Single Vision: My Journey to Monocularity
Four years ago, my right eye decided to take a permanent vacation. People would ask, "What happened?". I actually started writing my story in late 2020 detailing what i have gone through. But, I sadly never got to finish it. But, in those four years a lot more has happened and finally with this blogging venture I've embarked on recently, I was determined to finish my story. And now, here it is! Yay! So, let's dive into the wild ride that led to me being monocular. Once upon a time…
DON’T SIT TOO CLOSE TO THE TV
When I was a kid, my older brother, Andrew (Drew) would tell me to stop watching so close to the TV, because I’ll ruin my eyes. Didn't believe him and I'd ignore him. I was a bookworm too and would not read in the proper lighting. Fast forward a few years, and voilà! Glasses. Should I have listened to kuya? Maybe.
I first donned spectacles in my junior year of high school. My mom picked out a pair of big-ass lola wireframes that reminded me of Napoleon Dynamite. To her, the bigger the frames the better. I was near-sighted (myopic), a fancy way of saying I couldn't see past my nose. But, let's be honest, those glasses were a fashion crime. I ditched them soon after, living life blurry-eyed, squinting most of the time. Fast forward a few years, and I rediscovered the necessity of eyewear, this time with a sleeker, better looking pair. But old habits die hard, and I’d frequently shed my specs, squinting my way through life. I'd often have those who's-that-waving-at-me-from-over-there moments, only to recognize the face when they get closer. Embarrassing.
Then came the discovery of contact lenses. Oh, the freedom! No more fogged-up glasses, no more squinting. It was like a superpower. But, those little suckers were a pain to handle, and they had a nasty habit of falling out or getting irritated at the most inopportune moments. Still, I'd gladly trade the hassle for the clear vision and the illusion of looking effortlessly cool.
FRICKIN' LASERS, MAN!: LASIK AND PHOTOCOAGULATION
Years ago when it was newly introduced, my dad considered LASIK surgery. He was all set to ditch his thick glasses, but it was revealed that the procedure wasn't a magical cure-all, especially for his super-high prescription. So, he decided to pass on it, especially for the price it was going for back then.
A few decades later, I found myself in the same boat, tired of the constant battle with glasses and contacts. My cousin raved about her LASIK experience, declaring it "life changing". That's it. I was sold.
In 2009, LASIK surgery prices have gone down by half. So, armed with some extra cash, I asked my mom to hook me up with her friend, an Ophthalmologist from the UST Eye Institute, and get the procedure done. I was excited to get my "life changing" moment. But, little did I know, my eagerness would lead to a series of unexpected twists and turns.
First, I made the stupid mistake of showing up to my pre-op appointment wearing contacts. Did you know that contact lenses make your corneas swell? I didn't. So, I had to return a week later, contact-free and get re-evaluated.
Next came the eye exam, a bunch of tests that would determine my LASIK eligibility. I was quizzed about floaters, those pesky little specks or fibers that dance and cast shadows in your vision. Yup, I had those. Turns out, I had a more serious issue: a tiny tear in my retina. It was like finding a crack in the windshield of your eye. To fix this, I had to undergo a procedure called Photocoagulation, a fancy term for a laser zapping my eye. The experience was as pleasant as a root canal, complete with zapping noises and sharp pokes. I did have to cough up a couple of more thousands to have this done. But hey, at least I'd be one step closer to 20/20 vision, so it was worth it.
After a week of healing from that procedure, finally, the day of the actual LASIK surgery arrived. After numbing drops and a lot of anticipation, I was prepped for surgery. The procedure itself was a blur (pun intended), but I remember clenching my fists and afraid to breathe wrong, thinking I might skew the laser beam or something. But, the whole procedure was done in about 30 minutes. Waiting for the anesthesia to take effect took longer.
Post-op, I was armed with safety goggles that looked like I was going to do carpentry and the promise of crystal-clear vision. However, a disclaimer from my doctor: age would eventually catch up, and I'd likely need glasses again. Darn it!
Nerdy-looking specs, but much better than the lola glasses my mom picked out as my first pair.
So, I went back to being bespectacled in 2015 for distance. I enjoyed a blissful six-year run of clear, unobstructed vision. But alas, like all good things, it had to come to an end. We cannot escape time. The aging process is a relentless enemy. While I could opt for a second round of LASIK, I’ve decided to let things progress naturally. After all, why risk zapping my eyes with lasers again? I’ll stick to my glasses. It made me look smarter anyway.
In 2016, my right eye started acting up. It wasn't quite blurry, but more like someone had smeared Vaseline on the lens. I brushed it off, assuming it was just something like eye strain. But the problem persisted, and my right eye prescription kept getting higher and higher.
Two years later, then came the floaters – those pesky little specks were back. It was like a bad sci-fi movie with flashing lights, right in my eye. I suspected a retinal tear, a sequel to my 2016 ordeal. But, hey, why rush to the doctor? LASIK has turned up to be more popular and much cheaper, so I could have it done anytime, right? Wrong!
2019 was the year my right eye decided to throw a fit. It started with a bit of fuzziness, like looking through a dirty window. Again, I blamed it on late nights, video game binges, and a general disregard for proper reading conditions. I even tried those trendy eye masks and eye exercises, hoping to get my eye back to normal. But as the months passed, the blurriness worsened. It was like peering through a frosted glass, a constant reminder of my deteriorating vision. I finally decided to seek professional help, and luckily, big brother Drew knew a renowned retinal surgeon, Doc Arnold, who could check my eye out.
In the meantime, to compensate for my failing right eye, I started using an eye patch that could slip over my glasses. It was a bit of a strange look, but it helped my left eye focus better. I felt like a pirate. Arrgh, matey!
So, accompanied by Drew, I found myself in Doc Arnold's office, facing a diagnosis that sounded like a tropical disaster: Retinal Detachment. Dun dun dun!
So what is Retinal Detachment? It’s when your retina – that layer of tissue at the back of your eye that processes light – pulls away from the tissue around it. How do you get it? You can get it from getting older (age), hurting your eye, or being nearsighted. In my case, mine was caused by nearsightedness, and complications from that pesky little health gremlin, Diabetes.
The doctor actually explained it using metaphors. Imagine your eye as a coconut. Imagine your eyeball as a coconut. In the middle of the coconut is the lens of your eye. Now retinal detachment is when the coconut meat – the lining - detaches from the shell and ends up covering the lens. Hence the dirty window or curtain effect in my vision.
The type of Retinal Detachment I had is the most common, which is Rhegmatogenous. I think this started with that retinal tear I had so many years ago. Although, I supposedly got that fixed, I guess it didn’t stay fixed. Retinal Detachment can be fixed if you have it treated right away. Er… Oops!
So, the solution? Major eye surgery. I thought it would be as simple as that laser procedure I had done before I had LASIK. Nope. For this one, they'd have to put me under. They'd be fishing around in my eye, removing the old vitreous gel and replacing it with silicone oil. BUT, here's the thing… Since it's been three years since my vision started deteriorating, the doctor said there was a 50/50 chance of the surgery working. I could choose not to have the surgery, but, I risk complete vision loss and facial deformity (kirat). But, if I wanted to get my eye fixed, I had to have the surgery as soon as possible.
The financial burden was equally scary. The cost of the surgery was not cheap, I tell you, and I didn't have the funds that time. But with the help of friends, family, and a generous boss, I managed to scrape together enough to cover the expenses.
As the surgery date approached, my anxiety skyrocketed. I'd heard horror stories of botched eye surgeries, and the thought of losing my vision terrified me. I had panic attacks, and sleepless nights, or I would hyperventilate just thinking of all the what-ifs. But with the support of my brother and good friends who calmed me down, I was able to calm my nerves and face the surgery.
D-DAY: LENSECTOMY AND VITRECTOMY
So, I was all set for D-Day: a Lensectomy and Vitrectomy. A Lensectomy is a microsurgery procedure that removes part or all of the crystalline lens from the eye, usually done for complex Retinal Detachment, like what I had. Vitrectomy is when they remove the vitreous gel inside your eye and replace it with silicone oil. This is to push back the lining and keep it in place. Basically, they were going to do some microscopic surgery to yank out my natural lens (a bit like swapping out a faulty car part) and then fill my eyeball with silicone oil (think of it as a high-tech eye lubricant). It's an out-patient procedure. In and out, quicker than the actual prep time for surgery.
October 11, 2019: The day of reckoning. I checked into the hospital, feeling all sorts of nerves. Left alone with my thoughts, I started spiraling into a panic attack. I mean, who wouldn’t? I was about to have my eyeball operated on! I did what i can to distract myself. I even had a little photoshoot with my Popself. Thankfully, my bestie, Kraus, arrived and was there as my bantay, who provided some much-needed company, distraction and encouragement.
Pop Carla keeping me company at the hospital.
The next morning, I was wheeled off to the OR, Kraus holding my hand as he walked beside my wheelchair. I got quiet and was about to panic again. But, I got myself together in OR prep. After an hour of waiting, they moved my gurney to the actual Operating Room, placed a mask over my nose and mouth, then I remember the anesthesiologist telling me to breathe normally. Then… Nothing. Next thing I knew, I woke up in the Recovery Room disoriented, but not loopy as I thought I would be. It was done! Yay! I went back to sleep, until they told me it was time to go back to my room.
After the short ride up to my room from Recovery, I was enjoying breakfast with Drew and Kraus, when I was told that the doctor wanted me to extend my hospital stay. But I was itching to get home. I was missing my furbaby, Titan, and I didn't want to pay for another night. So, Drew texted Doc Arnold to spring me that same day. He arrived, peeled off the eye patch, and gave my eye a once-over. He informed me that they’d wrapped a silicone belt around my eyeball -- Scleral Buckle -- to keep my retina in line. They had a video of the surgery and asked if we wanted to watch it. Uh… No thanks! Drew, on the other hand, was all for it. Weirdo.
Lensectomy/Vitrectomy done!
Now, we just had to wait and "see" (Hahaha...) the surgery's effectiveness. After a few more checks and instructions from Doc Arnold's intern, I was finally free! Armed with safety glasses and a strict face-down sleeping position order (thanks to the silicone oil), I was ready to conquer this healing process.
Going home! Big brother, Andrew, wheeling me to the parking lot.
FOLLOW UPS AND IMPROVEMENT
The next few weeks were promising. Although, I looked like a boxer who got beat up, my vision was still fuzzy, but it was less fuzzy. But hey, at least I could "see" the progress! I continued with my follow-ups, where they would test my sight using a high-powered lens and I would be able to make out letters.
The good news was, the detachment was history! But the bad news? Well, let's just say I won't be having perfect vision anytime soon. I'll get some of it back, but not crystal clear. It's like getting a half-baked miracle – disappointing, but still something to be grateful for.
Going through the healing process. Looking like I was beat up and lost a round in the ring. It did get better.
A month post-op, my right eye started getting blurry again, like it was having a flashback to its pre-surgery days. I was like, "Seriously, eye? After all that. you couldn't just stay fixed?" Ugh....!
Doc Arnold's verdict was a punch in the gut: the surgery had failed. Apparently, I'd waited too long to have it fixed. That was the 50/50 chance he warned me about. I was devastated, blaming myself for procrastinating and wishing I'd had the funds sooner to have it done. I even questioned the universe "Really, Universe? Why?"
But in the end, I realized that at least I'd taken a shot at it. An expensive shot, yeah, but a shot nonetheless. Sometimes, even the best-laid plans go awry. Not meant to be. *sigh*
ADJUSTING TO BEING MONOCULAR
Adjusting to life with one eye was no walk in the park. Suddenly, I was a member of the PWD community and it was a crash course in patience and adaptability. Peripheral vision? Gone. Depth perception? Wonky. Crossing the street became a high-stakes game of chicken, and I've narrowly avoided becoming road kill more times than I care to admit. I can no longer drive, ride a bike, operate heavy machinery or fly a plane (Yeah, right!). People would materialize out of thin air on my blind side or people would suddenly disappear only to realize that they've been there the whole time, I'd knock stuff off tables, and I'd trip over air. Darkness was my enemy, and forget about 3D movies – that dream was shattered when I realized I'd be forever stuck in 2D. I cried like a baby when I found out I couldn't experience Star Wars: The Rise of Skywalker in all its 3D glory.
But, as they say, time heals all wounds (in my case, slowly) and eventually, I learned to navigate this new reality. It was tough, but I'm proud of how far I've come. I'm still fully functional, despite losing my right eye vision.
THE LEAK, ECQ, GLAUCOMA AND ASPIRATION
Easter Sunday 2020 was supposed to be enjoyable and relaxing, but it became a full-blown intense headache party. I projectile vomited my dinner and couldn't lift my head without feeling instense pain in my skull.
With the world on lockdown, getting to a doctor was like navigating a warzone. I was stuck at home, a gaunt, Cheetos-fueled zombie, enduring a never-ending intense headache. I wasn't eating because it was agony to get up and cook. Drew’s concerned “You look gross!” comment when he saw me was the cherry on top of this miserable sundae.
The culprit? A pesky silicone oil leak. This was the silicone oil that was injected in my eye to help repair the detached retina. It was mixing in with eye fluid and causing a pressure buildup that felt like a tiny, angry gremlin going nuts with a hammer. This was Glaucoma. I was finally able to see Doc Arnold, who told me with the ECQ restrictions, the only thing that could be done at that time was a quick fix. He recommended Aspiration. Imagine a needle piercing your eyeball to release some of the oil and relieve a bit of pressure. Yeah, it was as glamorous as it sounds... Not! Eye-yayay!
I was sweating, especially when i was told to "fight the needle" when they would puncture my eye, all while Drew captured the whole ordeal on video. It was a cringe-worthy performance, but at least the pressure subsided a bit. It was a temporary reprieve, a brief respite in a long, painful battle. We had to wait until more ECQ restrictions were lifted to get a more permanent cure.
Here comes the needle. Not a fun experience.
LASERS AGAIN: CYCLOPHOTOCOAGULATION
The permanent solution was a procedure called Cyclophotocoagulation. This procedure uses a laser to shrink a part of the eye that makes fluid. In my case, since my eye wasn't working anyway, they just decided to burn off the nerves that made the fluid. Doc Arnold and another eye doctor, Doc Norman, worked on me for this. It wasn't a fun procedure. That was the only time I was glad I was blind in that eye and couldn't see what they were doing. Despite the anesthesia I could still feel the poking and zapping. But, hey, it worked! Although I was sore for a week or so, the pressure in my eye was completely gone. Hallelujah!
Things were looking up after the pressure was gone, but then a new problem arose about a few weeks after. My right eye started to droop and look irritated, almost like I had conjunctivitis.
It turned out that because of the silicone oil that leaked, my eyeball shrunk, causing the buckle holding my retina in place to loosen and rub against my eye. I was prescribed gel to squirt in my eye to soothe it, whenever it would act up. But it didn't work, so Doc Arnold decided to remove the buckle completely. While the procedure itself was simple, like less than 10 minutes, the prep time took longer.
Buckle's out! Selfie in the Recovery Area at the American Eye Institute.
After the buckle was removed, weeks later my eye started to deflate even more and droop. It would sometimes close on its own without me being conscious of it. Ugh... It was freakin' frustrating and ugly! I was becoming kirat! I was trying to avoid that, but alas!
So, everything was finally fixed. I was saying, that for an eye that doesn't work, it sure caused me a lot of grief. I was sick of going to The Medical City and the American Eye Institute. Please! I just wanted to be done with the eye problems. I swore to myself that I'd take good care of my remaining eye. I do NOT want to go through all that again. Any more and I'll consider a glass eye.
THE EYE PATCH, SIDE PART AND CATARACT
As time went on, I became more self-conscious about my eye. It looked weird. People would stare at it, and I felt uncomfortable. I asked my cousin to order a stylish eye patch from the US, as the ones available locally were more costume-like and would cover half of your face. Vain, much?
The eye patch definitely made me look kick-ass, but it also called attention. It's not something you see every day, especially on a woman. To avoid unwanted stares, I would leave the patch at home and styled my hair to cover my eye instead. My hairstylist already knows the drill and makes sure that my side part hides the eye.
Even now, I'm still self-conscious about my eye, especially since a cataract has developed. No need to remove the cataract since it's a dead eye. I just have to wear a black contact lens to hide it, but it's a hassle to wear every day. So, most of the time i end up with just glasses and the side part.
The patch, the side part, and the contact lens behind the glasses.
THE INVERTED BOAT: DIABETIC RETINOPATHY
Fast forward to 2024, and things were going well. Aside from needing stronger glasses, my eye seemed stable. Other health issues took precedence and I thought that was it for my eye problems. Wrong!
As a diabetic, I was at risk for Diabetic Retinopathy, a condition that damages the blood vessels in the retina. One morning, I woke up to a hazy, boat-shaped smear in my vision. I couldn't read fonts that were regular-sized and needed it magnified to be able to read anything. At first, I blamed it on eye strain from reading and working on the computer. But when the smear wouldn't go away, I knew something was wrong.
I told Andrew about it, who then reached out to Doc Arnold. He advised me to see him as soon as possible. Here we go again. It was clear that my eye problems were back.... Or did they never leave?
Doc Arnold was actually expecting me to come back because of something like this. What is that strange, boat-shaped smear in my vision, you may ask. It's a blood clot from a burst blood vessel in my eye. While Doc Arnold said it would eventually go away, it could happen again, and be much worse. More blood vessels can burst and could lead to complete vision loss.
The solution? A series of Laser photocoagulation sessions to seal off these bad blood vessels. As you have read, I'm no stranger to this, and I remember the pain well. But it's necessary if I want to keep my vision in my remaining eye.
I needed a minimum of four rounds of laser treatment at the Eye Center in The Medical City. In each session, Doc Arnold targeted about 450 blood vessels in my eye. We apparently have thousands in our eye. The first two sessions were relatively painless and quick. Took about 10 minutes. Waiting for the anesthesia to take effect took longer. The third session, however, hurt like a friggin' mother. Ow!!! My fists were clenched the whole time, nails digging in. That 10-minute session felt like forever. I had to take pain medication when I got home and a nap to feel better. But, I was told to rest for a month before the final session. Oh! During the break, I noticed that the inverted boat in my vision shifted to the side and was starting to fade. The fourth session was painful, but not as bad as the third. Good ol' Doc Arnold was able to get rid of all the bad blood vessels, but unfortunately, some healthy ones were also affected. Collateral damage, so to speak. I was warned that my night vision will dim further. I did notice that and I don't do well walking at night or in bad lighting.
After going to follow-up checks, thankfully I didn't need any additional sessions. No recurrences as of the end of July 2024. But, to avoid recurrences, I have kept my blood sugar levels in check. I have to be good and watch my diet.
HOPING THAT'S THE END OF IT
2024 will be over in a few months, and I'm hoping that my eye problems are finally behind me. I do have a follow up check with Doc Arnold in January. I'm hoping no recurrences have happened from my last visit with him. I'm grateful that my left eye is still functioning, although it's not as strong as it used to be. I noticed that it gets tired a lot and I would need to rest my eye/s. I'll need to be extra careful to manage my blood sugar levels. Can't indulge. I'm hoping the universe will be kind and keep my eye stable until the end of my days. As I will, so mote it be!