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Sat Jun 16, 2007 1:47 am

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An eye specialist told me that my eye looks crap and he wants to reconstruct my socket and put an implant in. I currently do not have an implant, just an old fashioned artificial eye. He says that it would take about a year until my eye would be ready with series of surgeries to built up a new socket. The heck, I cannot afford to be on medical leave long periods of time, even if I wanted to follow the doctor's advice. And does it mean in case of series of surgeries over one year that I cannot wear my prosthesis for the whole period? I am OK wearing a patch or frosted glasses, but I am not ready to go to work with that, unless I get a new job in which it is acceptable to go around a pirate. If it is not the whole period, the recovery times would be lengthy anyway.

I first thought that maybe I am going to go with it and already had the optitian to make new glasses for me for the recovery times with frosted lens on the left side. However I saw my prosthetist and she said my eye looks better than many other people's eyes, do not go and waste your money. I think she is right, although my eye is sunken it is not very obvious.

Or is there any consideration that my eye gets more sunken, is that what the doctor is thinking of or is he just plainly for making money?

Any feedback?

JPH



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Sat Jun 16, 2007 7:29 am

 
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One Eyed Leprachaun
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Hi JPH: I think when 1 expert gives advice different to another expert maybe speak to 2 or more in the business; Also if u are ok with the look you have time to get more advice and think over your choices; good luck with gathering and more advice and with your final decision; cheers Vera

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Sat Jun 16, 2007 12:51 pm

 

Your eye specialist makes it sound so easy to fix a sunken eye. It isn't. Beware of false promises.



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Sat Jun 16, 2007 11:39 pm

 
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Marmalade wrote:
Your eye specialist makes it sound so easy to fix a sunken eye. It isn't. Beware of false promises.


Is it not easy for the doctor or the patient?

Anyway, it does not sound easy if it takes one whole year with many surgeries.

I use tinted glasses to hide the sunkenness so that is why I am not so keen to go for the reconstruction. I have managed like that until this, about five years since my eye was enucleated. Only question is whether the eye could get more sunken without the reconstruction?

JPH



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Sun Jun 17, 2007 12:32 am

 

Good morning JPH
I lost my eye 32 years ago due to an industrial accident. I was given an implant and a prosthesis. After two years due to the shape of the implant (round on one end and cylindrical on the other) it became exposed and had to be removed. So I walked around without an implant for 30 years.
Late last year in the course of my employment I had to do a television interview. My family noticed as well as me that on camera the left side of my face (socket) was deeply sunken. I had never really noticed it till I saw myself on the television.
So a trip to the specialist and behold, he said that if I did not get a new implant (much improved version now as they are perfectly round just like a marble) then the socket will sink further and become unsightly.I checked out the time that I would be off work etc (1 week for the op) and decided that I would go ahead.
The op took 2 hours, the Doctor said I would feel a bit ordinary for a while (correct, I felt like I did ten rounds with Mike Tyson the boxer :) ) As I am 58 I probably took a bit longer to recover than a much younger person. The pain killers were worth it, 8). I was back at work within the fortnight, however the healing process takes eight weeks then you have your new prosthesis made. Also I had two minor ops (day surgery) to correct top and bottom lids drooping etc. This all happened over last December, January etc.
Now it is June I can say that it was absolutely worth every bit of it, as now when I look at my face it does not look at all sunken. (The whole object was to remove the sunken look) :D :D :D :D
I am not sure about your twelve month process etc.
I hope this can be of assistance to you :)
Cheers
Barry



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Sun Jun 17, 2007 4:22 am

 
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Thanks Barry,

The eye specialist was saying that recovery of each operation would take about six weeks. Maybe that one year until all finished means that the periods between the surgeries would also be lengthy and the number of surgeries would not be that many.

Just how unsightly the sunkenness can become if there is no implant in the socket? My occulist says my eye looks OK compared with some other people and I agree, just lately I saw one young lady with very sunken eye that did not have a slightest movement and did not blink at all. Would mine also become like that if I do not go ahead with the specialist's suggestion? If my eye looked like the ladys I met, I would not even bother to wear the eye, a patch looks much better.

Maybe I just wait and see...

JPH



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Sun Jun 17, 2007 4:47 am

 

Hi JPH
I am wondering if you still have the muscles intact from the eye that was removed? If they are (like mine) this usually gives movement to the prosthesis. No muscles then little or no movement.
Cheers
Barry



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Sun Jun 17, 2007 5:23 am

 
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I do not know about the muscles, maybe yes as my eye has a little movement. I took a video in front of the webcam and can see that the eye moves to all directions. But off course not the full range and some directions less than others. Outward is less than toward the nose.And up and down very little if anything at all.

JPH



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Sun Jun 17, 2007 6:49 am

 

It's difficult for the doctor to predict the outcome of surgery. I had my implant replaced with a dermofat graft which has done wonders for the soreness and infections but nothing at all for the looks. It was supposed to help the sunkenness too and bring it all forward but if anything it looks more sunken now than before. That wasn't expected and the surgeon says that she doesn't think she can realistically do anything more.

The sunkenness is caused by the fat disappearing around the socket. With no eye to protect, the body has no use for the fat so in some people it gets absorbed. At least once it's gone it isn't going to get any worse. I'm still working with the ocularist who has made me one eye but is having another go to see if we can get it to look any better. I shall find out in a couple of weeks when the eye is finished.

Everybody is different though and you might have a wonderful outcome. Good luck with whatever you decide.



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