Black circle post Injection

[IzzyBara]

Hi everyone,

I had my 2nd injection on Friday for my wet mascular degeneration. Is it normal to see a black circle like afterwards? With the 1st injection I just had a very small floater which disappeared a few days late.

Thank you

Izzy

[thom3patty]

When I had an injection last Friday I saw about 6 blue black circles which then went to one circle they did break a blood vessel when they gave me injection so not sure if that’s y I saw that or not

[Bobbie915 in reply to thom3patty]

I had an injection last Thursday. I had one black button but it had disappeared by the next day. I did not worry as it had happened before but only rarely.

[RandyM]

Hi IzzyBara, The first 8 injections left me with large multiple black circles in my eyes. They eventually went away after a few days except for one. It remains as a small black floater. One injection left 2 small black circles on top of a large one. It reminded me of the Mickey Mouse face, ears and all. The doc says these black circles are from the air bubbles and will dissipate in a few days. Interesting that I don't see any black circles with my new doc. twice so far. I'll have to ask him why.

[thom3patty in reply to RandyM]

Please let us know what dr says thanks

[RandyM in reply to thom3patty]

thom3patty. Yes, I will post the docs remarks next visit.

[Melene in reply to RandyM]

I think a new doctor is a good idea, I have had two years of injections and never had black spots, only occasional floater that disappeared after a day, The perfect Doctor for you/everyone is out there, one just needs to keep searching.

[tallyho]

Hi there the black circles are just air bubbles from the injection fluid

[MikeG1944]

I've been studying reports of these and I think there are three types. bubbles of the injection fluid which disperse quickly; bubbles of air which take longer (hours or days) and bubbles of the silicon oil which is used to lubricate the inside of the hypodermic needle when manufactured; (I have one which I live with and can be permanent).

They can all display as dark or semi-transparent depending on the ambient light.

Just a small problem compared to the good that most get from the injections.

[Hidden in reply to MikeG1944]

Silicon lubrucated syringe needles which are intended for diabetic use, should NOT be used for intraocular injections.

I gather that in the USA where the practice has been more prevalent that legal action has been instigated.

Probably the only way to get rid of the resultant floaters would be vitrectomy.

[MikeG1944 in reply to Hidden]

Yes, I saw a video of them sucking out the small bubbles with a very fine glass tube.

I think I'd pass on that one and live with the bubble. Likely to cause more problems than the bubble.

[Hidden in reply to MikeG1944]

MikeG It could be worse, when my retinologist suggested a vitrectomy I misheard him and thought he said vasectomy.

I tnough, that’s a bit drastic! 😱😱

[MikeG1944 in reply to Hidden]

Done to make your eyes water and lubricate them.

[Hidden in reply to MikeG1944]

Well, it worked! 😂😂

[RandyM in reply to Hidden]

Rennatk, yes, I have heard of lawsuits because of the silicone with eye injections. I am in the USA and there is a class action case going on. My doc said he doesn't use the silicone.

[Hidden in reply to RandyM]

It is dangerous corner cutting whilst charging top rates for the treatment.

[Jihm in reply to RandyM]

I spent half a day trying to trace down the source of the silicone lubricant on syringes. I did this because I have a blob of silicone in my eye from an Avastin inj.

Long story short: I was able to find out that, per the largest supplier of syringes

here in the USA, that all the various types of syringes they supply are lubricated with silicone lubricant. It appears, from a study I saw on the internet, that it is the type of syringe, rather than the drug itself, that makes it more or less likely that the patient will get a blob of silicone in the eye - "luer lock" syringes being the least likely, and "steaked-on" (or "steak-on") syringes being the most likely. Because I got the silicone blob in my eye from an Avastin inj, I, naively, asked to switch to Eylea - thinking Eylea might not be as likely to cause an additional silicone blob. The doctor

agreed to switch. However, from what I have been told, by a compounding pharmacist who

was able to get more info out of some corporate people than I could, I am in luck. This because I have been told that Eylea is supplied in luer-lock syringes. I sincerely

hope that turns out to be true.

[RandyM in reply to Jihm]

jihm, Thank you for the info on luer-lock syringes. I still have a permanent black floater. The other black floaters that occurred from injections went away after a few days. When I asked my doc about the silicone problems, he fluffed it off and said he doesn't use silicone. I remember every single time, after each of 8 procedures I had, his staff ALWAYS said, "do you have any permanent floaters from the past injections?" I never saw the syringe he used so I am not sure it was the luer-lock type. I will have to look into this further because I still think something is amiss.

[Jihm in reply to RandyM]

You are welcome, Randy. I think the docs may not even know that the syringes are lubricated with silicone lubricant. Of course he "doesn't use silicone" himself. But the folks who manufacture the syringes, at least in the USA, do.

[IzzyBara]

Thank you everyone! The circle is still there (5 days) it did get a little smaller. Hoping it will disappear soon.

On another note I read so many of you have painfully injections. I have to say that's one thing I haven't gotten, thank God. Just a little discomfort afterwards which this time the Dr. told me to put the lubricant drops in the fridge, that the cooling effect helps, and it does.

Have a great day everyone!

Greetings from a rainy day here in New Jersey, USA

[Melene in reply to IzzyBara]

Hi Izzy,

Fate took me to a great Dr in PA. Injections are never painful for me because I’m well anesthetized, down side are occasional blood cots that can last for days.

My Dr appreciates the input I give him from the Information I get from these posts.

[thom3patty in reply to Melene]

I live in Erie pa r

U Close to here

[IzzyBara in reply to thom3patty]

I don't know where Erie is. I'm 1.5hr away from Easton.

[Melene]

I’m near Abington, a suburb of Philadelphia.

[thom3patty in reply to Melene]

Oh ok I have a daughter who lives in york u would b much closer to her we r about 5 hours from there I am just curious where u go

[Melene in reply to thom3patty]

I would rather not mention name of office at this time since I refer to it so often.

If someone local needs that info I will share it with them.

[eyeprotect]

It's perfectly normal to see circles and floaters following Lucentis, Eylea etcetera injections. With a steroid implant (I had one just over two weeks ago) there is more internal bleeding and the implant itself is like a dark floater with a tail on it showing up in one's vision. I am hoping this will eventually disappear as the implant dissolves (up to six months, I'm told). The good news is that the oedema (UK spelling) which was threatening to impact on the part of the eye called the fovea has reduced by almost half already. I am aware that all of these treatments are simply to prevent the condition worsening. At least I still have binocular vision despite the problem in my left eye. I would hate to lose that.

[Hidden in reply to eyeprotect]

Were you warned about the near inevitable cataract and possible glaucoma resulting from the implant? In my case as I have a tiny cataract already and it is resolvable it did not worry me but my IOP went up from the implant. Currently, I am back with Lucentis.

[eyeprotect in reply to Hidden]

One puts one's trust in the expertise of the doctor much as one does with the expertise of a financial adviser but, as with the latter, there are no guarantees. I am a bit on the overweight side and am wondering if I could lose another 14lbs might it help take the pressure off the vascular system generally. Oh well, maybe I am clutching at straws.

[Hidden in reply to eyeprotect]

Hi eyeprotect, yes the implant you see will disappear as it dissolves. I'm on my third one and as Rennatk says the side effect of cataract has hit me. I didn't think it would happen so soon. It may not get you so quickly but be prepared, I was very shocked. Also, I was told originally any cataract would only be in eye with implant but I have them in both eyes and Dr who told me said it wasn't unusual. I hate it when drs give different info! I'm planning on having a firm conversation if I see the original doc again. Make sure you get all the info you can. Best wishes going forward.

[eyeprotect in reply to Hidden]

Thanks for the info. So do you have to get treatment for the cataract as well? And the thought of getting cataracts in both eyes as a result of an implant in one eye is pretty depressing. I will certainly raise the issue whenever I am due a second Ozurdex implant. Your information would act as a deterrent to my proceeding with another implant! In that case I would prefer to be cautious and revert to the Eyelea injections.

[Hidden in reply to eyeprotect]

Thanks eyeprotect. You mirror my feelings exactly - I went ahead with implant thinking only the bad eye could get worse ie cataract so it was worth the risk. I have been upset about it but nothing I can do now! My Dr reckons I'll have to have bad eye done within 9 months as he said it's accelerated.

However, I recently learned from a colleague who had her cataract done a couple of years ago ( no macular condition) that her plastic lens is now cloudy. She told me they won't give another lens one has to have laser. I don't know if that's just her or standard practice but it puts me off having mine done too soon if it's likely it will have to be treated again! I have a long list of questions for my next review lol. Good job we can still laugh through the tears x

[eyeprotect in reply to Hidden]

I see that aspirin can act as an antagonist to dexamethasone. I wonder if taking the soluble low dose aspirin (75mg) would help prevent the formation of cataracts? According to one medical website (American) only about 10 percent of post-steroid implant patients develop cataracts. So fingers crossed! I am also taking Macu-shield capsules (Boots, three packs for price of two deal, one-a-day) These contain zeazanthan and lutein. I also graze on blueberries whenever I can. They're rather pricey, unfortunately!

[Hidden in reply to eyeprotect]

Re aspirin - I'm on that for something else and it hasn't stopped my cataracts. Wishing I could win the lottery as easily lol.

Re macushield my gp (England) prescribes them for me. Worth you asking. I think NICE are reviewing supplements generally but so far so good.

[Blackcurrant in reply to Hidden]

Can I help with info about cloudiness post cataract op? When they take your own lens out they aim to leave its skin/membrane behind, which acts as a cradle to anchor the replacement. If it adheres too much to the new lens it can change and become cloudy. V delicate procedure I think. But if this happens they aim a laser at the central area, focussed in front of the retina, so it won’t burn you, but it does vapourise the cloudy membrane and cuts open your vision again, so don’t worry. Think of it as opening the curtains by cutting a hole in them! The laser I know about is called a YAG laser. Hope that’s useful.

[Hidden in reply to Blackcurrant]

Hi Blackcurrant, yes I learned about this after my post. So far I've been lucky with my capsule and replacement lens. Thanks for taking the time to reply

[Hidden]

I have heard of another instance where the pellet was visible and could be seen moving about. Thankfully I did not have that.

If you detect any misting of vision I recommend that you report it straight away.

I can’t really comment on the losing weight issue other than to say that it can’t do any harm. 😊

[Eyegirl]

Black dots after an injection that float around are just little air bubbles, the practitioner isn't always able to get rid of them from the vile that holds the drug, so when it is injected the bubble gos in as well. Its harmless and should disappear within around 1-2 days. If there is anything ever unusual, redness, discharge, pain or sudden loss of vision call the hospital and they can reassure, advise or bring you in to be checked. Never sit and worry

[ColWi]

You know what it might be... I have had that a few times. It was an air bubble. That sometimes happens. When I have had the I keep forgetting and thnk there is a bug on my face, and keep trying to brush it off lol