Rugby eye doctor up for national award
Rugby Hospital of St Cross team nominated for national award
Testimonial on Central Retinal Vein Occlusion (CRVO) and patient experience with injections of drugs into the eye.
H. Sullivan November 2012
"About four and a half years ago I had a central retinal vein occlusion, which could be more commonly described as a blood clot in the eye. Quickly my sight deteriorated, made far worse by a secondary condition caused by the clot called macular odema, which in essence is swelling over the central part of your eye which is what you rely on to see.
At the time I was in my early thirties and there was no obvious reason to why it had happened, but it was clear that without any medical intervention my longer term prognosis was not good.
In consultation with Mr Pagliarini it was recommended that I undertook a series of injections into the eye using a drug called Lucentis which was becoming available.
At first the thought of an injection into the eye made me really consider my options, but given my vision had deteriorated to the point of not being able to see very much at all, I decided to pursue the treatment.
Looking back I am not sure what all the worry was about - although granted the first time is always the worse as it is the thought of the injection into the eye. The procedure is quick and painless - you have a clamp fitted to keep your eye open and still which doesn't hurt at all and then your consultant will clean the eye thoroughly. Prior to the injection there is a brief period of pressing on the injection point to apply an anaesthetic which is no worse than routing around for a lost contact lens and then it is all over in seconds as the drug is injected into the cavity. This is totally painless and all you then see is some fluid across your vision before a bit more pressing on the eye ball to keep the eye ball clean. Five minutes later you are back drinking coffee in the waiting room. You can have a bit of marking post the injection which soon clears and you sometimes feel as though you have a bit of grit in your eye for 24 hours - you will have drops for a few days as well to ensure there is no infection.
For me personally I am hopeful that I am now nearing the end of my treatment after 12 such procedures, such that as I write this text I can actually read what I have written, which is truly amazing from where I was.
I am told that not everyone has the level of recovery I have had, but that statistics are showing a real benefit for several conditions similar to mine in using Lucentis. For anyone who worries re the procedure all I would say is, why wouldn't you give yourself the chance of seeing better for 20 minutes minor inconvenience?"
Testimonial on Central Serious Retinitis (CSR) and patient experience with Photo Dynamic Therapy.
W. Atkinson, November 2012
Over a period of years, I had suffered about four episodes of Central Serious Retinitis (CSR) in my 'good' eye. My right eye has been 'lazy' since childhood.
I had been in the habit of waiting many months for the fluid to resolve. On the last occasion this didn't happen, and my vision deteriorated to the point where I could no longer read or drive.
I was fortunate that my optician referred me to a leading medical retina specialist, Mr Pagliarini. He was aware of the link between CSR and wet AMD, and recommended Photo Dynamic Therapy. This is a treatment to control the leaking vessels with minimal risk of adverse effects and definite benefits. My vision was so poor I had nothing to loose.
The treatment seemed a bit scary, but was problem free, and I was confident my treatment was in expert hands.
I recovered useful vision in about six weeks and normal vision in about three months. It is probably only a matter of time before there is sufficient data for this effective treatment to be licensed.
Eyesight is a very precious gift and as you can imagine I am very grateful.
Testimonial on Wet Macular Degeneration (AWD) and patient experience with injections of Lucentis into the eye.
R. Taylor, December 2012
September 2010, an eye test for glasses was carried out by Mr Munjal, Principal of Eyesite Ltd. During this examination he found evidence of Wet Macular Degeneration (AWD) and referred me to Mr Pagliarini.
Mr Pagliarini subsequently carried out an O.C.T. and fluorescein angiogram examination confirming that an aggressive sub-type of Wet AWD was present in my left eye. I was told that with regular injections of Lucentis in the eye, there was 90% chance that the current visual acuity could be retained, without them I would ultimately lose the sight in my left eye.
Initially, it was agreed that I should have 3 injections at monthly intervals.
When the first injection was to take place I was very apprehensive and a bit scared. Mr Pagliarini explained what was to happen. Whilst it was in progress he took me very carefully through each step of the procedure and before I fully realised it the first injection was over and I had felt nothing. Naturally, due to the various drops
put into the eye before the procedure starts, it is difficult to properly focus the eye, but this soon wears off.
Up to the end of 2012, I have had 14 injections and the sight in my left eye has remained constant.
I am still a little apprehensive when told that I am to have another injection, but once the procedure has started, very often I am in front of the nurses, reminding them what should take place before the injection. The whole procedure is over very quickly.
I am lucky to have had AMD diagnosed very early and even luckier in being referred to such a dedicated specialist and gentleman as Mr Pagliarini in whom I have every confidence.