Vision issues post surgery

Yes Wendy I have problems my eyes go crooked when I look up and down its horrible ive had two clippings and the first one leaked and I had a stroke after, my left eye was closed for months I think its all included with many other things.

I am 20/30 in my right eye, and 20/40 in my left eye. I have marginal peripheral vision in both eyes.

Hi Wendy,
I can relate to what you are experiencing in part. I still have encounters with depth perception and uneven vision. In 2011 I had crainomity surgery for unruptured 2.0 mm wide neck aneurysm. During surgery one of the clips inserted, injured the optic nerve of right eye causing complete blindness in that eye. Too add to the injury, my perifrial vision in left eye was lost due to the way the optic nerve branch connects. So in a nutshell I have 15% vision and the damage is permanent. May I suggest consulting with your Neurologist and you might be referred to an Opthamologist. In my case, my body is finally adjusting to the partial loss of vision but not without challenges. I think talking with the appropriate medical professionals will be helpful.

Wendy...in 12 years I did not recover all my vision...and, this past year, it has been sliding backwards...this time a year ago, I took a mini-walk after my hair appointment ..and did not feel/sense anything. Home, and in the mirror I saw my right eye looking like a cut-in half bing cherry...the pit being the pupil...NO, I did not panic or have any ER...Called my optometrist; went in for testing update, referral to their oph...and in a week it looked completely normal...and, I have not had a recurrence...

However, other issues...by November; two weeks after passing the vision testing for my driver license renewal...I was off to trader Joe's...(2.5 miles from home) and in dark rain and commuter traffic lights, my rain-glare did astound me...I went home using right turns out of the traffic to home. I do yet avoid any heavy rain...

My vision failure began immediately after my first angio and my placement under coronary care...before completion of coiling and stents...

Wendy, under the Resource section below, there is Vision Pathways...you may want to review to ask your docs ...

There is also, a Brain Basics set up by Moltroub posting a brochure from a Rehab center in Fl....easy to read...and a good index...

Wishing you best in getting answers from your docs ...and, see a neuro-oph...In one of these discussions, Kathleen addressed seeing her neuro-oph...regret my memory does not allow me to be more specific on subjects...

Prayer you do not panic...nor ignore/delay asking your docs...and ask specifically which of the cranial nerves are affected...

Arleen...you had an excellent eye exam...and the doc who oversaw it,...

Arleen Jaracz said:

Wendy, I had a aneurysm resting ion my left optic nerve. Had clipping in April 2011. I saw a neuro ophthalmologist before and after surgery. I lost 50% of my peripheral vision in that eye. But the vision in the rest of the eye has improved to 20/20. The damage to optic nerves cannot be corrected. After surgery I often saw double, when driving the lines depicting lanes on a road were wavy and it often was better to see with the left eye closed. That seems to have correct itself. I do, however, have some blurring when tired. By the way, my aneurysm was detected during an annual eye exam!

Melissa...thank you for sharing....hemianopsia....that is limited in notes in my records...However, there were notes "call i oph for patient safety"...which was NOT done before discharge....Mot interesting to me...is that your open surgery 23 years ago, you so apparently had dos who were open in explaining / naming? Impressive...

Melissa DeForge said:

Hi Wendy,

I have had a left-sided hemianopsia (blind on the left side of each eye) since my rupture and surgery 23 years ago. For the first year or so, I had uneven, wavy vision, and it was very difficult to focus. That evened out a bit but I still have to close one eye to focus better and have very bad depth perception. I also no longer drive because of the loss of left front and side vision.

Patioplans,

The doctor told my family that I might have a "field cut" in my vision, and that he hoped the vision would return in time, which it did not. It was actually one of the nurses in the rehab hospital who advised me that i should turn my head to the left as I walked "like a lighthouse lamp" and try to take in objects/people , etc. on the left hat I no longer could see, which was very helpful advice at the time, when I had no idea how to deal with my wavy vision and missing half of everything in my visual field, front and side. It still is difficult to "piece together" the left and right side of everything, looking back and forth. Would love to see a neuro opthalmologist one day and curious about prism glasses.



patioplans said:

Melissa...thank you for sharing....hemianopsia....that is limited in notes in my records...However, there were notes "call i oph for patient safety"...which was NOT done before discharge....Mot interesting to me...is that your open surgery 23 years ago, you so apparently had dos who were open in explaining / naming? Impressive...

Melissa DeForge said:

Hi Wendy,

I have had a left-sided hemianopsia (blind on the left side of each eye) since my rupture and surgery 23 years ago. For the first year or so, I had uneven, wavy vision, and it was very difficult to focus. That evened out a bit but I still have to close one eye to focus better and have very bad depth perception. I also no longer drive because of the loss of left front and side vision.

Yes, I still thank him for perhaps saving my life.



patioplans said:

Arleen…you had an excellent eye exam…and the doc who oversaw it,…

Arleen Jaracz said:

Wendy, I had a aneurysm resting ion my left optic nerve. Had clipping in April 2011. I saw a neuro ophthalmologist before and after surgery. I lost 50% of my peripheral vision in that eye. But the vision in the rest of the eye has improved to 20/20. The damage to optic nerves cannot be corrected. After surgery I often saw double, when driving the lines depicting lanes on a road were wavy and it often was better to see with the left eye closed. That seems to have correct itself. I do, however, have some blurring when tired. By the way, my aneurysm was detected during an annual eye exam!

My ophthalmologist also discovered mine.

Melissa...forgive my delay...you had a special doc who explained status to your family...

This has brought up some old memory (that little bit I can find and/or rely on)...

The first neurologist I had the pleasure of being referred to...by the MD who was overseeing my GI system... almost two years post-minimally invasive procedures... Neuro did qualify "migraine aura" and did recommend prism... by the time I left his office, I did not remember prism...Then later, back to him, I asked him for referral to vision therapy...which I am so grateful he did.

My shadows of long-term memory: when I was in high school, I had (blanking on term)...the print line over-overs on my pages..My eye doc then put me on vision therapy. In those days, there was no fancy equipment/devices. He put me on therapy which were pieces of cardboard (1 x 2") strung out on string and he taught me how to coordinate my eye movement w/the card board movement...all my responsibility and coordination at home daily exercise and, the monthly checkups. Gosh, in those days, we did not even have to think about disease virus on second-hand cardboard.

W/all the extensive therapy I had post-procedure, I did not regain full recovery of my right vision.

Would so appreciate learning your results of seeing a neuro-oph, oph and if prism or potential therapy.


Melissa DeForge said:

Patioplans,

The doctor told my family that I might have a "field cut" in my vision, and that he hoped the vision would return in time, which it did not. It was actually one of the nurses in the rehab hospital who advised me that i should turn my head to the left as I walked "like a lighthouse lamp" and try to take in objects/people , etc. on the left hat I no longer could see, which was very helpful advice at the time, when I had no idea how to deal with my wavy vision and missing half of everything in my visual field, front and side. It still is difficult to "piece together" the left and right side of everything, looking back and forth. Would love to see a neuro opthalmologist one day and curious about prism glasses.



patioplans said:

Melissa...thank you for sharing....hemianopsia....that is limited in notes in my records...However, there were notes "call i oph for patient safety"...which was NOT done before discharge....Mot interesting to me...is that your open surgery 23 years ago, you so apparently had dos who were open in explaining / naming? Impressive...

Melissa DeForge said:

Hi Wendy,

I have had a left-sided hemianopsia (blind on the left side of each eye) since my rupture and surgery 23 years ago. For the first year or so, I had uneven, wavy vision, and it was very difficult to focus. That evened out a bit but I still have to close one eye to focus better and have very bad depth perception. I also no longer drive because of the loss of left front and side vision.

Hi everyone! Yesterday I drove for 2 hours to St Louis, Mo. This was this first time I've ever driven for this length of time on high speed interstates. The only issue was that every so often I had to stop and put moisturizing drops in my left eye. This is the eye that suffered the effects of the "stroke." It doesn't close all the way, pupil doesn't react properly to light, and it doesn't tear as it should. BUT, I DID IT!!!!!

Conquered my fear, finally, and went to visit my grandson.

Alice...excited for you...if you only need moisture you are blessed...Are you able to readily rotate your vision for the vehicles in the other lanes?

Yes, I have a very slight problem with my left eye peripherally, but I am cautious and use the mirrors and make lane changes only if really needed.

Great...wonderful to know your success... and, after my last response.. meant to ask you about your visit w/your grandson?..

Alice said:

Yes, I have a very slight problem with my left eye peripherally, but I am cautious and use the mirrors and make lane changes only if really needed.

Wonderful!!!!! We went to the Cheesecake Factory. That place has amazing flavors. For a 12 year old he really knows how to use the navigation feature on his cell phone. I was really amazed!!!!!

Fabulous... seems like a zillion years since I have been near a Cheesecake Factory...so glad you had time with him...

Alice said:

Wonderful!!!!! We went to the Cheesecake Factory. That place has amazing flavors. For a 12 year old he really knows how to use the navigation feature on his cell phone. I was really amazed!!!!!

I had an exploded anyurism in 2015, handled with emergency craniotomy, this was right side, and thrn had to have a schedualed one on the left. My right eye vision can get poor, blured, doubled. My solution is similar to others posting here… close or patch my left eye… sometimes I blink hard and try to refocus, or even shake my head… not sure if that really does anything, but it feels like it may… since pressure, and or blood flow was temporarily cut off to the optical nerves when the surgeon was moving the brain to manipulate the instruments and apply the clips, some of this damage is temporary… however, if blood flow was restricted more permanent damage may be the result. Fatigue is a factor, as the body will allow effort and energy to go to areas that require compensation… but when that need becomes too much, and other areas are even more important, then the body chooses to send the effort to a more important area… that is why fatigue is a common thread in the symptoms getting woarse… in addition to this condition… I have had 2 a-fib heart issues, which they clam are not related… but I disagree… my heart was stong as a lion before this Anyurism… again, I think the brain controls everything and the damage its recieved effects other body parts… sorry to say, I was happy to heat others having similar issues… not because I wish them on you, but taking proof to my employer that im NOT faking these conditions was important in obtaining some adjustments to my expectations, as im not near who I was before this happened… my short/long term memory is aweful, my attention to detail wains often, my ability to recall dates, times, meetings, names… is almost embarrassing… my scars on my head are healed, but below them, im still struggling…
best of luck to all!!!

I have several vision issue post surgery to repair a ruptured aneurysm at vertebral harboring the PICA. It is a brain stem (lateral medulla) and cerebellum artery. I bleed by the brain stem and into the 4th ventricle. Unfortunately, I had a minor stroke (infract) and was diagnosed as Central Vestibulopathy and brainstem vertigo. In short, my vestibular system (inner ear/balance) is not working well with ocular system (eye movements). So, I have left skew deviation resulting in double vision. It causes visual vertigo where I have problems with supermarket aisles and shopping malls. I see ghost images. The biggest challenge is nystagmus where I have jumpy eyes. It makes things blurry and I have visual disturbance where static objects appear to move. The condition is called oscillopsia. Neurotin or Gapapentin controls the jumpy eyes to some degree and I wear prism glasses for the double vision. I have a pretty good understanding of these issues. Eye patches work in extreme conditions. What is not explained is that I have issues with light. Twilight or low light has been affected where my vision is poor. I either have photophobia or the opposite occurs where light appears to be as though I am wearing sun glasses. Certain colors look brilliant. It is not a psychedelic experience rather it is like watching a movie with brilliant colors, What is also not explained is the halos from night time light sources. People with glaucoma or new lense replacement have this issue but my physical eye is normal. It is a medical mystery. My Neurologist feels that it is from brain stem stroke. Also, my blood pressure is really high after my rupture and SAH. It is also unexplained.