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I was terrified of an eyeball injection

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Re: I was terrified of an eyeball injection

#101
post #5

I have a lot of sympathy for the author. I've been thinking about getting LASIK (or SMILE as it seems to be gaining popularity in France) since friend got it and says it's life-changing, and since I've started considering it I sometimes have nightmares about the procedure. I already had some minor surgery with local anesthesic and I didn't have any anxiety, but there's something about having something done to the eye…

My problem with LASIK is the rare issues. It looks like it works fantastically when it works, but it seems to also cause fantastic problems when something goes wrong. Given my high negative prescription I just can't bring myself to do it.

Excellent thinking.

I've read enough horror stories to know it's not worth the risk, especially when my optometrist told me my vision would worsen anyways in 10 years.

Re: I was terrified of an eyeball injection

#102

My mother accidentally put mosquito repellant in my eyes as a child (my father had put it in an eye dropper to carry hunting and didn't label the bottle) To this day anything that messes with my eyes freaks me out. That little puffer thing at the eye doctor? That thing is my nemesis. I won't wear contacts. Lasik is out of the question because on top of this phobia I also have CP and I get super spastic when stressed.…

I sympathize, that must be terrible. Your story reminds me of something my wife did a long time ago. She wanted to put sunscreen on our baby daughter's face, and she had the bright idea to blow in her face so she'd close her eyes, and then quickly spritz with the spray.

That worked out exactly like you are probably thinking. Fortunately there doesn't seem to be a resulting phobia, 11 years on.

Re: I was terrified of an eyeball injection

#103
post #79
post #42

(Ophthalmologist): To any future HN reader scared by those intraocular injections: don't fear them. I'm on my way to the operating room and going to perform cataract surgery under topical (=eyedrops only) anesthesia, as I always do, and as most surgeons today do. Patients won't feel anything except water slightly flowing on the eye surface. The surgical knife is 2.2mm wide : the 25 Gauge needle is 0.260mm wide. Anest…

I fully believe your professional assertion that eyeball injections won't hurt but this is probably the worst thing I ever read on HN.

I had one of these and while it was awful to think about, the sensation was actually minimal. I wouldn’t hesitate in future…

Re: I was terrified of an eyeball injection

#104
Makes me shudder...

I had some systemic inflammation behind my retina that would flare up every year or two, causing my retina to warp and make everything look like a fun-house mirror. (At least with the good eye closed... with both open, the brain sorts it all out and provides a good image...)

To reduce the swelling, I needed steroids shots towards the BACK of the eyeball! Speculum goes in, then the doc puts his thumb on the eyeball and rotates it so that I’m looking into my own brain (it seemed) and injects something... aargh!

Didn’t help they he was 76, had shaky hands, and would say things like “now don’t move or you’ll go blind... haha.”

Not all that painful, though... the anesthetic drops numb everything. But, the most disturbing medical experience I’ve had.

(Of course, I’m a guy... I doubt it’s as disturbing as squeezing a baby out of a small orifice in your groin, so there’s that...)

Re: I was terrified of an eyeball injection

#105

I've been Type 1 diabetic for 10 years. Even though my glucose control is excellent over that period (A1C never >6.5%) I've never been able to shake the latent fear that it's a matter of time before I develop complications like retinopathy. What sucks hard is that it's not _just_ determined by insulin and glucose. Exercise, stress, activity level, protein/fat intake, illness, and more can all cause massive variabilit…

Do you follow the advice of Dr Richard Bernstein at all? http://www.diabetes-book.com/

Dr Bernstein is a T1D diagnosed back in the '46. He followed the typical diabetes advice and still developed complications to his diabetes. He was an engineer and felt like the biggest problem (at his time) was that diabetics couldn't tell what was happening with their blood sugar so he started doing whatever he could to gain access to a blood sugar monitor (rare and only owned by doctors at the time) and once he got one he started doing what engineers do, testing adjusting and tracking results. He realized that complications from diabetes is entirely caused by blood sugar, and that carbs are the largest thing that affects blood sugar. A low carb high fat/protein diet would have minimal effect on blood sugar levels. He tried to advocate that everyone should follow this diet and also have access to a blood sugar monitor. But the medical industry wouldn't give him any mind, because he's an engineer not a doctor. So this dude went out and became a doctor, and has completely changed the lives of diabetics everywhere thanks to his work.

Anyways, tangent about how awesome this guy is aside. He says if you maintain an A1C of 5.5 you will not suffer the effects of diabetes. The best way to do that, he recommends, is to eat a low carb high fat diet in order to minimize spikes in blood sugar and avoid needing to take excess insulin.

Re: I was terrified of an eyeball injection

#106
I can relate to this story a bit.

I had an Avastin injection in my eye 10ish years ago in my mid 20s. It turned out that I had a central retinal vein occlusion which caused me to suddenly lose vision in one of my eyes. There was lots of hemorrhaging and swelling of macula which made me lose vision.

One of the suggested ways to treat some of the swelling was by injecting Avastin into my eyes. The ophthalmologist said that there weren't really anything else to do at that point besides to let the eye naturally heal so I did take the chance to take the shot.

I experienced all of that anxiety that the author wrote about as just the thought of a needle injection into the eye is truly gruesome. But what everyone else on here have said is correct in that, they put all this stuff on you, antibiotic drops, anesthetic drops, and betadine and then they have you look up in the upper right hand or upper left hand corner as they inject into the white of your eye.

I remember this being the excruciating part as once the needle goes in, you shouldn't move your eye at all and keep it in that position or risk blindness (as the ophthalmologist put it). What was seconds seemed like minutes. Due to all the anesthesia, you feel no pain but you do feel this discomfort of pressure as the needle gets inserted into the eye.

Thankfully, I only required just one injection but I knew a lot of other elderly with macular degeneration and such who needed these injections regularly in order to not lose vision. The whole process was pretty professional but I don't know if I would want to go through that all again but I know that if it was between that or lose my vision, I think most people would decide to get the injections.

Re: I was terrified of an eyeball injection

#107
post #76

Earlier quoted context omitted.

You can't tell me not to fear it. I have a HUGE eye phobia; I can't even open my eyes under water. It doesn't matter what anyone says, it isn't a rational thing.

This is so bizarre to me, to be an adult and just unable to control your own body? I guess I'm lucky to not have this issue, but man it's so foreign to me that you can't even open your eyes under water.

Would you also not struggle to touch a hot stove? I think it is a similar feeling. Genuine question too - I've got a friend who is comedically brave and doesn't experience pain the way that other people do who might express a similar idea. He just already knows that its unusual and not the default.

Re: I was terrified of an eyeball injection

#108
A close relative needed cortisone to manage an eye infection post eye surgery. The insurance stopped paying for the cortisone drops after a while, the only thing they would pay for were injections. The procedure consisted of a large syringe that was used to inject a literal pellet that would float around in the eye and slowly give off cortisone over multiple weeks. My relative said they could sometimes see the pellet float through their eye as it intercepted light on its way to the optical nerve. It manifested as a circular shadow in their field of vision. They called it their "satellite".

The thing that struck me the most, is that a human eye seems to be pretty puncture tolerant before it starts to leak. Also, the insurance's decision is hard to understand: The injections cost $2k compared to a couple hundred for the eye drops. And once the pellet is in, you can't get it out to reduce the dosage.

Re: I was terrified of an eyeball injection

#109
post #42

(Ophthalmologist): To any future HN reader scared by those intraocular injections: don't fear them. I'm on my way to the operating room and going to perform cataract surgery under topical (=eyedrops only) anesthesia, as I always do, and as most surgeons today do. Patients won't feel anything except water slightly flowing on the eye surface. The surgical knife is 2.2mm wide : the 25 Gauge needle is 0.260mm wide. Anest…

You might be right but I’m too much of a wuss to put eye drops in without flinching, let alone a needle

Tip: If you tilt your head back and squirt it in the corner of your eye (near your nose), it'll flow into your eye perfectly every time.

Re: I was terrified of an eyeball injection

#110
I’ve had 4 cornea transplants and PRK (like LASIK but no flap). Before I started I was very nervous and sensitive to anything touching my eyes. Now it’s like, whatever, do what you need to do.

The anxiety is worse than the procedures, by far. I don’t have any helpful advice to give; I just toughed it out. The only bad experience I ever had was during my second transplant. They conduct transplants under conscious sedation plus local anesthesia. The sedative puts you to sleep for a few minutes while they nerve block the side of your face with Novocaine and then they wake you up a little for the procedure. I found the procedure profoundly disturbing psychologically even though I was in no discomfort. They use a trephine (like a small razor sharp cookie cutter) to remove your cornea; you’re awake and can sorta see it. It makes squishy noises. Your vision skews all over and then goes really blurry and you realize that there’s nothing but gravity keeping the insides of your eye in. After that I always asked the anesthesiologist to sedate me just to the point where I was unconscious or at least not aware/lucid.

Most doctors are very caring people and used to addressing anxiety. Maybe not surgeons so much, at least in my experience.

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