Lou Ross Vision History
1961 Born with Glycoma
1964 Measles led to cataract in both eyes.
1964 Legally blind right eye
1966 Blind left eye (retina detachment by cataract)
1966-1968 3 surgeries to remove cataract on both eyes. Dr. Norton at Baskin Palmer Institute Miami, FL
1972 Experimental surgery to remove cataract and install buckle in right eye. Dr. Charles Schepens Mass General.
2012 - 2019 Patient of Dr. Leon Herndon Duke Eye Center glaucoma
2013 - 2019 Patient of Dr. Sharon Fekrat Duke Eye Center retina specialist.
2015 Outer laser treatment to relieve pressure in right eye. Dr. Louis Pasquale at Mass Eye and Ear, Boston, MA.
2017 Outer laser treatment to relieve pressure in right eye. Dr. Leon Herdon at Duke University Hospital, Durham, NC.
November 2019 April 2021 Patient of Dr Timothy Murray Coral Gables, FL retina specialist dealing with bleeding in right eye.
April 2021 present Patient of Dr. Veronica Graversen Fort Myers, FL retina specialist dealing with bleeding in right eye.
April 14, 2022 present Patient of Dr. Palmon of SW Florida Eye Care, Fort Myers, FL cornea specialist handling right eye failed cornea.
July 12, 2022 Full cornea transplant surgery in right eye. Dr. Palmon of SW Florida Eye Center, Fort Myers, FL.
Right eye had been stable from 1972 - 2014 when slow vision loss began.
Cloudy vision became more pronounced in 2019. Dr. Fekrat tried a series of eye drops that sometimes would improve my vision but did not last. Blood in right eye always remained.
Starting November 2019, Dr. Timothy Murray (Miami, FL) has been injecting Avastin 2.5mg every 6-8 weeks.
Dr. Murray informed me that I had a deep scratch in my cornea caused by extreme eye dryness. This is the first time he mentioned any issue with my cornea even though I had been going to him every 6 weeks for injection in my right eye. I began receiving Avastin injections in November 2019.
4/14/2021 Switched eye care to Doctor Graversen of Retina Health Center in Fort Myers, FL.
Dr. Graversen applied a patch to my right eye in attempt to heal cornea for 2 weeks. This was unsuccessful.
Dr. Graversen sent me to a cornea specialist Dr. Stevens of Tyson Eye.
Met with Dr. David Stevens of Tyson Eye in North Fort Myers to deal with cornea scratch. Dr. Stevens tried a disc in the eye with medicine that might fix the scratch. After a week, we found the scratch was mostly healed but not completely. We then tried a contact lens with medication. After a week, the scratch was back to its original size. Dr. Stevens removed the lens and prescribed Oxervate. .
I was approved for Oxervate and started the 8 week treatment 6 times a day. Cornea scratch diagnosis Neurotrophic Keratitis. Oxervate dispensed by Accredo Pharmacy via mail order.
Oxervate is applied 6 times a day for 8 weeks. Each drop comes in its own vile to be used only once. You take the vile out of the box and insert a dropper. After applying the drop, vile and dropper are thrown away.
I have been on Oxervate for 5.5 weeks. The scratch seems to be healed. However I need to finish the 8 weeks of Oxervate to ensure healing is complete. Oxervate causes eye irritation, pain in eye, and a great deal of tearing.
Completed 8 week course of Oxervate.
There is an apparent infection in right eye. Dr. Stevens prescribed antibiotic oral and eye gel medications. Erythromycin and Clindamycin HCL 150 mg.
The cornea seems to have a substantial amount of calcium build up. So I may need a procedure Limbal cell transplant and/or Chelation.
Met with Dr. Martinez atBascom Palmer Institute in Naples, FL. Observed
concave calcium over cornea damage. Discussed options such as Stem cell which
keeps cornea clear. Limba cell transplant requires stem cells from close
relative or left eye. My left eye is not functional and I have no remaining
family. Chelation could work but risk of unhealed cornea and would need to be
reapplied about every year. Dr. Martinez prescribed Moxifloxacin 0.5% for right
Reported lingering issues with Oxervate to Oxervate manufacturer Dompe. I noted the following:
Finished 8 weeks on 8/6/2021. Used 6 times per day in right eye as prescribed for 8 weks. For the duration of the 8 weeks, I had these side effects:
Starting on 8/8 - 2 days after completing Oxervate, I developed what looks to be an infection in the same eye where Oxervate was used. The infection caused pain in the same eye throughout the day. Today is 8/20/2021 and from 8/8/2021 I experienced 5 nights where I simply could not sleep because of the severe pain in the eye when I laid down. The pain subsided somewhat once I sat up.
I consulted with 2 eye doctors including Dr. Stevens of Tyson Eye in Fort Myers Florida who prescribed Oxervate. I also consulted with my general practitioner Dr. Del Castillo of Millenium Physicians Group in Punta Gorda Florida. The result is the following medications:
Amoxicillin Clab 875 - 125 mg - twice a day for 14 days - for eye infection.
Fluticasone Prop 50 ncg spray - once spray per day for 30 days - for eye infection.
As of 8/20/2021, I have these issues in right eye where Oxervate was administered:
My experience with Oxervate has been rather awful. I have been in discomfort to severe pain since beginning Oxervate and now 16 days since completing Oxervate. I am limited to what I can do daily because I just do not feel well with the headaches and eye pain and irritation. I am beginning to think this will never get better and I will be miserable for the rest of my life and yet no vision improvement.
Image from 8/14/2021:
Met with Dr. Stevens.
Observed blood in front part of eye. Lower eye lid swollen with blood. Eye is draining pus. Concerned could be a bacteriological infection.
prescribed Moxifloxacin 0.5% for right eye infection.
Prescribed Azithromycin 1 gm pwd packet for eye infection.
Met with Dr. Stevens. No improvement and Dr. Stevens thinks the swelling is worse. He consulted with Dr. Martinez of BPI and Dr. Mark Gorovoy of Fort Myers. It was decided I should visit Dr. Gorovoy the next morning.
8/26/2021: Met Dr. Mark Gorovoy an experience ophthalmologist in Fort Myers, FL.
Dr. Gorovoy conducted a thorough exam and revisited my vision history. His conclusion is that I am having an allergic reaction (not an infection) to one of my eye medications. Temporarily we are stopping. cosopt, Prednisolone , Refresh, and Genteal. Additionally, stop all antibiotic medications oral, drop, and ointment. He prescribed prednazone 10 mg tablets, 4 times per day for 3 days. By the next morning Friday 8/27/2021, my eye was less red.
Dr. Gorovoy indicated on 9/1/2021 that the cornea scratch was NOT healed and therefore Oxervate did not work. Dr. Gorovoy agrees that the cause of the allergy was Dorzolamide. He was able to remove some calcium from the front of the eye. Prescribed Timolol, Polymyxin, Dexamethasone, and Betadine. Discussed cornea transplant but that it would be high risk procedure given the sickness of my eye.
Skin around eye is clear.
I no longer have pain in and around eye.
Performed ultrasound however could not descern blood or scar tissue due to cornea being opaque.
Cornea swollen defused no calcium some deep vessels.
Allergy symptoms gone.
Cornea transplant may only last a year or 2.
Artificial cornea would last longer but could cause issues with glaucoma.
Either procedure is high risk due to my current eye condition.
October 2021 Dr. Perez Duke Eye Center:
I reached out to Dr. Perez regarding KeraKlear. After looking through notes and imaging determined I was not a candidate for KeraKlear.
11/02/2021 Dr. DaLuvoy Duke Eye Center:
Examined by Dr. DaLuvoy at Duke Eye Center. Her conclusion was the same as Dr. Gorovoy. Any surgery would be of very high risk of further vision loss. Dr. DaLuvoy performed 7 cultures to search for possible infection including fongal. After 4 weeks, no infection was found.
4/14/2022 Dr. Palmon SW Florida Eye Care:
Examined by Dr. Palmon which included a 45 minute discussion regarding my cornea. Discussed at length current situation of my failed cornea. After discussing possible complications and risk factors of cornea transplant, we decided to proceed with the procedure. Dr. Palmon was concerned about my retina status and so discussed issue with Dr. Graverson, and consulted notes from Dr. Fekrat. It seems retina is securely attached to buckle and should not pose risk of detachment post surgery. I was relieved to know that if the retina was to detach that it would do so post surgery not during surgery. Follow up on June 9 shows eye is sufficiently responsive not to need a procedure that would have had eye lid shut for several weeks. Here are Q&A with Dr. Palmon:
7/12/2022: Full cornea
transplant right eye: Surgery took 90 minutes. Should have been 30 to 45.
Membrane caused by Rubiosis of the Iris. Caused by blood vessels growing in eye.
Transplanted cornea surgery successful!
August 17: Dr. Palmon
Fibrotic Vascularized Membrane has diminished about 25%. Still no vision improvement. Steroid eye drops every 2 hours.
September 13: Dr. Palmon
Yag laser procedure to remove Fibrotic Vascularized Membrane.
September 27: Dr. Palmon
Laser procedure unsuccessful.
No vision improvement.
Have been applying prednisalone every 2 hours, genteal gel, and Refresh.
October 10: Dr. Graversen
Center of eye and pupil clear of membrane.