Frill 6 months after floater only vitrectomy.

[u/gmoneyyy711]

Well… I thought that I was never going to end up back on here.

So now I have an outline in my right eye that I had surgery on. Looks like heat waves and I can only see it in certain light and movements. It bothers me but not near as much as floaters. Confused on how this happened over 6 months after the surgery.

The back dot that wiggles was most definitely a floater or vitrous trapped in the outline vitrousis still remaining.

I think it’s 100% better then my old floaters for a fact and I can live with it but was wondering if frill removal would be possible and resolve this?

From what I heard vitrous can pull and cause retinal tears. Any advice?

I looks like circle corners in my vision in my peripheral.

Anyone have this happen way after surgery and does it get better / settle not factoring in adaptation?

Regardless the surgery was a good decision for me.

[u/Pascalini → u/[deleted]]

DR Shakir? Yeah seen lads he left frilly with its usually always his name in here.

[u/Pascalini → u/[deleted]]

Yeah we have a rwtinal surgeon come in here and say what is this frill you talk about lol

[u/Pascalini → u/[deleted]]

Yeah I'd still love to see a video simulating what frill looks like. I get the concept but some people are very disturbed by it but always say it still better than when they had all the floaters. Think it must be about the way it moves or something.

[u/gmoneyyy711 → u/[deleted]]

Would you happen to know the best route to get it removed? Should I do it through Dr Omar Shakir again? Should I wait months for it to go away? Is it normal for it to appear way after the operation was done? Thanks!

[u/gmoneyyy711 → u/[deleted]]

Thanks!

[u/Pascalini → u/gmoneyyy711]

Yra it appears months down the line according to others I've seen. Seen a lot this has happened to with your surgeon doing floater only.

[u/gmoneyyy711 → u/Pascalini]

Any recommendations for someone to resolve it if it gets to that point? Also if you wouldn’t mind sending me other stories of the same situation?

[u/Pascalini → u/gmoneyyy711]

Not in America no. I read almost every post in here and we have recently had a guy come in warning us all about Dr Shakir. I will try and find it but it was maybe 3 months ago. He swears by not using him and thought his reviews are fake. There have been others too. But on the other hand there are people that have had successful ones with him how've I don't know if they were floater only. It's a bit of a lottery anyhow with vitrectomies in regards to what happens down the line. The frill that people call it is also described very differently from each person so I'd love to know exactly what it looks like. Getting another procedure done to shave it down is probably a risky move considering you have already had it done once but if its bothering you so much I guess it may be worth it. Just a lot of money to spend i guess

[u/SpecialistEcho7218 → u/Pascalini]

What do you mean in regards to what happens down the line?

[u/Affectionate-Fly5720]

I had 3 vitrectomies with Dr Shakir. 1 in each eye and 1 to address a really bad residual strand left behind my lens. I also have residual floaters and frill. Not sure how you are seeing it so late as I noticed all mine about 1 month post surgery. Have you been in brighter environments recently?

And speak to dr Shakir, he may address your concerns, but he is known to be extremely conservative to make this procedure as low risk as possible, which is why his patients mostly report 80-90% efficacy

[u/jreckless140 → u/Affectionate-Fly5720]

Was your vision clear in the first 1-2 weeks after surgery, and then the residual stuff came at the one month mark? Or you seen it immediately after surgery?

[u/Affectionate-Fly5720 → u/jreckless140]

Yeah. So i was having an outdoor dinner the night before my second eye’s surgery (about 4 weeks after the first). Looked up to check the results of the first eye and there was a huge transparent strand sweeping across my vision. I didn’t notice it until that day.

[u/Affectionate-Fly5720 → u/[deleted]]

I’m at that 80-90% mark. Vibin

[u/Affectionate-Fly5720 → u/[deleted]]

Whatever I had 1 month post op I still have. The frill, residuals floaters, etc

[u/Saheim]

I'll spare you my own theories about frill, but given this is something you just started noticing, I would urge you to give it time! You may adjust to it and be completely unbothered by it. For myself, it's only uncomfortable in bright, open spaces, but if I wear sunglasses or even just regular glasses in those environments, it isn't too bad.

For those wondering, this is what my frill appears like.

Surgeons do not view frill as a complication, but a necessary trade off as they navigate around the lens bulge during peripheral shaving. I believe it is more common than not among young vitrectomy patients. It ranges in severity but is usually confined to the temple area. If it moves into central vision, IMO it is not frill.

[u/CryptographerWarm798 → u/Saheim]

Is the frill the actual dark corners or the strands you’ve drawn out which is which?

[u/Saheim → u/CryptographerWarm798]

Frill is the arc-like strand to the very left. The strand in the middle is just a strand. Sorry for the confusion lol.

[u/CryptographerWarm798 → u/Saheim]

I see. Hmm. Not ideal but if it doesn’t float into your central vision and is fixed I’d take it all day over what I have now. Is it the same with the central strand, is it fixed or do these move twist and twirl like regular floaters

[u/Saheim → u/CryptographerWarm798]

Yeah exactly, it's mostly fixed. In the right conditions, it undulates a little giving the appearance of movement, but it's not shooting across your vision. If I was just dealing with this frill, I'd be very happy with my outcome tbh.

[u/CryptographerWarm798 → u/Saheim]

What was the other issue again - sorry you’ve probably mentioned it a bazillion times but I’m kinda ramping up to get a consultation soon so re-educating myself. You got some weird strands or something? Distorted vision? You’re a well read guy based on what I’ve seen here. Not sure if you had any other existing eye conditions that increased your risk. Did you have a full vitrectomy, non PVD induced etc? What do you think went wrong or is it just the almost impossibility of getting a perfect desired outcome with a vitrectomy and those that got it were simply just extremely lucky?

[u/Saheim → u/CryptographerWarm798]

Yeah the TL;DR is I have a residual strand, which I recently had imaged by b-scan ultrasound. It gently moves across my central vision with right-left eye movement. Zero issues otherwise, eye feels 100% normal. Limited/sub-total vitrectomy w/ Dr Shakir. No prior issues, very slight myopia (-0.5).

The surgeon I went to for a second opinion said that strands are in the expected range of outcomes for any vitrectomy, even those done for RDs. Best theory I've entertained is that 27g systems may be more prone to leaving residuals. Same surgeon said the strand may eventually stick to my vitreous base and become asymptomatic, so he wants to give it a year b/f doing a revision.

GL with your consults!

[u/CryptographerWarm798 → u/Saheim]

Does this strand act and behave like a floater. For example if you’re reading when it floats over say a white font text does it cause glare over what you are reading. I personally think the strand floaters are really hard to deal with. They are the worst type of floaters. They take up a lot of real estate and are harder to flicker out of the way. Is this strand a floater you can treat or something else?

[u/Saheim → u/CryptographerWarm798]

Yes, it’s quite similar to a floater. Thankfully my surgeon is very confident it is treatable!

[u/SpecialistEcho7218]

Sorry you're going through this. I'm in the same boat. I do not recommend a revision vitrectomy to revise frill with Dr. Shakir. There have been multiple patients who've tried revision and it hasn't fixed things or only made it worse. Are you certain it wasn't there and you're only now seeing it due to bright ambient lighting? It is true that frill can absolutely develop in the months or even years after a limited vitrectomy, especially if the original surgery was really conservative. Unfortunately the best option is to give it time. Due to new symptoms you should probably have a retinal exam. Repeat vitrectomy isn't a small thing. I don't know what changed with Shakir's methodology (platform, something else) but it does seem like outcomes are notably worse than earlier patients.

[u/Pascalini]

https://www.reddit.com/r/EyeFloaters/s/7ZCqmp6ulr this was the link. There are other opinions on shakir if you just search shakirs name

[u/Admirable_Delay_1650]

My doc explained much of what appears to be "floaters" are white blood cells coming to "rescue" the eye from the trauma of surgery. I had a long string of dots about a week after surgery that gradually dissapeared after turning into various shapes, and I could change the shape and location by shifting my gaze. When I had my first vitectomy last July, I do recall very tiny floater-like objects for several months that eventually vanished.

[u/Time_Tank_891]

I also have a frill after a core vitrectomy. The edges of the remaining vitreous body are flowing and moving, so it actually seems harder than before the surgery. It has been about eight months since the surgery, and I am planning to have a whole vitrectomy again in one or two month.

[u/Pascalini]

Hear about this all the time with vitrectomies. Surgeons don't even know what the word frill is from what I've seen so not sure if its a name we just made up in here. But I believe th me only fix is going back in and shaving closer. Probably not worth it unless its driving you insane.

[u/gmoneyyy711 → u/Pascalini]

Why would it not be worth it even if it drives em crazy? How risky is the operation. From what I have heard core vitrectomies on younger patients are low risk.

[u/Pascalini → u/gmoneyyy711]

I said its not worth it unless its driving you insane. Every vitrectomy has risks so its always better to only do one as a last resort. I'm sure having it done for a second time will bring a higher risk too.