Two Year Eye Update!

Last week we took Emerie to her eye specialist visit, that was conveniently scheduled out far enough that it wasn’t canceled or postponed due to COVID-19 closures.

Such a big girl!

The doctor’s office required I wear a mask and only one parent accompany the child. The one-to-one ratio is pretty fantastic and when the kiddo is well behaved, it’s even better! Emerie was a pro and you can tell that she likes Dr. Winkle. Not only did she sit very still on my lap while he checked her eye, but he also managed to get a few smiles, almost chuckles, out of her with some animals sounds. She took out on of the tools on the eye machine and nicely handed him his “toy” upon request.

The good news. She was great at her appointment and the eye patching is strengthening her eye. The bad news? Her eye muscles will require another surgery later this spring. Typically the over correction of the eye muscles accommodates the loosening over time, so that the eye ends up looking nice and straight. Since October’s surgery, her eye still trends inward a little more than it should and by now it over correction should be fixed. Dr. Winkle noted he would decide once she’s in surgery if the inside muscle requires loosening or the outside should be tightened.

I am hopeful that much of this quarantining will be passed us before she goes in, so her immune system doesn’t have to fight off any other potential invaders. Current rules also state that only one person is allowed back with a kiddo and that can be tough with a very unsettled and in pain toddler.

Harper and Reagan received their two year eye checkups with the specialist this week, more-or-less to confirm that no strabismus issues are present like their sister. The doctor did not appreciate that they were dressed alike, but did think it was funny! Both passed with flying colors and no longer need specialist eye care. Going forward, unless something changes, we will just monitor their eyes at the pediatrician. Great news!

Not often her mood with the patch on, but big smiles for Em!

Harper did well with the dilation drops and didn’t fight the doctor for the visit. She sat still on my lap and he examined those beautiful blue eyes without too much effort. (Random fact: light colored eyes like blue react easier to dilation!). Reagan, on the other hand, feels the way Harper feels about the dentist. Screaming, crying, trying to hold those eyes shut. She did not appreciate the drops and had her eye exam with arms held firmly down by Craig and her eyelids pried open by the doctor. Maybe we should be more appreciative that Emerie doesn’t respond to all the doctor visits like this.

They both had dilated eyes for the rest of the afternoon, but still enjoyed playing out in the sun and going for a family walk.

Bright light didn’t stop afternoon playtime.

All in all, things are pretty good in terms of the Douglet eyeballs. We will continue to patch Emerie two to three hours per day and encourage use of her weaker eye, much to her dismay. The next plan is to purchase another pair of glasses with larger lenses and see if she likes them more than her current ones or if they improve her mood. We are also thinking outside the box…maybe getting a yellow pair instead of her usual purple! Either way, we know they will be cute on her.

Keep those prayers coming; and we will keep you all updated on her progress.

Emerie Surgery #2 Update

With an opening in the doctor’s schedule for Emerie’s upcoming surgery, we pushed it up to today instead of the following Tuesday. The first procedure in June corrected her blurred vision by conducting a lensectomy and removing the cataracts in her left eye. The surgery then added a new lens and we’ve worked with patching to improve her eye use.

Today’s surgery, called an eye recession and resection, focuses on the muscles that control her left eye and will correct the lazy eye effects still hindering her. This is not considered a cosmetic surgery; while it repairs the look of a lazy eye and makes it less noticeable, it more importantly encourages her brain to use the damaged eye more and improves its focus and function. That is far more important than simply making it less visible to others, although that is a perk! The exterior eye muscle will be loosened and the interior one tightened to draw the eye in and minimize the wandering. The procedure is less invasive than the prior one but does result in a red, irritated eye for a couple of days.

There is a possibility she will need a third surgery in the future to do the same correction, as lazy eyes often shift back to some extent. With the nature of her eye issue, this is something that can be likely, but we won’t know for a while and it doesn’t happen to everyone. For now, straightening things out will hopefully assist her brain in using the bad eye even more than it currently has. We will continue with two hours of patching (of the stronger eye) each day and hope visibility improves.

Being silly with dad while the meds kick in.
Getting some early morning steps in

As I wrote this, Dr. Winkle came out with an update that everything went well and she is in recovery. She went back with him about 7:40 and was done by 8:25. Pretty quick! Just enough time to get donuts… after another hour we headed back to post-op and helped settle her before going home for the day.

Emerie was much more active this time around, so we wandered around the lobby when we checked in, she even helped me with my purse. Back in the pre-op area she did not want to sit still or be contained, even with the Versed medicine. In typical Emerie style, she spit some of that medicine right back in Craig’s face as he wrestled to give it to her. He can tell you that it doesn’t taste very good. She eventually became woozy from it, but still wanted to move around. Last time she just snuggled!

After her meds she sucked down a tiny cup of water. That plastic cup entertained her for a good 15 minutes, making her giggle as it crinkled against her teeth. It made for some silly pictures (see below!). She would not let the nurse take her forehead temperature, fought the anesthesiologist on checking her heart and lungs, and decided the pulse finger machine was permanently hers. In fact, the pulse machine went back with her into the operating room because she was literally not giving it up. She also got to walk back there with the doctor, not a nurse like last time.

I made the mistake of sipping my coffee thermos in front of her that was not appreciated, especially with the no food or drink rule before a surgery with anesthesia. Mental note for next time: don’t do that in front of her!

The dog walkers took Kalli and Koda for some adventuring this morning while we were out, hoping to tire them enough for calm puppies the rest of the day while Emerie settles in. Harper and Reagan get nanny and grandma playtime while I snuggle with Peanut.

For now, we are home. She was much happier in post-op than last time around. Instead of upset and crying, she was snuggly and very sleepy. She slept on the car ride home and is now totally out on my lap in the nursery.

Thank you everyone for the prayers and encouraging words for Miss Emerie. ❤