Re: Fw: Ocular damage from HTN?

[Guest guest]

Thanks again Natalia!

>

> The chart  that I mentioned, is called  Amsler grid. Check your eyes:

>

>

> http://www.allaboutvision.com/conditions/amsler-grid.htm

>

>  

> Natalia

>

> From: Natalia Kamneva <natalia_kamneva@...>

> " hyperaldosteronism " <hyperaldosteronism >

> Sent: Friday, January 13, 2012 12:36 AM

> Subject: Re: Ocular damage from HTN?

>

>

>  

> Msmith,

>

> Don't be freak out so much. Macular degeneration is inherited. Did the

optometrist give your a chart that you have to look at every week? Ask him about

this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

>

>

> Vascular damage definitely happens from high BP and it's reversible.

>

>

> One more point - you didn't check your vision for 3 years - it's too long,

have to do it every year or two.

>

> I have the  experience with both of these problems. I am diabetic and I see

ophthalmologist every year.

>

>  

> Natalia

>

>

> ________________________________

> From: msmith_1928 <janeray1940@...>

> hyperaldosteronism

> Sent: Thursday, January 12, 2012 10:39 AM

> Subject: Ocular damage from HTN?

>

>

>  

> Yesterday I had my first bit of bad news since the adrenalectomy in October.

I'm already making plans for a second opinion, but wanted to put this out there

for comment.

>

> I had a routine eye exam with my longtime optometrist yesterday (who I have

educated extensively about PA since he was very interested). He told me that he

found two things that were not there at my last exam (three years ago): vascular

damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

>

> My mom has macular degeneration, but hers did not start until she was well

into her 70s (she's 86 now). I did some quick and dirty research and found that

while heredity is probably the biggest culprint, HTN can also trigger it.

>

> The optometrist did not comment about the implications of the " vascular

damage " other than to say that it may still reverse itself since it's only been

three months since the surgery.

>

> I'm following up with my primary care doc in a couple weeks and will also see

an ophthalmologist to find out what, if anything, I can do to prevent all of

this from getting worse. And trying not to freak out too much, but it's rather

disturbing news to someone who uses their vision to make a living!

>

> -msmith1928

> Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

>

[Guest guest]

I was ready to chime in with the Amsler grid but saw Nataalia had you covered!

I have one that hangs on the fridge and I am supposed to check atleast 3

times/week. My left eye has a film that causes distortion, makes objects appear

10-15% larger and everything has a pale green tinge! A year or two ago I was

headed to surgery with vision of 20/50. They brought me back in and it had

changed to 20/25 in 3 months! I'm now on a 4-6 month recall and we are

" watching it " !

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C

Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> >

> > The chart  that I mentioned, is called  Amsler grid. Check your eyes:

> >

> >

> > http://www.allaboutvision.com/conditions/amsler-grid.htm

> >

> >  

> > Natalia

> >

> > From: Natalia Kamneva <natalia_kamneva@>

> > " hyperaldosteronism "

<hyperaldosteronism >

> > Sent: Friday, January 13, 2012 12:36 AM

> > Subject: Re: Ocular damage from HTN?

> >

> >

> >  

> > Msmith,

> >

> > Don't be freak out so much. Macular degeneration is inherited. Did the

optometrist give your a chart that you have to look at every week? Ask him about

this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> >

> >

> > Vascular damage definitely happens from high BP and it's reversible.

> >

> >

> > One more point - you didn't check your vision for 3 years - it's too long,

have to do it every year or two.

> >

> > I have the  experience with both of these problems. I am diabetic and I see

ophthalmologist every year.

> >

> >  

> > Natalia

> >

> >

> > ________________________________

> > From: msmith_1928 <janeray1940@>

> > hyperaldosteronism

> > Sent: Thursday, January 12, 2012 10:39 AM

> > Subject: Ocular damage from HTN?

> >

> >

> >  

> > Yesterday I had my first bit of bad news since the adrenalectomy in October.

I'm already making plans for a second opinion, but wanted to put this out there

for comment.

> >

> > I had a routine eye exam with my longtime optometrist yesterday (who I have

educated extensively about PA since he was very interested). He told me that he

found two things that were not there at my last exam (three years ago): vascular

damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> >

> > My mom has macular degeneration, but hers did not start until she was well

into her 70s (she's 86 now). I did some quick and dirty research and found that

while heredity is probably the biggest culprint, HTN can also trigger it.

> >

> > The optometrist did not comment about the implications of the " vascular

damage " other than to say that it may still reverse itself since it's only been

three months since the surgery.

> >

> > I'm following up with my primary care doc in a couple weeks and will also

see an ophthalmologist to find out what, if anything, I can do to prevent all of

this from getting worse. And trying not to freak out too much, but it's rather

disturbing news to someone who uses their vision to make a living!

> >

> > -msmith1928

> > Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

> >

>

[Guest guest]

, did the improvement that stopped you from needing surgery happen after

getting BP under control?

> > >

> > > The chart  that I mentioned, is called  Amsler grid. Check your eyes:

> > >

> > >

> > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > >

> > >  

> > > Natalia

> > >

> > > From: Natalia Kamneva <natalia_kamneva@>

> > > " hyperaldosteronism "

<hyperaldosteronism >

> > > Sent: Friday, January 13, 2012 12:36 AM

> > > Subject: Re: Ocular damage from HTN?

> > >

> > >

> > >  

> > > Msmith,

> > >

> > > Don't be freak out so much. Macular degeneration is inherited. Did the

optometrist give your a chart that you have to look at every week? Ask him about

this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > >

> > >

> > > Vascular damage definitely happens from high BP and it's reversible.

> > >

> > >

> > > One more point - you didn't check your vision for 3 years - it's too long,

have to do it every year or two.

> > >

> > > I have the  experience with both of these problems. I am diabetic and I

see ophthalmologist every year.

> > >

> > >  

> > > Natalia

> > >

> > >

> > > ________________________________

> > > From: msmith_1928 <janeray1940@>

> > > hyperaldosteronism

> > > Sent: Thursday, January 12, 2012 10:39 AM

> > > Subject: Ocular damage from HTN?

> > >

> > >

> > >  

> > > Yesterday I had my first bit of bad news since the adrenalectomy in

October. I'm already making plans for a second opinion, but wanted to put this

out there for comment.

> > >

> > > I had a routine eye exam with my longtime optometrist yesterday (who I

have educated extensively about PA since he was very interested). He told me

that he found two things that were not there at my last exam (three years ago):

vascular damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> > >

> > > My mom has macular degeneration, but hers did not start until she was well

into her 70s (she's 86 now). I did some quick and dirty research and found that

while heredity is probably the biggest culprint, HTN can also trigger it.

> > >

> > > The optometrist did not comment about the implications of the " vascular

damage " other than to say that it may still reverse itself since it's only been

three months since the surgery.

> > >

> > > I'm following up with my primary care doc in a couple weeks and will also

see an ophthalmologist to find out what, if anything, I can do to prevent all of

this from getting worse. And trying not to freak out too much, but it's rather

disturbing news to someone who uses their vision to make a living!

> > >

> > > -msmith1928

> > > Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

> > >

> >

>

[Guest guest]

Yes and I might add that 3 weeks into washing Spiro with BP running 175/90 the

cycle may be complete! I can watch my heart beat (pulsate) in my left eye and I

don't even need the grid to see the wavey lines. Thanks for the question, I

hadn't associated the two.

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C

Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> > > >

> > > > The chart  that I mentioned, is called  Amsler grid. Check your eyes:

> > > >

> > > >

> > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > >

> > > >  

> > > > Natalia

> > > >

> > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > Subject: Re: Ocular damage from HTN?

> > > >

> > > >

> > > >  

> > > > Msmith,

> > > >

> > > > Don't be freak out so much. Macular degeneration is inherited. Did the

optometrist give your a chart that you have to look at every week? Ask him about

this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > > >

> > > >

> > > > Vascular damage definitely happens from high BP and it's reversible.

> > > >

> > > >

> > > > One more point - you didn't check your vision for 3 years - it's too

long, have to do it every year or two.

> > > >

> > > > I have the  experience with both of these problems. I am diabetic and I

see ophthalmologist every year.

> > > >

> > > >  

> > > > Natalia

> > > >

> > > >

> > > > ________________________________

> > > > From: msmith_1928 <janeray1940@>

> > > > hyperaldosteronism

> > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > Subject: Ocular damage from HTN?

> > > >

> > > >

> > > >  

> > > > Yesterday I had my first bit of bad news since the adrenalectomy in

October. I'm already making plans for a second opinion, but wanted to put this

out there for comment.

> > > >

> > > > I had a routine eye exam with my longtime optometrist yesterday (who I

have educated extensively about PA since he was very interested). He told me

that he found two things that were not there at my last exam (three years ago):

vascular damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> > > >

> > > > My mom has macular degeneration, but hers did not start until she was

well into her 70s (she's 86 now). I did some quick and dirty research and found

that while heredity is probably the biggest culprint, HTN can also trigger it.

> > > >

> > > > The optometrist did not comment about the implications of the " vascular

damage " other than to say that it may still reverse itself since it's only been

three months since the surgery.

> > > >

> > > > I'm following up with my primary care doc in a couple weeks and will

also see an ophthalmologist to find out what, if anything, I can do to prevent

all of this from getting worse. And trying not to freak out too much, but it's

rather disturbing news to someone who uses their vision to make a living!

> > > >

> > > > -msmith1928

> > > > Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

> > > >

> > >

> >

>

[Guest guest]

You may want to cut back more on salt and see if this helps with B/P. Can also

try one on the meds that do not impact the AVS test.

> > > > >

> > > > > The chart  that I mentioned, is called  Amsler grid. Check your

eyes:

> > > > >

> > > > >

> > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > >

> > > > >  

> > > > > Natalia

> > > > >

> > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > Subject: Re: Ocular damage from HTN?

> > > > >

> > > > >

> > > > >  

> > > > > Msmith,

> > > > >

> > > > > Don't be freak out so much. Macular degeneration is inherited. Did the

optometrist give your a chart that you have to look at every week? Ask him about

this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > > > >

> > > > >

> > > > > Vascular damage definitely happens from high BP and it's reversible.

> > > > >

> > > > >

> > > > > One more point - you didn't check your vision for 3 years - it's too

long, have to do it every year or two.

> > > > >

> > > > > I have the  experience with both of these problems. I am diabetic and

I see ophthalmologist every year.

> > > > >

> > > > >  

> > > > > Natalia

> > > > >

> > > > >

> > > > > ________________________________

> > > > > From: msmith_1928 <janeray1940@>

> > > > > hyperaldosteronism

> > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > Subject: Ocular damage from HTN?

> > > > >

> > > > >

> > > > >  

> > > > > Yesterday I had my first bit of bad news since the adrenalectomy in

October. I'm already making plans for a second opinion, but wanted to put this

out there for comment.

> > > > >

> > > > > I had a routine eye exam with my longtime optometrist yesterday (who I

have educated extensively about PA since he was very interested). He told me

that he found two things that were not there at my last exam (three years ago):

vascular damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> > > > >

> > > > > My mom has macular degeneration, but hers did not start until she was

well into her 70s (she's 86 now). I did some quick and dirty research and found

that while heredity is probably the biggest culprint, HTN can also trigger it.

> > > > >

> > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > >

> > > > > I'm following up with my primary care doc in a couple weeks and will

also see an ophthalmologist to find out what, if anything, I can do to prevent

all of this from getting worse. And trying not to freak out too much, but it's

rather disturbing news to someone who uses their vision to make a living!

> > > > >

> > > > > -msmith1928

> > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Seconding that recommendation to cut back salt! During the 10 months I was going

through all of my pre-surgical testing, I found that I was so SS that going over

around 500mg of sodium a day had a huge impact on my BP, which always resulted

in headaches and vision disturbances the next day.

> > > > > >

> > > > > > The chart  that I mentioned, is called  Amsler grid. Check your

eyes:

> > > > > >

> > > > > >

> > > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > > >

> > > > > >  

> > > > > > Natalia

> > > > > >

> > > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > > Subject: Re: Ocular damage from HTN?

> > > > > >

> > > > > >

> > > > > >  

> > > > > > Msmith,

> > > > > >

> > > > > > Don't be freak out so much. Macular degeneration is inherited. Did

the optometrist give your a chart that you have to look at every week? Ask him

about this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > > > > >

> > > > > >

> > > > > > Vascular damage definitely happens from high BP and it's reversible.

> > > > > >

> > > > > >

> > > > > > One more point - you didn't check your vision for 3 years - it's too

long, have to do it every year or two.

> > > > > >

> > > > > > I have the  experience with both of these problems. I am diabetic

and I see ophthalmologist every year.

> > > > > >

> > > > > >  

> > > > > > Natalia

> > > > > >

> > > > > >

> > > > > > ________________________________

> > > > > > From: msmith_1928 <janeray1940@>

> > > > > > hyperaldosteronism

> > > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > > Subject: Ocular damage from HTN?

> > > > > >

> > > > > >

> > > > > >  

> > > > > > Yesterday I had my first bit of bad news since the adrenalectomy in

October. I'm already making plans for a second opinion, but wanted to put this

out there for comment.

> > > > > >

> > > > > > I had a routine eye exam with my longtime optometrist yesterday (who

I have educated extensively about PA since he was very interested). He told me

that he found two things that were not there at my last exam (three years ago):

vascular damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> > > > > >

> > > > > > My mom has macular degeneration, but hers did not start until she

was well into her 70s (she's 86 now). I did some quick and dirty research and

found that while heredity is probably the biggest culprint, HTN can also trigger

it.

> > > > > >

> > > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > > >

> > > > > > I'm following up with my primary care doc in a couple weeks and will

also see an ophthalmologist to find out what, if anything, I can do to prevent

all of this from getting worse. And trying not to freak out too much, but it's

rather disturbing news to someone who uses their vision to make a living!

> > > > > >

> > > > > > -msmith1928

> > > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on

10/13/2011.

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Do you know where and when you will have AVS done? Myhealthevet seem to not be

working.

> > > > >

> > > > > The chart  that I mentioned, is called  Amsler grid. Check your

eyes:

> > > > >

> > > > >

> > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > >

> > > > >  

> > > > > Natalia

> > > > >

> > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > Subject: Re: Ocular damage from HTN?

> > > > >

> > > > >

> > > > >  

> > > > > Msmith,

> > > > >

> > > > > Don't be freak out so much. Macular degeneration is inherited. Did the

optometrist give your a chart that you have to look at every week? Ask him about

this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > > > >

> > > > >

> > > > > Vascular damage definitely happens from high BP and it's reversible.

> > > > >

> > > > >

> > > > > One more point - you didn't check your vision for 3 years - it's too

long, have to do it every year or two.

> > > > >

> > > > > I have the  experience with both of these problems. I am diabetic and

I see ophthalmologist every year.

> > > > >

> > > > >  

> > > > > Natalia

> > > > >

> > > > >

> > > > > ________________________________

> > > > > From: msmith_1928 <janeray1940@>

> > > > > hyperaldosteronism

> > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > Subject: Ocular damage from HTN?

> > > > >

> > > > >

> > > > >  

> > > > > Yesterday I had my first bit of bad news since the adrenalectomy in

October. I'm already making plans for a second opinion, but wanted to put this

out there for comment.

> > > > >

> > > > > I had a routine eye exam with my longtime optometrist yesterday (who I

have educated extensively about PA since he was very interested). He told me

that he found two things that were not there at my last exam (three years ago):

vascular damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> > > > >

> > > > > My mom has macular degeneration, but hers did not start until she was

well into her 70s (she's 86 now). I did some quick and dirty research and found

that while heredity is probably the biggest culprint, HTN can also trigger it.

> > > > >

> > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > >

> > > > > I'm following up with my primary care doc in a couple weeks and will

also see an ophthalmologist to find out what, if anything, I can do to prevent

all of this from getting worse. And trying not to freak out too much, but it's

rather disturbing news to someone who uses their vision to make a living!

> > > > >

> > > > > -msmith1928

> > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

> > > > >

> > > >

> > >

> >

>

[Guest guest]

I heard from a few minutes ago and she mentioned Lenz, MD at WRJ and

he can't do it until early Feb. (That's good because 6weeks is up Feb 3d!) She

is talking w/Dr. Webster to see what intrim meds might be appropriate.

> > > > > >

> > > > > > The chart  that I mentioned, is called  Amsler grid. Check your

eyes:

> > > > > >

> > > > > >

> > > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > > >

> > > > > >  

> > > > > > Natalia

> > > > > >

> > > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > > Subject: Re: Ocular damage from HTN?

> > > > > >

> > > > > >

> > > > > >  

> > > > > > Msmith,

> > > > > >

> > > > > > Don't be freak out so much. Macular degeneration is inherited. Did

the optometrist give your a chart that you have to look at every week? Ask him

about this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > > > > >

> > > > > >

> > > > > > Vascular damage definitely happens from high BP and it's reversible.

> > > > > >

> > > > > >

> > > > > > One more point - you didn't check your vision for 3 years - it's too

long, have to do it every year or two.

> > > > > >

> > > > > > I have the  experience with both of these problems. I am diabetic

and I see ophthalmologist every year.

> > > > > >

> > > > > >  

> > > > > > Natalia

> > > > > >

> > > > > >

> > > > > > ________________________________

> > > > > > From: msmith_1928 <janeray1940@>

> > > > > > hyperaldosteronism

> > > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > > Subject: Ocular damage from HTN?

> > > > > >

> > > > > >

> > > > > >  

> > > > > > Yesterday I had my first bit of bad news since the adrenalectomy in

October. I'm already making plans for a second opinion, but wanted to put this

out there for comment.

> > > > > >

> > > > > > I had a routine eye exam with my longtime optometrist yesterday (who

I have educated extensively about PA since he was very interested). He told me

that he found two things that were not there at my last exam (three years ago):

vascular damage consistent with that in untreated hypertensive patients, and the

beginnings of macular degeneration in my left eye.

> > > > > >

> > > > > > My mom has macular degeneration, but hers did not start until she

was well into her 70s (she's 86 now). I did some quick and dirty research and

found that while heredity is probably the biggest culprint, HTN can also trigger

it.

> > > > > >

> > > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > > >

> > > > > > I'm following up with my primary care doc in a couple weeks and will

also see an ophthalmologist to find out what, if anything, I can do to prevent

all of this from getting worse. And trying not to freak out too much, but it's

rather disturbing news to someone who uses their vision to make a living!

> > > > > >

> > > > > > -msmith1928

> > > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on

10/13/2011.

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

With the WRJ VA being so good at finding PA Must be he has done many AVS. Seems

Boston would be a better choice.

> > > > > > >

> > > > > > > The chart  that I mentioned, is called  Amsler grid. Check your

eyes:

> > > > > > >

> > > > > > >

> > > > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > > > >

> > > > > > >  

> > > > > > > Natalia

> > > > > > >

> > > > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > > > Subject: Re: Ocular damage from HTN?

> > > > > > >

> > > > > > >

> > > > > > >  

> > > > > > > Msmith,

> > > > > > >

> > > > > > > Don't be freak out so much. Macular degeneration is inherited. Did

the optometrist give your a chart that you have to look at every week? Ask him

about this chart immediately. Ask ophthalmologist to test your eyes on a special

device for macular degeneration. If you definitely have it, laser surgery should

be done ASAP. My ophthalmologist insists me to call him the same moment as I see

the changes in this chart.

> > > > > > >

> > > > > > >

> > > > > > > Vascular damage definitely happens from high BP and it's

reversible.

> > > > > > >

> > > > > > >

> > > > > > > One more point - you didn't check your vision for 3 years - it's

too long, have to do it every year or two.

> > > > > > >

> > > > > > > I have the  experience with both of these problems. I am diabetic

and I see ophthalmologist every year.

> > > > > > >

> > > > > > >  

> > > > > > > Natalia

> > > > > > >

> > > > > > >

> > > > > > > ________________________________

> > > > > > > From: msmith_1928 <janeray1940@>

> > > > > > > hyperaldosteronism

> > > > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > > > Subject: Ocular damage from HTN?

> > > > > > >

> > > > > > >

> > > > > > >  

> > > > > > > Yesterday I had my first bit of bad news since the adrenalectomy

in October. I'm already making plans for a second opinion, but wanted to put

this out there for comment.

> > > > > > >

> > > > > > > I had a routine eye exam with my longtime optometrist yesterday

(who I have educated extensively about PA since he was very interested). He told

me that he found two things that were not there at my last exam (three years

ago): vascular damage consistent with that in untreated hypertensive patients,

and the beginnings of macular degeneration in my left eye.

> > > > > > >

> > > > > > > My mom has macular degeneration, but hers did not start until she

was well into her 70s (she's 86 now). I did some quick and dirty research and

found that while heredity is probably the biggest culprint, HTN can also trigger

it.

> > > > > > >

> > > > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > > > >

> > > > > > > I'm following up with my primary care doc in a couple weeks and

will also see an ophthalmologist to find out what, if anything, I can do to

prevent all of this from getting worse. And trying not to freak out too much,

but it's rather disturbing news to someone who uses their vision to make a

living!

> > > > > > >

> > > > > > > -msmith1928

> > > > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on

10/13/2011.

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

As mother always said, " Opinions are like noses - everybody has one! "

Do you know Dr. Lenz? Do you know the doctor in Boston that would do the AVS?

(I don't even know his/her name but hope it is not a new resident that got out

of school last week!) I do know this so far:

Dr. Emmett Lenz,University of North Carolina at Chapel Hill, School of

Medicine, Chapel Hill, NC and he was graduated in 1980 so he has had an

opportunity for up to 31 years experience. He is also Licensed In: New

Hampshire, North Carolina and Vermont so I presume he has prcticed in at least

three places, I'll have to check if he is good enough to write his own ticket or

keeps getting fired!

I guess my bottom line is I see nothing that raises a red flag but I will be

checking, stay tuned.

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C

Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> > > > > > > >

> > > > > > > > The chart  that I mentioned, is called  Amsler grid. Check

your eyes:

> > > > > > > >

> > > > > > > >

> > > > > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > > > > >

> > > > > > > >  

> > > > > > > > Natalia

> > > > > > > >

> > > > > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > > > > Subject: Re: Ocular damage from HTN?

> > > > > > > >

> > > > > > > >

> > > > > > > >  

> > > > > > > > Msmith,

> > > > > > > >

> > > > > > > > Don't be freak out so much. Macular degeneration is inherited.

Did the optometrist give your a chart that you have to look at every week? Ask

him about this chart immediately. Ask ophthalmologist to test your eyes on a

special device for macular degeneration. If you definitely have it, laser

surgery should be done ASAP. My ophthalmologist insists me to call him the same

moment as I see the changes in this chart.

> > > > > > > >

> > > > > > > >

> > > > > > > > Vascular damage definitely happens from high BP and it's

reversible.

> > > > > > > >

> > > > > > > >

> > > > > > > > One more point - you didn't check your vision for 3 years - it's

too long, have to do it every year or two.

> > > > > > > >

> > > > > > > > I have the  experience with both of these problems. I am

diabetic and I see ophthalmologist every year.

> > > > > > > >

> > > > > > > >  

> > > > > > > > Natalia

> > > > > > > >

> > > > > > > >

> > > > > > > > ________________________________

> > > > > > > > From: msmith_1928 <janeray1940@>

> > > > > > > > hyperaldosteronism

> > > > > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > > > > Subject: Ocular damage from HTN?

> > > > > > > >

> > > > > > > >

> > > > > > > >  

> > > > > > > > Yesterday I had my first bit of bad news since the adrenalectomy

in October. I'm already making plans for a second opinion, but wanted to put

this out there for comment.

> > > > > > > >

> > > > > > > > I had a routine eye exam with my longtime optometrist yesterday

(who I have educated extensively about PA since he was very interested). He told

me that he found two things that were not there at my last exam (three years

ago): vascular damage consistent with that in untreated hypertensive patients,

and the beginnings of macular degeneration in my left eye.

> > > > > > > >

> > > > > > > > My mom has macular degeneration, but hers did not start until

she was well into her 70s (she's 86 now). I did some quick and dirty research

and found that while heredity is probably the biggest culprint, HTN can also

trigger it.

> > > > > > > >

> > > > > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > > > > >

> > > > > > > > I'm following up with my primary care doc in a couple weeks and

will also see an ophthalmologist to find out what, if anything, I can do to

prevent all of this from getting worse. And trying not to freak out too much,

but it's rather disturbing news to someone who uses their vision to make a

living!

> > > > > > > >

> > > > > > > > -msmith1928

> > > > > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on

10/13/2011.

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

As far as I could understand from my ophthalmologist's explanation, MD is strictly hereditary and not related to BP. Look for ophthalmologist as fast as you can, if you find that Amsler grid going wrong. It's important to do the surgery ASAP. Natalia From: msmith_1928 <janeray1940@...> hyperaldosteronism Sent: Friday, January 13, 2012 11:07 AM

Subject: Re: Fw: Ocular damage from HTN?

, did the improvement that stopped you from needing surgery happen after getting BP under control?

> > >

> > > The chart that I mentioned, is called Amsler grid. Check your eyes:

> > >

> > >

> > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > >

> > > Â

> > > Natalia

> > >

> > > From: Natalia Kamneva <natalia_kamneva@>

> > > "hyperaldosteronism " <hyperaldosteronism >

> > > Sent: Friday, January 13, 2012 12:36 AM

> > > Subject: Re: Ocular damage from HTN?

> > >

> > >

> > > Â

> > > Msmith,

> > >

> > > Don't be freak out so much. Macular degeneration is inherited. Did the optometrist give your a chart that you have to look at every week? Ask him about this chart immediately. Ask ophthalmologist to test your eyes on a special device for macular degeneration. If you definitely have it, laser surgery should be done ASAP. My ophthalmologist insists me to call him the same moment as I see the changes in this chart.

> > >

> > >

> > > Vascular damage definitely happens from high BP and it's reversible.

> > >

> > >

> > > One more point - you didn't check your vision for 3 years - it's too long, have to do it every year or two.

> > >

> > > I have the experience with both of these problems. I am diabetic and I see ophthalmologist every year.

> > >

> > > Â

> > > Natalia

> > >

> > >

> > > ________________________________

> > > From: msmith_1928 <janeray1940@>

> > > hyperaldosteronism

> > > Sent: Thursday, January 12, 2012 10:39 AM

> > > Subject: Ocular damage from HTN?

> > >

> > >

> > > Â

> > > Yesterday I had my first bit of bad news since the adrenalectomy in October. I'm already making plans for a second opinion, but wanted to put this out there for comment.

> > >

> > > I had a routine eye exam with my longtime optometrist yesterday (who I have educated extensively about PA since he was very interested). He told me that he found two things that were not there at my last exam (three years ago): vascular damage consistent with that in untreated hypertensive patients, and the beginnings of macular degeneration in my left eye.

> > >

> > > My mom has macular degeneration, but hers did not start until she was well into her 70s (she's 86 now). I did some quick and dirty research and found that while heredity is probably the biggest culprint, HTN can also trigger it.

> > >

> > > The optometrist did not comment about the implications of the "vascular damage" other than to say that it may still reverse itself since it's only been three months since the surgery.

> > >

> > > I'm following up with my primary care doc in a couple weeks and will also see an ophthalmologist to find out what, if anything, I can do to prevent all of this from getting worse. And trying not to freak out too much, but it's rather disturbing news to someone who uses their vision to make a living!

> > >

> > > -msmith1928

> > > Nulliparous female, 46, left laparoscopic adrenalectomy on 10/13/2011.

> > >

> >

>

[Guest guest]

The VA has some ties to Mass General. Mass General is one that I believe Dr Grim

recommends for PA. Never met Dr Lenz who knows maybe he has done many AVS.

> > > > > > > > >

> > > > > > > > > The chart  that I mentioned, is called  Amsler grid. Check

your eyes:

> > > > > > > > >

> > > > > > > > >

> > > > > > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > > > > > >

> > > > > > > > >  

> > > > > > > > > Natalia

> > > > > > > > >

> > > > > > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > > > > > Subject: Re: Ocular damage from HTN?

> > > > > > > > >

> > > > > > > > >

> > > > > > > > >  

> > > > > > > > > Msmith,

> > > > > > > > >

> > > > > > > > > Don't be freak out so much. Macular degeneration is inherited.

Did the optometrist give your a chart that you have to look at every week? Ask

him about this chart immediately. Ask ophthalmologist to test your eyes on a

special device for macular degeneration. If you definitely have it, laser

surgery should be done ASAP. My ophthalmologist insists me to call him the same

moment as I see the changes in this chart.

> > > > > > > > >

> > > > > > > > >

> > > > > > > > > Vascular damage definitely happens from high BP and it's

reversible.

> > > > > > > > >

> > > > > > > > >

> > > > > > > > > One more point - you didn't check your vision for 3 years -

it's too long, have to do it every year or two.

> > > > > > > > >

> > > > > > > > > I have the  experience with both of these problems. I am

diabetic and I see ophthalmologist every year.

> > > > > > > > >

> > > > > > > > >  

> > > > > > > > > Natalia

> > > > > > > > >

> > > > > > > > >

> > > > > > > > > ________________________________

> > > > > > > > > From: msmith_1928 <janeray1940@>

> > > > > > > > > hyperaldosteronism

> > > > > > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > > > > > Subject: Ocular damage from HTN?

> > > > > > > > >

> > > > > > > > >

> > > > > > > > >  

> > > > > > > > > Yesterday I had my first bit of bad news since the

adrenalectomy in October. I'm already making plans for a second opinion, but

wanted to put this out there for comment.

> > > > > > > > >

> > > > > > > > > I had a routine eye exam with my longtime optometrist

yesterday (who I have educated extensively about PA since he was very

interested). He told me that he found two things that were not there at my last

exam (three years ago): vascular damage consistent with that in untreated

hypertensive patients, and the beginnings of macular degeneration in my left

eye.

> > > > > > > > >

> > > > > > > > > My mom has macular degeneration, but hers did not start until

she was well into her 70s (she's 86 now). I did some quick and dirty research

and found that while heredity is probably the biggest culprint, HTN can also

trigger it.

> > > > > > > > >

> > > > > > > > > The optometrist did not comment about the implications of the

" vascular damage " other than to say that it may still reverse itself since it's

only been three months since the surgery.

> > > > > > > > >

> > > > > > > > > I'm following up with my primary care doc in a couple weeks

and will also see an ophthalmologist to find out what, if anything, I can do to

prevent all of this from getting worse. And trying not to freak out too much,

but it's rather disturbing news to someone who uses their vision to make a

living!

> > > > > > > > >

> > > > > > > > > -msmith1928

> > > > > > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on

10/13/2011.

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

This link says Dr Lenz has been Assistant Professor: 1985 — present

at Dartmouth.

http://www.vitals.com/doctors/Dr__Lenz

> > > > > > > > > >

> > > > > > > > > > The chart  that I mentioned, is called  Amsler grid. Check

your eyes:

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > http://www.allaboutvision.com/conditions/amsler-grid.htm

> > > > > > > > > >

> > > > > > > > > >  

> > > > > > > > > > Natalia

> > > > > > > > > >

> > > > > > > > > > From: Natalia Kamneva <natalia_kamneva@>

> > > > > > > > > > " hyperaldosteronism "

<hyperaldosteronism >

> > > > > > > > > > Sent: Friday, January 13, 2012 12:36 AM

> > > > > > > > > > Subject: Re: Ocular damage from HTN?

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > >  

> > > > > > > > > > Msmith,

> > > > > > > > > >

> > > > > > > > > > Don't be freak out so much. Macular degeneration is

inherited. Did the optometrist give your a chart that you have to look at every

week? Ask him about this chart immediately. Ask ophthalmologist to test your

eyes on a special device for macular degeneration. If you definitely have it,

laser surgery should be done ASAP. My ophthalmologist insists me to call him the

same moment as I see the changes in this chart.

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > Vascular damage definitely happens from high BP and it's

reversible.

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > One more point - you didn't check your vision for 3 years -

it's too long, have to do it every year or two.

> > > > > > > > > >

> > > > > > > > > > I have the  experience with both of these problems. I am

diabetic and I see ophthalmologist every year.

> > > > > > > > > >

> > > > > > > > > >  

> > > > > > > > > > Natalia

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > > ________________________________

> > > > > > > > > > From: msmith_1928 <janeray1940@>

> > > > > > > > > > hyperaldosteronism

> > > > > > > > > > Sent: Thursday, January 12, 2012 10:39 AM

> > > > > > > > > > Subject: Ocular damage from HTN?

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > >  

> > > > > > > > > > Yesterday I had my first bit of bad news since the

adrenalectomy in October. I'm already making plans for a second opinion, but

wanted to put this out there for comment.

> > > > > > > > > >

> > > > > > > > > > I had a routine eye exam with my longtime optometrist

yesterday (who I have educated extensively about PA since he was very

interested). He told me that he found two things that were not there at my last

exam (three years ago): vascular damage consistent with that in untreated

hypertensive patients, and the beginnings of macular degeneration in my left

eye.

> > > > > > > > > >

> > > > > > > > > > My mom has macular degeneration, but hers did not start

until she was well into her 70s (she's 86 now). I did some quick and dirty

research and found that while heredity is probably the biggest culprint, HTN can

also trigger it.

> > > > > > > > > >

> > > > > > > > > > The optometrist did not comment about the implications of

the " vascular damage " other than to say that it may still reverse itself since

it's only been three months since the surgery.

> > > > > > > > > >

> > > > > > > > > > I'm following up with my primary care doc in a couple weeks

and will also see an ophthalmologist to find out what, if anything, I can do to

prevent all of this from getting worse. And trying not to freak out too much,

but it's rather disturbing news to someone who uses their vision to make a

living!

> > > > > > > > > >

> > > > > > > > > > -msmith1928

> > > > > > > > > > Nulliparous female, 46, left laparoscopic adrenalectomy on

10/13/2011.

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>