latest technologies and treatments that could potentially improve your situation.
Wishing you the best in your journey towards better eye health.

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