In August 2011, I presented at Washington Eye and saw Dr. Neil Martin. The day before, I had visited a local emergency room after feeling a "scratchy" sensation in my left eye. The eye was improperly treated and overnight developed a virulent and dangerous infection. Dr. Martin was not able to treat the condition and sent me immediately to Johns Hopkins Hospital in Baltimore which on a Labor Day Friday afternoon was over two hours distant. When I arrived there, I did not find a corneal disease fellow (the specialist was not available that day) whom Dr. Martin had assured me would meet me there and begin treatment. I ended up in the Hopkins's emergency room where I waited for eight yours before being treated. The long delay proved disastrous as the ulcer grew by a third in diameter and by an unknown increased depth in the cornea during the wait. After weeks of daily office visits at both Hopkins and Washington Eye, my eye was still painful w/ "count fingers" vision. A year later, central corneal scarring kept me legally blind in the eye. I sought relief via a corneal transplant to remove the scars at Washington Eye (Dr. Marwa Adi).
Three and a half years following the complicated corneal transplant procedure performed by Dr. Adi, I learned that it could not have been considered a "successful" transplant. My vision in the affected eye is currently unstable at 20/400. This is pretty shocking news and another local ophthalmologist described the graft as "rejecting" with deep post-transplant blood vessels growing in to the graft's surface; My records from the new eye surgeon show that a corneal ulcer had formed on the 2012 transplanted tissue following Dr. Adi's surgery. The follow up period during which stitches were removed from my cornea lasted 18 months (a relatively long time) The reason for the continuing pain and damaged vision is inexplicable.
According to Dr. Kang, a replacement graft is not recommended due to damage to the structural integrity of the eye and the condition will continue to produce recurring corneal erosion, which is very painful. I received an amniotic graft from Dr. Kang as a temporary fix. Dr. Kang recommended that I return to Dr. Adi for treatment since as he pointed out, in addition to erosion, rejection and structural issues, a growing cataract in the affected eye will be inoperable and eventually cause total blindness (and also inferring that since he can't fix it, perhaps the surgeon whom operated on it can).
In fact, three different opthalmologists have attempted to refer me back to Dr. Adi, whom I justifiably argue, would not seem to be a good physician for me in this circumstance. In addition to the unstated poor outcome of her surgery, our association lasted for over two years and and I often felt stymied about exactly what was happening with my eye's condition during that pre and post surgical period. Dr. Adi is technically a very good surgeon and she has very steady hands; however communication is not her forte and I must say I wonder about the effect of her association with Dr. Martin on her willingness to discuss openly the condition of my eye since he was somewhat ineffectual during the critical phase in 2011.
18 months after the June, 2012 transplant, Dr. Adi stated that it was "healed" and that post-surgery follow up was complete; she referred me to an associate whom after three attempts, was unsuccessful in fitting the grafted eye with visual-acuity-beneficial contact lenses The action-plan was too vague and undefined to give me any faith in finding a feasible formula for a contact lens that would remain seated on my extremely uneven post-surgery cornea. Since the transplant, I've had poor, fluctuating and intermittently painful vision. Blurring, halos, reflections, haze and corneal erosion have all played roles in making the status of my eye difficult to self-assess. At one point post surgery,
There are other circumstances at play with Washington Eye Physician's and Surgeons that negatively impacted my eye's condition; chief among those I would simplify by calling "numerous communication problems" between the team of physicians internally and between those physicians and the patient; with the onus being on the physicians to correct that sort of thing.
I surely would not want this to situation to happen to another living soul - it has proven to be life-altering for me. read more