January - Had a CT scan following the MRI results from 2009 in preparation for my first appointment at the St Joe's Eye Clinic in Hamilton. Dr. J. Harvey, an eye surgeon specializing in oculoplastic, reconstructive and cosmetic eyelid surgery, with sub-specialty skills in the area of lacrimal, orbital and cosmetic surgery.
My MRI showed a mass on the right orbit, the CT indicated that the mass was centred on the right lacrimal gland. I was booked for surgery March 31st, to remove the mass and have it biopsied.
In January, I also attempted to return to work. Managed to work a month an a half in a busy tax office as an assistant manager, but found the combination of headaches, vision issues and having a 3 month old baby at home was just too much. February 27th was my last day worked.
Surgery was postponed to April 28th, 2010. Fortunately, it was a day surgery, I would be in at 11 am and ready to head home by 4 pm. The operation was pretty routine I guess, I was asleep the entire time so I can't say officially how it went. I did have some trouble waking up afterwards and I do recall hearing the nurses saying "let her sleep a little longer, she's got a baby at home" as I drifted between being asleep and awake.
|Day after Surgery|
|Day after surgery, bandages removed|
|48 hours after surgery|
A couple more terms/diagnosis came up resulting from the biopsy.
Tumefactive fibroinflammatory lesion is an idiopathic fibrosclerosing disorder occurring in the head and neck region. It is one of a broad spectrum of entities named inflammatory pseudotumors and, as the name suggests, it mimics a lot of diseases such as malignancies or infections.
Sclerosing orbital pseudotumor is uncommon. Due to unknown reasons, these tumors behave differently than other types of pseudotumor of the orbit. They grow more slowly, cause less pain, and are characterized by scarring (hardening of the tumor tissue).
Histopathology reveals large amounts of fibrous tissue.
Sclerosing orbital pseudotumor is not cancer. But, by local growth it can cause bulging of the eye (proptosis), double vision (diplopia) and loss of vision.
|CN IV Palsy Horizontal, vertical and Torsional|
This is about the closest representation I can get to what my vision was like at the time.
|Couple weeks or so post op. |
Not winking, that's the limit I can open my eye
I had 2 eye lift procedures in attempts to correct the eyelid drooping as a result of the April surgery.
A follow up MRI was performed and revealed that there was no further occurrence of the tumour.
At this time, my official diagnosis was listed as orbital pseudotumour. My headaches continued to remain 24/7, varying in degree of intensity. Treated only with acetaminophen and ibuprofen.
On a more positive note, Rachel celebrated her first birthday October 23 with the help of family and friends.
|Cousin Ethan helps Rachel with her mash cake! Happy Birthday to our little princess!|