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I was terrified of an eyeball injection

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121–130 of 191 posts

Re: I was terrified of an eyeball injection

#121

Reminds me of Issac Newton, who had the total opposite attitude towards needles in his eye. He poked holes in his cornea as an experiment. This was discussed recently here on HN, but I couldn't find the submission. Here's a link to another story about it: https://jsaulburton.com/2014/07/27/isaac-newton-his-eye-and-...

Oh my!

Re: I was terrified of an eyeball injection

#122
Did anyone else get mentally scarred by the Dali video of woman's eye being slit by a razor. Accidentally saw it a few times on TV when I was young, big reason I don't have cable anymore. Every once in a while I still get get paranoid about accidentally stumble across it in gif form. Fingers crossed we'll get ability to filter out visuals like words someday.

Re: I was terrified of an eyeball injection

#123

Many of us will face eye injections as we age and develop macular degeneration, where eye injections are currently the best treatment to slow and stop age based macular degeneration. Type two diabetes can be reversed with diet, maybe those facing this procedure will get more motivation to try stricter dietary interventions.

Type two diabetes MAY be able to be reversed with diet, depending on the person. That being said, the article didn't indicate if the author was type 1 or type 2 (or both).

The author is a type 1.

Re: I was terrified of an eyeball injection

#124
post #63

Earlier quoted context omitted.

Things people I know have had in their eyes I didn't know could be in eyes: - The aforementioned gas bubble - The same but an oil bubble, when you need the pressure to remain there for longer (and a second surgery to remove it) - A 1mm bypass stent to reduce intra-ocular pressure

The bypass stent is interesting. Was that relatively recent? I heard of ALT and SLT, both laser therapies as I understand it, for iop conditions. I’m wondering about the effectiveness of laser therapy versus a stent.

Several years ago. Germany is extremely strong in ophthalmologic surgery - I've heard something like 3 of the top 10 eye clinics in the world are here in Berlin, though I doubt such broad measurements are really meaningful - and I think several MIGS devices were approved here a few years before elsewhere in the world.

I think laser therapies were avoided in this case because the patient was young.

Re: I was terrified of an eyeball injection

#125
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 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.

Pre-surgery benzodiazepines might fix that and are given to particularly anxious patients - I was terrified going into a surgery and was given those, ten minutes later there was total relief. I can easily understand the addiction risk (and haven't had them since), but for acute anxiety it was wild how much of a relief it was.

I went from nervous with fairly intense physical symptoms to being totally chill.

Re: I was terrified of an eyeball injection

#126
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 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.

The trick is to take the entire day off of work, take xanax, and do the motions without panicking.

The feeling you're describing is literally panic from an anxiety disorder. If it it's interfering with your adult responsibilities (like going to the doctor), that's the right time to use medication to get through it.

Re: I was terrified of an eyeball injection

#127

Earlier quoted context omitted.

What happens if a patient accidentally looks left or right during the surgery? I would be afraid of subconsciously/accidentally looking one way or an other during the surgery, but would that not cause a catastrophe?

I've had multiple eye surgeries. Prep includes putting lidocaine jelly over the eye, which will immobilize your eye from movement during the procedure.

Thank you for this. That's the primary thing I wanted to know from this post too.

Although I will say having my eyes immobilized also sounds scary. And I feel like I would constantly be "checking" that I still can't move them.

Re: I was terrified of an eyeball injection

#128
post #65

I’m curious why it seems they were seemingly conservative with the anti-anxiety meds? A large enough benzo dose would turn this from the worst day ever to a relaxing experience in just a few minutes.

Side effects like addiction and _feeling suicidal_ makes doctors quite conservative.

Re: I was terrified of an eyeball injection

#129
There was an interesting observation that practitioners optimize for themselves, not the patients[1]. When you're seeing dozens of patients a day, each of them reacting differently, it's hard to empathize fully with, and adapt to, each of them. The one you can optimize for, as the practitioner, is yourself.

[1] Dan Ariely, in the intro of his must-read book "Predictably Irrational"

Re: I was terrified of an eyeball injection

#130
post #113
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…

No offense to you, but this attitude is exactly the problem here. I know it's not rational to be very concerned about this, but I also know that the entire duration of that procedure, I will be thinking "KNIFE. IN. EYE." In the world I normally inhabit, knives should not ever be in eyes, so this is an incredibly stressful thought, stressful enough that I might do something crazy like MOVE WHILE A KNIFE IS IN MY EYE.…

Sometimes they also give you something for anxiety, like valium.
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