Ahhhh, cancer…the gift
that keeps on giving.
A couple of weeks ago I
noticed that I had a small area in my right eye that would sometimes get
fuzzy. It comes and goes and initially I
thought I had a smudge on my glasses. After
realizing that something was going on with my vision, I mentioned it to my
oncologist. He reminded me that one of
the medications I’m on, Avastin, decreases the blood supply to my tumors and
one of the side effects is vision changes because Avastin can act on the
vessels in my eyes. He recommended an
evaluation with an ophthalmologist, which I did last Tuesday. I’ve been found to have what are called
cotton-wool spots on my retina, which are white puffy areas of inflammation. Although seen in diabetics and those with
uncontrolled high blood pressure, a rarer association is in folks with
metastatic cancer. That would be
me. The ophthalmologist didn’t think it
was associated with Avastin because the vessels on and around my retina look
healthy and Avastin is used in the eyes of diabetic patients. So the thought is that if my chemotherapy is
working, these cotton-wool spots may arrest or even get better. However, if the chemotherapy doesn’t work, I
may slowly lose my vision. Nice,
huh. Could I please catch an f-ing
break! It’s taken me a few days to write
about this because of all the shitty information I’ve received about my cancer,
this one hit me pretty hard. I have a
follow-up appointment with my ophthalmologist and may see a retina specialist
sometime soon.
A couple of days after I
learned about my eyes, I was told that my liver enzymes had improved – which
gave me/us hope that my chemotherapy is working. If I had to guess, I think the fuzzy spot in
my right eye that comes and goes, hasn’t been there as much – another good
sign. Please continue to wish me luck.
The other good thing is that my hair hasn't been falling out yet and I postponed my wig pick-up for another week. So by my count, one bad, really bad, piece of news about my eyes gets balanced by good news about my liver enzymes and no hair loss yet. That's one bad to two good. I win!
[BTW local friends and
family: The ophthalmologist says that my
vision hasn’t changed and that it’s safe for me to be driving.]