Update ozurdex implant 2: Had 2nd implant... - Macular Society

Macular Society

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Update ozurdex implant 2

15 Replies

Had 2nd implant Tuesday. Different dr, she put this one in up in the NorthNorthEeast part of my eye. It was a bit painful going in, but then the Lucentis always were in that spot too. At least it didnt bleed as bad as last time just a trail down from the inj site. What was weird was the dr pushing on my eye, making the implant move - that wasnt painful just uncomfortable and odd. It was bobbing at the side of my nose but it now its up by my eyebrow like last time so I guess its in the right place (i know its opposite wherever we see it).

No problems with the iodine just an achy feeling. Sight still a bit blurry but the blank spot has gone so it seems to be working like the last one did.

Ive made a huge decision and asked my gp to sign me off sick for the 3 months of this implant. Spoke to my occ health dr about it first due to the stress I experience at work and he agreed it would be a good idea. Im convinced workplace stress is having a detrimental effect (raised bp, increased oedema) and having time away from it is the only way to test that.

Feel like a weight has been lifted already. Going to concentrate on relaxation and will be able to do more yoga and tai chi classes plus start up my running again. Next door have a lovely dog and Ill be taking her for long walks too. Booked blood tests to recheck my non diabetic status and cholesterol levels just in case.

Good luck to everyone moving forward, i will let you know how my next review goes x

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15 Replies
marianS profile image
marianS

Dear eyesright

It is so great to read that all went so well with your second implant, and the way you have described what you felt at the time, and the after effects, can be so helpful for others who may be facing the experience.

You have been so positive and very careful in thinking things through to optimise your recovery, and seem to have good support from your GP and Occupational Health department. It is so important not to compromise this period - after all, it is beneficial for them too if you make an uncomplicated recovery to maximum efficiency! In the meantime, enjoy your relaxation plans and (gentle) dog walks!

We wish you all the best for the future, both short- and long-term.

Regards,

Macular Society Helpline

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Bobbie915 profile image
Bobbie915 in reply tomarianS

Well done, Eyesright, that sounds very positive. It's so good to hear that things seem to be improving for you. Keep up the good work.

Ayayay80 profile image
Ayayay80

Hello eyesright

Well, that's another ordeal over for three months! So glad for you. So now you are going to be a lady of leisure for a while? Good for you! Make the most of it. Yoga, tai chi and walking will help you to relax, but I don't think running is a good idea because of possible jarring.

Take care and let us know how you get on. x

rosyG profile image
rosyG

sounds very good and a sensible decision- enjoy some free time now!!

Eyesright Thanks for this. I am being steered towards Ozurdex for a different condition but the jury is still out as to whether I go for it. Lucentis works ‘from my side’ but the swelling is increasing.

I look forward to hearing your experience with the steroid.

in reply to

Hi Rennatk, that's what happened to me too with Lucentis and eyelea. It would work for a few weeks then be as bad as ever. First ozurdex was the same although was better for a bit longer. I was reluctant to have it though but on balance decided the eye needed something different to give it a kick . Fingers crossed for both of us!

in reply to

Ozurdex was an earlier treatment for several eye conditions which was overtaken by the anti-VEGF drugs but it does appear that it can still have a role in retaining and even improving vision. What put me off initially was the stated high risks of cataract and glaucoma. Cataract I had little concern about as I have a small one developing as a result of radiation but the risk of glaucoma was given as v high, virtually inevitable. However, since then, approx 2yrs ago, I spotted some research, not a trial, done by a British University which suggested that the risks had been overstated and the likelihood of glaucoma was more realistically in the region of 10-30%.

It will no doubt be a factor in my decision in the future. Although, I have strong suspicions that cost is a major element in the pressures to have the implant. Lucentis is not Licensed for use with my condition whereas it is readily available for wet AMD sufferers.

The wet AMD Clinic which uses the same facility administers in excess of 100 Lucentis/Eyelea shots per weekly session whereas just 5 of us with cystoid macular oedema receive Lucentis at 4-6 week intervals. No other such patients are now permitted to be given L or E and have been restricted to Avastin or in some cases Ozurdex.

in reply to

Yes, I weighed up the cataract risk which is v high but can be treated. My consultant also told me the possible raised IOP is what causes the glaucoma and they monitor carefully. I was already on timolol drops for raised IOP caused by Lucentis so that didn't seem a problem to me. In fact my IOP has reduced on the implant and I don't have the timolol drops any more.

Hey ho, all we can do is keep moving forward. Best of luck to you x

in reply to

That is interesting and unexpected that your IOP should be lower after Ozurdex. The IOP in my irradiated eye is always at least 6mmHg lower than my good eye which should give me a good start if I ever have to go the steroid route.

alalex101 profile image
alalex101

What condition do the implants treat?

in reply toalalex101

In my case cystoid macular odoema/radiation retinopathy but mainly they are used to combat wet AMD.

in reply toalalex101

I have brvo. Rennatk may be correct but I'm sure my Dr said wetmd patients can't benefit from the steroid implant, only the antivegf inj.

in reply to

Eyesright You are correct Ozurdex treats macular oedema.

Alalex 101 My apologies, please disregard my comment about its use for wet AMD.

IvyRose2 profile image
IvyRose2

Good luck to you Eyesright and I am pleased you are taking some time out, enjoy your Tai chi, yoga, and dog walking and I am wishing you a good recovery. take care.

Yes. At last review was found to have crept back up so am on timolol again. Thanks for your concern x

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