The Detached Retina

We have had some basic medical and dental care here, and we have been super pleased with the care, the availability, and the cost. But, recently, something happened that was much more frightening. I woke up one morning, and most of the vision in my right eye was obscured with a black curtain. I immediately figured that it was probably a detached retina. This calls for immediate and specialized care to save your vision. Was this care available? If it was, would it be successful? What did the future hold for me.?

I’m happy to say that I am 12 days post surgery now and everything looks like I’m having a great outcome! But, lets start at the beginning.

I went to the David Facebook group and asked for recommendations for a doctor for retina problems. Dr Bruno Vega’s name came up repeatedly. I went to Mae Lewis hospital where he practices, but the first available time he could see me was Saturday, a few days out. Unfortunately, the timing wasn’t the best since Joel was traveling to the US seeing his family. But I was glad for the appointment, and for my good friend who was standing by to take me wherever I needed to go. I probably could drive but with my impaired vision and anxious emotional state it would not be safe.

So, I waited, counting down the days, thinking of any other possibilities that wouldn’t be as serious as the detached retina. Do NOT go to ChatGPT for emergencies! I list my symptoms, and it tells me to go to the emergency room immediately. But I already did that. You need to go again, and insist, and say this! Like the ER can just conjure up a doctor out of thin air 🙄 This was stressful enough and ChatGPT only made it considerably worse.

I’ll add some eye information here, to clarity what was going on and why I was so worried. The retina lies against the back of the eye where it gets its blood supply. If it detaches it becomes separated from the blood supply, and will begin to die. The macula is where the information from the retina is fed to the optic nerve and on to the brain. If the macula is also separated the problem is even worse. In my case, I could still see light and color, though it was terribly distorted. But this led me to believe that only the retina was detached and it was still functioning. Trauma and a few other abnormal processes in the eye can cause the retina to detach but in my case, it was the most common reason. There was a tear (actually two) in the retina which allowed the fluid in the eye to get behind the retina, and this caused it to separate.

Saturday finally arrived and I saw the doctor. I immediately felt really good about him. He was kind but thorough, and confirmed that I indeed had a detached retina. He wanted to do surgery on Monday but that wouldn’t give enough time for all the preop testing and evaluations, so surgery was planned for Wednesday. He explained that he would remove the fluid in my eye, repair the tears with a laser, install a scleral buckle, and a bubble of air. The buckle would compress the eyeball, making the retina lie within it more securely, and the bubble would press against the back of the eye to hold the retina in place while it healed. The challenge of the bubble, however, is you have to remain face down so the bubble will float up against the retina, and he expected this to be necessary for two weeks. Yeah, this was a challenge but plenty of people have done it, and I would manage also.

So, now we had a diagnosis and a plan. Joel, thank goodness, made immediate plans to return home. He got here on Monday, but my good friend continued to take me to appointments and help me out while Joel recovered from his all-night travels and prepared a space for my upcoming days face down. I also told some of my friends what was happening and the outpouring of kindness, offers of help, and support was overwhelming!

The next step was preparations and preop evaluations, which I will describe in the next post.

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About Kris Cunningham

We live in David, Chiriqui Provence, Republic of Panama! This blog is about some of our experiences in our new country.
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8 Responses to The Detached Retina

  1. rocketmittens's avatar rocketmittens says:

    i am so glad it worked out for you. ever since i went to costa rica many year ago i wanted to retire in panama. red frog beach. but my 2 kids are still in high school. and they both are city kids. i love your posts though. i live in nyc.

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  2. Unknown's avatar Anonymous says:

    Thank you for this informative post. I have had several retina tears and one detached retina. This has been a concern for me while I comtemplate moving to Panama.

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  3. Unknown's avatar Anonymous says:

    Hi Kris. I had a detached retina a couple of years before I came to Panama. At the time I was living on Bonaire, and with their free health care I was sent to Bogota for surgery. The care was top level. On Friday they repaired the retina using laser, and surprising did it under local anesthetic! I had an oil bubble to hold it in place and – yes, face down for a week after that.
    On Sunday I had swelling in the eye and we called the insurance emergency number. Within a couple of hours the surgeon came to my hotel (On a Sunday!) with his son to help translate, they were going to play golf afterwards, he said it was a reaction to the eye drops, and arranged to have a different one delivered a few hours later. it was fine after that and within a few days I was able to make out shapes and vision improved steadily after that.
    Because of Bogota’s altitude, and my home being at sea level, I could not fly back for 3 weeks, otel paid for by the free health insurance, by which time I was seeing almost normally.
    When it came time to remove the oil – which was done on Curacao – they also did cataracts and replaced the lens so my vision was good afterwards. Long term I realize that that eye is not so red sensitive as normal and adjustment between sunlight and darker room is slower.

    I did find out something interesting though – speaking to several other people I discovered that we all had something in common, we had all broken a bone about a year before the detachment occurred!! I don’t suppose that had happened to you as well.
    Glad you are recovering well
    Phil

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  4. Thomas's avatar Thomas says:

    Hello Kris!Iguess I read the posts out of order! 🤦‍♂️🥴Whao, th

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