Vision Changes
Hi I just wondered if anyone has suffered vision changes after having gemcitabine and carboplatin or zoladex as I am on them both at the moment. I have had zoladex previously with no issues to vision.
I had my first gem/carbo in December- and have struggled with blurred far vision since, I feel like I'm cross eyed and can't see properly, it's very frustrating and worrying, has anyone had this?
Comments
-
This is possible, and probably best to reach out to your doctor for advice. Thinking of you!
-
thank you for your reply. I have been to the hospital and they have done a ct scan which came back clear. My oncologist will investigate further when I see him on Tuesday. I'm now seeing lots about zoladex causing blurred vision and although I didn't have any issues with it previously, I'm wondering if that could be the cause. Hopefully can shed some light on this next week.
-
My eyes are suffering significant SE during the last few rounds of chemo .... sharp pain to my eye, lots of watering and blurry vision. I went to an ophthalmologist who prescribed Lotemax drops at night and then moisturizing drops during the day. He said my cornea looked like sandpaper had been dragged across it .... but my oncologist said there shouldn't be any affect on the cornea ... so, go figure! The eye thing worries me more than any other SE .... so am returning to my ophthalmologist this week. FYI, my regimen is different - toxoterre and cytoxin.
-
Hi jiilmare, I have the same issues after AC/T. My last Taxol was 11/25. I go to the ophthalmologist and do what he tells me to for my eyes. I asked the MO and she said that it is not chemo related. Really, the ophthalmologist knows it is chemo related. But if I listen to the MO nothing is chemo related. But both of my cardiologist know that Adriamycin caused my permanent heart damage. And on and on it goes. So treatment goes on, and then I run to any of my 15 Doctors to "fix" what the chemo does to me. Big sigh......
My question is: If chemo can wreck most of my body parts, why doesn't it wipe out the cancer, the very thing we do it for?? Kinda scary.
Good luck, I hope you get some relief from the eye problems.
-
I found this article very helpful. Gave it to my MO when I was/am having vision problems on AIs. Neither my ophthalmologists (residents and attendings) nor my MO knew this information.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205820/
Breast Cancer Medications and Vision: Effects of Treatments for Early-stage Disease
-
Thanks, Doxie! Much obliged.
PS - I just opened the link and realized I know one of the authors! We used to serve on a board together and I bump into him occasionally. What a small world!
-
I had carboplatin in my chemo cocktail, plus taxatore and herceptin. During chemo my eyes were very dry, but at times they would water like crazy. I finished the TC part of my treatment at the end of August, still on the H. The dryness is improving, still get watery at times.
The odd part is I went for my routine eye check up in December, it had been two years since my last visit. Surprisingly my vision improved a bit. Don't know if its a result of the chemo, but I've been wearing glasses for 30 years and never had that happen before.
-
Hi jiilmare, I was on the same regimen as you and started having the same symptoms.(Taxotere and Cytoxin) My Oncologist also said it was not related.I went to my ophthalmologist who insisted it was. It turned out my tear ducts were completely blocked and I had stents put in while I was doing chemo and for a while thereafter. He told me that scar tissue would form and my eyes would be constantly watering if I didn't. He also felt that I was developing signs of glaucoma but would check every six months. I have been off the chemo for three years - it probably took a year for things to return to normal.
I agree with Beachbum - oncologists always say nothing is chemo related. You should always get symptoms checked out! I also run to my doctors to fix treatment related things. Hope I was helpful in some way and that you feel better soon!
-
Hi I had so many side effects from chemo, and blurry vision was one of them. My oncologist said that this is definitely a side effect from the chemo. The Dr. specificially asked/asks about my eyes at every appointment. Make your Dr. do his or her job, it can't be more difficult than looking up the side effects on their laptop. I apologize for sounding like a b@!$%, but sometimes you have to make people do their jobs, even doctors!
-
My dry eye is caused by clogged oil (meibomian) glands on my lids. This was caused by plepharitis. I noticed the swollen lids during chemo, but don't remember if they preceded chemo. My eyes produce enough tears, but the surface doesn't receive enough oil to keep tears on the eye.
Hot wet washcloths 2-5 minutes on the eyelids 2x per day with gentle rubbing on the eyelids really help. If your eyes are blurry immediately after this, oil is being released from clogged glands.
The plepharitis finally cleared up inadvertently after antibiotics for kidney infection. I still use the hot compresses daily.
Excess tearing can be a sign of dry eye. Make sure you have your ophthalmologist check both tears and oil production. My dry eye wasn't controlled until we found out the real problem.
-
Hi all .... thanks so much for contributing your experiences .... this eye thing is scary! Just to update, on my second visit to the ophthalmologist, he prescribed an antibiotic drop after the anti-inflammatory drops on the first visit (and warm compresses). The antibiotic drops helped the inflammation immensely .... sharp pain subsided, along with the mucous that my eyes were producing. My eyes are still like water faucets but I'm not as panicked as before with the discharge and pain. My last chemo was a week ago, so the ophthalmologist is seeing me in 3 weeks to dilate and irrigate .... may have to do 2 or 3 times. At least we have a plan (and he's very clear it's a side effect of chemo). My oncologist didn't want to change my drug therapy. Hope things are going well with everyone's treatments..... what doesn't kill us will save us???
-
A year after completing chemo I developed a severe detached retina in my left eye. I am just about to go through my 3rd surgery to try and fix it. Thank goodness I have great vision in my other eye or I would realy be in trouble.
Eye issues are serious and should be dealtwith immediately! I have quite bad myopia which is what caused the retina to detach in the first place. My retina specialist advised that although having chemo does not cause a detached retina but it will weaken your body enough to make current issues worse. That along with leaving my vision issues a couple of days too long has caused this nightmare for me!!!!
-
Shoppygirl, thanks for that info on myopia and eye issues due to chemo. I hope your 3rd surgery does resolve that problem; I know it's got to be a huge concern for you.
-
There is no way to know for sure rather or not eye issues are directly caused by Chemo according to all my Drs. That it is possible - yes but not an absoluteas the older we get, the more possible issues arise.
I devoped cataracts in both eyes 2 yrs post neoadjuvant A/C and adjuvant Taxol. 1 1/2 yr ago the retina detached in my right eye (long story - but finally got a great Dr). 1/2 yr ago left retina detached - I was able to yet into my fantastic Dr immediately.
My point in telling my 'story' is that we can not know for sure what 'tomorrow' holds for any of us. Be thankful for every day and handle what ever may happen when it does, IF IT DOES.
-
I do think that with any issue that could cause permanent harm MOs (and others) owe it to patients to familiarize them with the possibility upfront and drill them on getting in touch a.s.a.p. in order to minimize the impact.
With vision issues it's especially important, I think, as so many people don't have an ophthalmologist and would be hard pressed to find one in an emergency.
Sure - let's not blame everything on chemo and let's not go looking for trouble but let's also be good scouts - well prepared!
-
To help understand my eye problems, I created a glossary of eye terms, then gave it to my MO with an article about how cancer treatments affect the eye. He knew next to nothing.
-
Well said Kicks!
I got rid of my first retinal specialist and finally got in with my specialist of choice. He is the one that is going to do my next surgery so I'm feeling pretty good about it!!
The eye issue has been a bigger pain than anything!!
-
Shoppygirl - Isn't it horrible to lose sight in one eye? I did not wait to seek care - the 'Specialist' is the one who put me off from Tues to Fri for care. This was at a large eye facility. Wed. I could not see at all and raised 'Hades' and they finally got me an appt the next day with a private Dr. He's fantastic. It did redetach a month later which required surgery, not just the gas bubble. Considering how long it was before being able to see him - not bad results but would have been better IF I had been treated in an appropriate time frame from first Dr. Last June on the way home from town, I noticed the same early sign so called my Dr and talked go his RN and was told to get in as fast as I could safely. Did the bubble then and cryo the next day (Sat - yes he did come in on Sat morning just for me).
-
Yes Kicks, it is very scary! My first retinal specialist was a bit of a nightmare! Very negative and over the top dramatic. He also said I had issues with my good eye and now that I have had it looked at by two other doctors, they have advised that is not the case, it is perfect.
I am not realy a "second opinion" type person but in this situation I was and I am very glad I switched doctors.
I will never mess win my vision again!!!
-
Hopeful
Thank you! I hope this surgery works too! I told my retina specialist that I better be all healed to go to Las Vegas at the end of March for my 20th wedding anniversary !
-
Hello Claire.....from another Claire! I would say that my vision was a bit affected during chemo. However, I especially remember a week just after starting both radiation and anastrazole when everything was blurry. Scary, but it cleared right up on its own in a few days.
Now, my eyes are healthy with optics as bad as ever. (I am extremely far sighted.)
Have you had your blood sugar checked? Chemo affects body chemistry so much that I would start with the most likely. Hoping you are seeing better by now. - Claire
-
Hello All,Yes, chemo DOES cause vision issues whether your MO wants to admit it or not. Mine confirmed that Yes, the watery eyes caused by either clogged tear ducts or dry eyes was initiated by the chemo. It first came on 3 weeks after my final chemo (taxol). If you have had eye issues in the past, the chemo can tip the scales and cause a full blown issue, as is the case with me. In the last 7 months, I have been to 5 opthalmologists, including an ophthalmologist plastic surgeon from Johns Hopkins who wanted to do general anesthesia surgery to insert stents. I did not want to do that, so I've been on a quest to come up with a less drastic solution. Oh, by the way, there is NO guarantee that the surgery would even work:-). Ugh. My eyes were watering so badly, wearing any kind of eye make up was out of the question. I was constantly walking around dabbing at my eyes as if I were on a perpetual crying jag. Could not stand it! The first 3 docs all thought clogged tear ducts were the issue - had them irrigated or drained in the office twice - and they did drain, which is a good sign. Fourth doc said he thought it was not an internal eye issue at all, but external - blepharitis or inflamed eyelids & ocular roseacea. He prescribed doxycycline (antibiotic pill), warm eye compresses: fill a smooth fabric sock with raw rice, tie it, and put it in the microwave on a paper plate to heat for 45 seconds, place warmed rice/sock on the eyes; & Flonase nasal spray once a day (to unclog the gland that runs from the nose to the eyes), plus adding Fish Oil 1200 mg once a day to your supplements. After two weeks of this, eyes not appreciably improved. He then referred me to a doctor in Rockville, MD (outside my immediate area but not that far), who may have found the solution. She researched dry eyes for 10 years at Harvard! I've been on her regime for one week and my eyes are 80-85% improved! She has been the first doc who has said that the problem is DRY EYES. (My regular opthalmologist whom I've seen for 25 years and is very good, said I did NOT have dry eyes.) On her regime, I am taking the same doxycycline; no Flonase; Erythromycin antibiotic cream on the lids at bedtime; warm compresses as described above 3 x a day;up to 8 x a day, in each eye drop of Preservative-free eye drops (expensive, come in little tubes), and am washing my face/eye area with very warm water, followed once a day with an eyelid scrub of Cliradex, which contains tea tree oil. The tea tree oil kills all the little mites (oh yes, mites evidently come with the roseacea!). Cliradex comes in little sealed packs. You can cut them in half and save the other half in a Ziploc bag as a box costs $40. This treatment above again has improved my condition by 80-85%. If this stops working I will go to her next step of using Restatis (you've seen the commercials on TV) & Lotemax. Lotemax is a steroid and can cause higher eye pressure which is dangerous, but it just means that you have to be monitored to make sure the pressure does not get too high.
I am taking the time to convey all of this in the hope that it may help just one bc sister out there who has or may have similar eye issues caused by chemo. This is NOT a recommendation to do what I'm doing! Every one is different and needs to consult their own doctor, but this has been my experience. I feel like I finally have hope! Hang in there ladies - just be persistent!
-
Thanks so much for sharing your experience and some of the tools that have helped you. Who knows who might find a lead to the answer to their problem here?
-
Just wanted to add - be VERY proactive if 'you' think you are having eye issues. Sight is so precious and also so delicate and easy to loose with incompetent care.
As has been said - Chemo does/can effect eyes. There are other issues that come into play also - age, nearsightednesss, cataracts/cataract surgery, and family HX are some things that can contribute.
As we are each unique - there is no one way that any issue will present exactly the same with all.b Some issues develope over time and some are rapid requiring rapid TX for positive results.
-
Amen, Kicks.
-
Dito!!
-
Wow, it's good to see everyone's comments! Thanks, MomMom, for your detail .... so appreciated. It feels similar to what's happening with me and I'm hoping - as everyone here is striving to do - I've finally found a really good ophthalmologist. He does feel I've moved in "dry eye' status, my eyes are like water faucets which drives me crazy - and will do the irrigation procedure in several weeks. Since my last chemo was a week ago, I'm not sure how long all this will last , but the compresses and antibiotic drops have really helped everything but the watering. I can only use them 2 more weeks, so will see what happens. He also mentioned some cataract activity to deal with later. I will be at UCLA for radiation treatments and may get a second opinion ..... but seriously concerned about wandering too close to the G. I. department!
-
Thanks MomMom, I am so glad I found your very informative post. I did 12 weeks of Taxol and my eye problems started the week after I started Taxol. I told my MO my vision was blurry and my eyes were tearing. I thought he was going to recommend an ophthalmologist but instead he had me go for a brain MRI. Very stressful but fortunately negative. I finished Taxol 11 days ago and am still having SE's from the treatment and my vision and watery eyes being one of them. I was just biding my time hoping it would pass but tomorrow I am going to make an appointment with an ophthalmologist. My eyelids are puffy but also I have puffiness under my eyes too. Did that happen to you? Thanks for your post to push me in the right direction.
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team