Diabetic Macular Edema, Pt. 2

As promised, I’m providing a bit of a step-by-step of the eye appointment I had today. Right from the outset I’m going to warn everyone that I took some photographs of my eyes. I only offer this warning because some people have difficulties handling “eye stuff”.

I arrived in Saskatoon and checked into my hotel that I’d be staying at for the night. I dropped off my bags and got set up in my room before booking the hotel’s guest shuttle to bring me to the hotel. The shuttle drove me and I arrived at Saskatoon City Hospital almost an hour prior to the appointment. I checked in at the admitting counter before starting the process.

The first step was a standard eye exam. I generally always score 20/20 on this, depending on how well-balanced my blood sugar is. On this occasion, I scored perfectly. The nurse then puts drops into both eyes that cause my pupils to dilate. Once this is done, I make my way to waiting room “B” where scans and photographs of my retina will be taken.

My “vampire eyes”, about fifteen minutes after they’ve been dilated.

I waited for quite some time before getting in for my scans. Unfortunately, getting to the hospital early does nothing for you, as the computer check-in places you in the queue based on your appointment time and not when you showed up. This sucks, especially when you happen to be early and people who have arrived after you end up getting ahead.

Once I get in to the “photographer”, he takes a detailed scan of the back of both eyes, as well as a photograph of each eye. This part of the process is simple and painless, despite having my eyes dilated like a vampire on coke, and every pinch of light causes a headache. Then, I made my way to waiting room “C”, which is ultimately where I will get the actual injections.

The medieval torture chair where I will be given my eye injections!

After another wait in the third waiting room, I was brought into an examination room as pictured above. I was strapped into the chair (Totally kidding! She didn’t strap me in!) and more drops were added to my eyes by the nurse. These drops freeze all sensation in the eyes (supposedly) but allow full movement.

The ophthalmologist (eye surgeon) then enters into the room and we look at the scans of my eyes together and compare them to the last appointment’s scans. During this discussion, we consider and decide whether the current injection regiment is still ideal or if it should be increased (my current regiment requires injections every eight weeks). I’ve been going at eight week intervals for almost a year now, with a couple of exceptions where I’ve allowed it to go to nine or ten weeks. This has resulted in worsened vision in the form of blurring, which is why we never push the appointments past the eight week mark.

The surgeon then places a clamp on one of the eyes (think Clockwork Orange) and puts a few drops of Bridine solution onto the white part of the eye. Bridine solution is a topical antiseptic generally used before surgeries. The white part if the eye is where the needle will penetrate the surface of the eye. I then pick a spot on the ceiling and hold fast, as the surgeon pushes the needle through and injects the medication.

Walking out the hospital in pain. Since I could barely see a thing, I’m surprised the photo turned out as well as it did!

As I’m staring at the ceiling and the medication enters the vitreous body, I can see swirls in my vision. It’d be a little bit freaky if one were not focused on the stinging pain ripping through that side of the face!

The needle gets pulled away and the excess is swabbed up by the surgeon. Then, I stagger into the scheduler’s office where she hands me a piece of paper indicating the date and time of my next appointment. She asks me if the appointment is fine, but I take the paper without reading it (because I can’t) and make my way down to the hospital lobby.

Normally, I get the hotel’s shuttle to pick me up and bring me back. On this occasion, the shuttle was tied up bringing guests to the airport so I had to hoof it! It’s about a fifteen minute walk through Rotary Park to reach the hotel. The walk itself would be refreshing and nice, considering it’s 4 degrees today. But since it’s a clear sky with a very bright, Prairie sun, it was torturous.

Right eye. The bright red line starts at the injection site.
The left eye. Notice the bright, red point is more prominent in this one.

Once I got back to my hotel room, I closed all the curtains and turned off the lights before crashing hard. It’s a catch-22! Having my eyes closed keeps the light from hurting me while the dilation wears off, but the rubbing of the eyelids on the eyeballs causes pain as well. Luckily, once I fall asleep I don’t notice this as much.

I’ll be taking it easy for the rest of the evening as my eyes recover then try and get a solid night’s sleep. Once I wake up tomorrow morning, I’ll make the trek back to Regina. I’ll have some latent headaches for the next day or two, but it’s a small price to pay to maintain my vision.

So there you have it! I warned you it might be gross. Something I didn’t mention in the previous post is that DME can be caused by bad blood sugar control over a long period of time. Being a Type 1 during my youth was chaotic. My blood sugars ran rampant and I’ve been comatose on more than one occasion. So, it’s very important to maintain your levels and get regular check ups, regardless of how big a pain it is. Because as much as I hate it when someone uses this line on me, it could always be worse!

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Shawn

I am a practitioner of the martial arts and student of the Buddhist faith. I have been a Type 1 Diabetic since I was 4 years old and have been fighting the uphill battle it includes ever since. I enjoy fitness and health and looking for new ways to improve both, as well as examining the many questions of life.

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