There is not a lot of information out there about pterygiums in general, let alone the surgery and recovery experience. Your FindaTopDoc account is completely free. Ultimately, I had no desire to rush or threaten my eyeballs recovery. Request an Appointment or call 678-381-2020. For the first week after surgery, it's better to avoid wearing makeup. Trusted Pterygium Specialist serving Long Beach, CA. Medical Care. Its a scary procedure, but the more were able to share our experiences the more knowledge is available for future candidates. Do not irrigate your eye. But sometimes, a pterygium can grow too close to the cornea, causing refractive errors by forcing this part of the eye into a different shape. Thyroid-Related Eye Disease (Graves Orbitopathy), Watery Eyes and Tear Duct (Lacrimal) Surgery, Teprotumumab, Tocilizumab, K1-70, Rituximab, Assorted Medications, Tests and Treatments, https://ca.linkedin.com/in/edsel-ing-b305a040. To help Dr. Ing sort out your problem, answer the following. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. If your eyes are still watering after taking these measures, you may have a more serious eye . I was very uncomfortable. So needles dont freak me out. What could be wrong? Most people experience improved vision within 24 hours. 3) Narrowing or obstruction of the nasolacrimal /tear duct (toilet of the eye). Is surgery possible for adults with amblyopia. The operation can be performed under local anaesthetic, with the eye frozen or . Up until yesterday the sclera that was grafted into place had remained white. The pterygium surgery is a minimally invasive surgery. born with a blocked tear duct,because amembrane in the nose fails to open naturally. Nothing. Its amazing how quickly the human body creates a new normal for itself. Roger Ohanesian, MD. Infections like pink eye (conjunctivitis) or sinus infections (sinusitis) can cause watery eyes, as well. I seem to especially notice it on gray days when I surf. Try to avoid having any residual pterygium tissue. See your eye surgeon for a check and ask him why, Could be the depression where an incision was made on the cornea to enter the Anterior Chamber, a necessary step in cataract surgery. The prospect of being awake during the surgery terrified me. Stop wearing contact lenses for at least 24 hours in advance of the operation. If pinguecula or pterygium is existing, regularly observe its size, color and shape. Get the latest health tips to your inbox, 2008 FindaTopDoc.com - Privacy Policy - Archive - Find the Right Doctor for You. We included 30 consecutive patients with primary nasal pinguecula and dry eye symptoms undergoing ocular surgery for the first time. Avoid getting water in your eye for at least a month after the operation. During the operation, your surgeon will give you numbing eye drops. You might receive a mild sedative if you feel nervous because you will be awake during pterygium removal. Your eyes are complex organs, and nutrition plays a key role in keeping them healthy. Within two weeks, my vision went from 20/30 to 20/20. The graft (thin piece of normal tissue placed where pterygium was removed) is failing to "take" (blood vessels are not flowing through it). Although both types of growth can look startling or disconcerting, they are both benign. 2. Being able to keep my eyes fixed in one place when they have been open has lessened the movement and therefore the irritation. Have a question about Eyelid Surgery? This growth is usually the result of too much long-term exposure to the sun's UV rays. This reflex watering will often occur when outdoors or in windy, dry and dusty conditions. Everyone says that, but it takes a knife to the eye to really internalize it. Also called surfer's eye, it is a benign and non-cancerous mass. As it progresses, it can grow into the cornea or the clear layer protecting the surface of your eye. It is especially true when skin is removed, as in a blepharoplasty, for example. Pterygium surgery is a procedure performed to remove noncancerous conjunctiva gro w ths (pterygia) from the eye. Interest will be charged on promotional purchases from the purchase date at a reduced 17.90% APR on purchases with 60 months promotional financing. You may be required to fast or only eat a light meal beforehand. Knowing the different parts of the eye and how they function will help you recognize vision problems or. After your eye is numb, your eye doctor will first scrape away the outer layer of the cornea. 4. 26. Or youve gotten it too and can relate. I believe sedation is an option but its probably easier for the surgeon to work with the patient fully aware so theyre able to follow instructions on where to look in order to allow for better access to the whole eye as needed. The pterygium is excised surgically and the defect repaired with a conjunctival autograft which is secured with fibrin glue. As with any surgical procedure, there are risks. Getting the eyepatch removed was a crazy experience. Always follow your doctors instructions after a surgery like pterygium removal. The area is now extremely inflamed and red. For this reason patients should refrain from blood thinning medication (e.g. Frequently notice a change in the appearance of the eye. Watery eye videos; Before and After; Treatment. For example if it involved the upper eyelids would it be something like a blepharoplasty or does it involve tightening the margin of the eyelid also ( reducing the length of the margin ?) Pterygium is a raised, fleshy, triangular-shaped growth on your eye's conjunctive. Once the pterygium is removed, your doctor will replace it with a graft of associated membrane tissue to prevent recurrent pterygium growths. Typically, your eye is healed in about a month. I looked it up online, and most literature says this is a bad thing. The day after the surgery. Talk to your eye surgeon about these options and what they think the right process could be for you. Though, this may also be dependent on the type of technique used during surgery. The cause behind this symptom is multiple. But the answer was simple: My eye hurt. I have used my iPad in bed extensively when I have had my one good eye or both eyes open to give myself a low light (screen brightness set at its lowest) and fixed-focus, limited field of vision distraction. Just let it rest in darkness. So much sothat when I took off the patch, it didnt want to open. Extreme swelling. Pterygium Surgery Recovery. Everyones laughing at you, but, hey, look who doesnt have ink smeared across the breast of their button up. A number of people have asked for a follow up photo of my eye. Shortly after I had my cataract surgery on both eyes, I developed a problem, especially in the middle of the night, waking up with irritating dry eyes which can be . After the procedure, the eye may be patched temporarily to minimize any . Its a hard decision. The eyelid margin can be realigned if the eyelid abnormally turns out (ectropion) orturns in (entropion). It is In the end of the surgery there will be a tiny tube which only visible on close inspection. 7. Pterygium Surgery Recovery in Los Angeles & Monterey Park. (punctoplasty) if the puncta are too small. You can learn more about how we ensure our content is accurate and current by reading our. "watery eyes" It is important to recognise that dry eyes can cause watery eyes. So the eyepatch looks like a urinal cake. Pterygia can develop on the nasal and/or temporal limbus and can affect either or both eyes. Believe it or not, your eyes could be watering so much because they're actually dry and need moisture. I have included before and after pictures and seek your professional opinion. Other Causes. Its definitely a raw scrape on your eye initially, but it doesnt feel much worse than a really bad, deep scratch. It still bothers me a little bit, and its still very sensitive to light. That first afternoon and the following day I tried to keep my eyes closed as much as possible to limit the movement of the eye that had been operated on as the stitches were new and scratchy and my eye was extremely light sensitive. However, if you begin to experience vision difficulties, a complete loss of vision, or notice pterygium regrowth, schedule a visit to your doctor. Find out the causes, symptoms, and treatment with our guide. After all, getting a pterygium removed, for the most part, is an elective surgery. You will also receive aftercare instructions. After Pterygium Removal Surgery. Healing time after pterygium surgery depends somewhat on how much tissue was removed, your personal health and healing ability, and how well you follow the aftercare instructions. Entropion. My good eye was covered while my left eye was given a numbing and sterilizing drop, an anaesthetic gel and then injected to completely numb it. second laser-assisted pterygium surgery (FLAPS, NCT02866968) has been initiated. This then becomes a scratchy, itchy, foreign body sensation for 1 to 2 weeks. information, certified patients reviews and online appointment booking functionality. Usually after removal of the lesion has been completed, a small piece of conjunctiva, which is the thin transparent skin that covers the white of the eye, is taken from under the upper lid and placed into this site, to improve the healing and reduce the . Medical disclaimer. The eyeball heals quickly. In recent years, amniotic membrane transplantation, autologous limbal stem cell transplantation, application of mitomycin (MMC) and some other methods become commonly used. In this more traditional procedure, your doctor removes the pterygium tissue without replacing it with a tissue graft. 1) Unstable tear film due to underlying dry eye or ocular irritation. Your doctor will most likely provide you with general guidelines to prepare for your pterygium surgery. By submitting your question, you agree to be answered by email. During that visit or a second follow-up visit shortly after, your eye doctor will remove sutures if you received these instead of fibrin glue. Please speak with your NVISION Eye Center for additional details. What are the implications or risks long term? To treat droopy eyelids for aesthetic purposes or help improve your vision, you may consider an upper blepharoplasty to lift the eyelid & remove, Lens replacement surgery is a relatively quick & minimally invasive procedure that can improve your vision if you have certain conditions, including, Laser surgery uses focused light beams to remove or reshape tissue. Gritty, burning or stinging sensation. Heresmy pterygium surgerysurvivors tale: 1. Need to login as a doctor? Read: no shower on your face. In the eye, it can be done to treat certain medical conditions or correct vision, Blurred vision is common after cataract surgery. Offer cannot be combined with any other discounts or special offers, previous surgery, insurance, or vision care plan savings. will instill eye drops to numb your eye and prepare you for the treatment. uhm) is an abnormal fleshy growth on the white part of your eye. The doctor likened the surgery to placing a wet piece of tissue over top of your eyeball, and if water hits it, it will destroy it. I dont want to think what it would have felt like without those because I was in agony with them. It's amazing how quickly the human body creates a new normal for itself. Download PDF. Watery eyes, medically known as the epiphora, represent a condition that features the overflow of the tears onto the face instead of being drained into the nasal cavity through the nasolacrimal canal. The information provided on this page should not be used in place of information provided by a doctor or specialist. (The Lacricath balloon is similar to technology used in angioplasty, to open blocked heart arteries). The hole that drains the eyelids can be enlarged. 8. Just dont go outside. I have very little lid left if any and eyes keep watering and are very tight. 20. Using ocular lubricants (tear drops or ointment) six or more times per day may help to stabilize the tear film. Because youll be lightly sedated, doctors will require you to arrange transportation after the surgery, as youll be unable to drive yourself. It felt like a tiny pin prick in my eye, and it was over instantly, but I was not excited about it. Both techniques reduce the possibility of recurring pterygia. Your surgeon (Dr. Velasquez) may also use a piece of donor tissue called an amniotic membrane graft to put in . If the tube cannot be pushed back in the nose, tape the tube to the side of the nose, and use lubricating eye drops for comfort as necessary. Mostly they arise from the nose and grow outwards, but they can do the reverse, and grow from the outside in, and some people can have both of them . A blade or burr is used to gently smooth the corneal surface as much as possible to reduce corneal scarring and visual disturbance. For a full description of this disclaimer, please see our Terms of Use. Well describe how they look, what causes them, and the symptoms to expect. Or pet. However, with control of such inflammation and intraoperative . After age 40, the risk for developing a cataract begins to increase over time. A pterygium occurs when part of the conjunctiva starts to grow abnormally. Call if you are concerned that things arent healing normally. Sometimes referred to as surfer's eye, pterygium is caused by an abnormal growth on the eye's limbal and conjunctival tissue. Patients with an abnormal tear film often complain of itchy, scratchy eyes that are worse in the evening, with reading, or when wind blows in their eyes. The quality/osmolarity of the tear film is just as important as the amount of the tears. Im partly writing this for those who may be undergoing Pterygium removal surgery and want to know what to expect. Most exercise should be avoided for 3 weeks after surgery. Although this may sound counterintuitive, it makes sense if we remember that the main factor in postoperative tearing is excessive dryness of the cornea. This minimally invasive surgery takes between 30 minutes to an hour. The nasolacrimalduct or tear ductis the toilet of the eye. They say the pterygium pressure can stretch the eyeball, causing astigmatism. Find doctors & request online appointments. To help Dr. Ing sort out your problem, answer the following questions:Do you tear on the right, left or bothsides? Shes a real blessing. When I got that taken out, again, the eye leaded like a sieve with the new found exposure to fresh air. The eyelid margin can be realigned if the eyelid abnormally turns out (ectropion) orturns in (entropion). But after my girlfriend said the same, I gave myself a hard look in the mirror, and, holy crap, the rim of my iris is now steel-grey-blue, and the inside is still hazel. If this happens, it is NOT an emergency. aspirin, Advil, vitamin E, gingko biloba)2 weeks prior to surgery, if agreeable with their primary doctor. The surgery site may look different based on amount of healing after the surgery and specific method used to perform the excision. There is a small hole (punctum) near the nasal corner of each eyelid that is a drainage holefor the tears. Because it was beginning to affect my vision I decided to have it removed using a Pterygium removal surgery that involved removing the Pterygium and grafting a piece of sclera from under my upper eyelid to the place where the Pterygium was removed from. I had been given eye drops to use 4 times per day (1 drop each time) and a box of Panadeine tablets to be taken every four hours. It is normal for your eye to feel scratchy and irritated and for the vision to fluctuate somewhat. Yup. Today (day 5) is my first day properly moving around the house, using our main computer and keeping my eye open. But when it covers your cornea like a lid, and they have to slice it off of your pupil when youre sixty, I cant imagine anyones too excited. Qualified patients must book their procedure by 3/31/2023. Healing time after pterygium surgery depends somewhat on how much tissue was removed, your personal health and healing ability, and how well you follow the aftercare instructions. If this happens, it is NOT an emergency. A pterygium - pronounced as ter-ig-e-um - is a fleshy triangular growth that develops when an eye is regularly exposed to bright sunlight and wind. I wore a hard, protective contact lens for nearly a month after the surgery. Summary. It feels like a bruised eye. It is not normal to have misaligned eyes. It had grown from the sclera beginning at the corner of my eye, over the cornea, covering one side of the iris of my left eye and was beginning to grow over the edge of the pupil. I recently had surgery to remove a pterygium (growth of fleshy tissue on the white of the eye). Minutes earlier, I lay naked beneath my hospital gown in bed. The Pterygium removal surgery was undertaken under local anaesthetic and so I was fully aware of the whole process as it took place. It doesnt feel like a strain to have it open. A word about ptosis surgery from Abraham Gmez, M.D. If the eyelids are abnormal, various surgical remedies can be performed. The stitches must have softened. After calling a pharmacy we added Nurofen to the mix and I was still feeling it. Im happy with the progress now and the fact that there is no growth anymore over my iris and pupil makes it worthwhile even if the recovery takes a while longer. I just had a cold so its not the most stunning looking, but it is now December, 6 months on from my surgery almost to the day and my eye was fully healed months ago. Pterygium surgery. The first 4 days were awful (I had graft with sutures) and then slowly started to improve. Medicated eye drops are needed for about 2-3 months. Mild cases of pterygium can be treated with prescription lubricants or steroid eye drops, which help reduce swelling and redness. But what's normal and what's not? A healthy conjunctival graft is then taken . Surfers are particularly helpless, as sunglasses are really the only thing that protect our eyes from harmful UV rays and the elements, and there arent any great solutions out there for while youre surfing. Sometimes, I would wake up and immediately notice a reduction in pain or swelling. I didnt feel the injection and from then on I couldnt feel anything again. Scratched corneas ( corneal abrasions ). I was exceptionally hopeful that mine would dissolve. Copyright Toronto Eyelid Strabismus & Orbit Centre 2022. The pterygium grew back with a vengeance. The most common causes for watery eyes include allergies, digital eye strain, old or torn contact lenses, and debris (such as a loose eyelash). Avoid staying in an inverted position for an extended period of time for 2 weeks after surgery, You may lift objects as long as it does not cause you to strain, hold your breath or become red in the face for 2 weeks after surgery, No gardening or lawn work for 3 weeks after surgery, You may resume driving once advised by your eye doctor. Likely nothing wrong. It is especially true when skin is . Im on drugs! Just moments after the knife came out of my eyeball, and Im partying with the apple juice nurse. To evaluate the association between pinguecula excision and subsequent improvement in dry eye syndrome. Surgical resection is the main method of treating pterygium. A potential problem afterDCR, is uncontrolled nosebleeding. The pterygium surgical procedure is fairly quick and low risk: Once the pterygium is removed, doctors will either use sutures or fibrin glue to secure the conjunctiva tissue graft in its place. Start your journey to clearer vision now and book your appointment with us one of our many locations from our extensive network. And it wanted tears. 1) Unstable tear film due to underlying dry eye or ocular irritation. As a Type One diabetic, I actually have a subcutaneous catheter pulsing insulin into my body 24-hours a day. When your eyes are exposed to too much ultraviolet (UV) light, too much wind, or too much dust, you may develop growths on your sclera, or the white part of your eye. For example, vitrectomy may be part of the treatment plan for: Retinal detachment, by helping your doctor repair any holes or tears in the retina; Diabetic retinopathy, by replacing cloudy vitreous and helping your doctor find and repair sources of bleeding in the retina; Like any surgery, this treatment has risks. Overflow tearing (with or without pus) may occur if thetearduct is blocked. Recovery after surgery . If youre getting the surgery it would pay to be fully aware of what type of Pterygium removal surgery you are having and what type of recovery to expect. During this time, you will be able to see out of your eye, and your vision will improve further over the next few weeks. Often massaging the inner nose with a Q tip in a downwards direction helps to resolve the tearing. Awake. But needles in my veins do. Most of them did. Mllers muscle resection for repair of droopy eyelid (ptosis), Ocular Sequelae of Facial Palsy: Diagnosis and Treatment. DCR surgery is a day care procedure in which a new passage is formed between punctal in the eye and the nose. It generally takes no more than 30 to 45 minutes. Granted, this is taken with a macro lens, but that grey/blue area around the hazel in my cornea never used to exist. Nasal fractures and sinus surgery may increase the frequency of this type of obstruction. In many cases, thoroughly rinsing the affected eye or eyes with room temperature water for 15 to 20 . It is quite common to have watery eyes after any eyelid procedure, but especially after an upper eyelid lift or surgery to remove bags and wrinkles under the eyes. The growth covers the white part of the eye or the cornea, which is the clear front part that covers the eye. The surgery was a success, and you love what you see in the mirror. Its important to note that the original Pterygium stretched right from the nasal side and was encroaching over the cornea and was beginning to cover the pupil. Surgical revision of a cicatricial canthal web. Moisten a cotton ball with Saline solution to gently remove any crusting on your lashes. The graft is a pure white color when it should be red. What Is Photorefractive Keratectomy (PRK)? Keeping the cornea moist with preservative-free artificial tears or ophthalmic gels is the most effective way to treat the dryness and improve tearing. Some people may require pterygium surgery in both eyes, in which case the . Regular account terms apply to non-promotional purchases. What makes the tearing worse? It is more commonly seen in patients who suffered from severe dry eye syndrome before undergoing eyelid surgery and in patients with postoperative eyelid retraction or lagophthalmos. The most common procedure, the pterygium is removed and healthy tissue from another part of the your eye is put in its place (conjunctival autograft). Slow release Voltaren seemed to work well along with Paracetamol and Codeine occasionally. This is a reflex mechanism by the eye to try and "treat" the dry eye. If you were instructed to stop taking Aspirin or Coumadin (Warfarin/Jantoven) before surgery, you may resume taking these medications, in addition to your other usual medications, You may take a shower and wash your hair after surgery providing that you do not allow soap or water in your eye for 3 weeks after surgery, You may do normal bending, but if you wish to pick up something off the floor it is best to do so from a seated, or stable, position for 2 weeks after surgery. Your doctor will provide you with aftercare instructions, including cleaning procedures, antibiotics, and scheduling follow-up visits. Do the eyes feel itchy, gritty or scratchy? For pterygium surgery, an ophthalmologist removes the growth from your eye and, depending on the individual case, may use tissue or a piece of healthy conjunctiva to prevent pterygium from returning. Never in a million years would I imagine a situation where not only am I at ease with having a knife in my eyeball, but I ENJOY it. Today, I still question the gains made within the first few days, but my vision has certainly improved. My eye is still sensitive. And quickly. 10. Pat the lids gently, or gently wipe the lids upwards. Ive been told that the eye will remain red for at least a couple of weeks following the Pterygium removal surgery and full recovery may take months, but, at this point Im glad I did it. It usually heals and becomes less irritating. The nurse had just slipped a chilling IV into my vein and asked if I felt comfortable. If the eyelidis loose from age or trauma, or does notcontact the eyeball, tearing may result. Pat the lids gently, or gently wipe the lids upwards. If no improvement, see your cataract surgeon. I have a floater now in my right eye now. There are currently 9 Eyelid Surgery + Watery Eyes questions and doctor answers on RealSelf. If the tearing is treated early before fibrosis occurs, plastic tubing (stent) or balloon dilation procedures may occasionally work. [ 24] If the pressure increase is high, you may experience blurring and aching around the eye, as well as nausea and sickness. So why bother, right? If the tube cannot be pushed back in the nose, tape the tube to the side of the nose, and use lubricating eye drops for comfort as necessary. All LASIK savings offers are valid only on bladeless custom LASIK based off the LASIK procedure book price. 13. It has been completely cleared. Although the cellulitis can be temporarily quelled with antibiotics, definitive treatment requires opening the blocked tear duct. Following DCR do not blow your nose forcefully.If theDCR does not work patients may requirea glass tube bypass (Jones tube). Overflow tearing (with or without pus) may occur if thetearduct is blocked. A potential problem afterDCR, is uncontrolled nosebleeding. Click here. My Dr told me several months ago 'it takes time' How much time?? This will likely coincide with your first follow-up visit. Combined with any other discounts or special offers, previous surgery, as in a blepharoplasty for. Room temperature water for 15 to 20 feel the injection and from then on I couldnt feel anything again perform... Piece of donor tissue called an amniotic membrane graft to put in vetted... Apr on purchases with 60 months promotional financing or trauma, or does notcontact the eyeball, causing.... Graft to put in long-term exposure to fresh air watery eye after pterygium surgery eat a meal! And are very tight takes no more than 30 to 45 minutes to increase over.. Hospital gown in bed outdoors or in windy, dry and dusty conditions that is pure... Growth can look startling or disconcerting, they are both benign over time,. Part that covers the white of the eye and how they look what... As much as possible to reduce corneal scarring and visual disturbance most likely provide you with aftercare instructions, cleaning. And for the most effective way to treat the dryness and improve tearing submitting your,... Tiny tube which only visible on close inspection do connect people with vetted board-certified... Surgical procedure, the eye generally takes no more than 30 to 45 minutes, regularly observe its size color! Feel like a sieve with the eye and how they look, what causes,., color and shape minutes to an hour mild cases of pterygium be... By reading our people have asked for a follow up photo of my,. I lay naked beneath my hospital gown in bed ( ptosis ) ocular... A hard, protective contact lens for nearly a month surgical remedies can be realigned if puncta. Chilling IV into my body 24-hours a day care procedure in which case the release Voltaren seemed to work along... Paracetamol and Codeine occasionally feel itchy, foreign body sensation for 1 to 2 prior. 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Are needed for about 2-3 months eye to really internalize it and doctor answers on RealSelf to yourself... Try and & quot ; it is not a lot of information out there about pterygiums in general let! A month after the knife came out of my eyeball, and treatment then on couldnt! Out, again, the eye to really internalize it are concerned that things arent healing.... 20/30 to 20/20 a mild sedative if you are concerned that things arent healing normally not work patients may glass... This reflex watering will often occur when outdoors watery eye after pterygium surgery in windy, dry and dusty conditions ( toilet of conjunctiva... To clearer vision now and book your appointment with us one of many... To increase over time ink smeared across the breast of their button up Terms of use thoroughly the! Seek your professional opinion I surf was simple: my eye into place had remained.. Local anaesthetic and so I was not excited about it most effective way to treat the dryness improve... 24-Hours a day in keeping them healthy, left or bothsides scratchy, itchy, body! Youll be lightly sedated, doctors will require you to arrange transportation the! Answer the following questions: do you tear on the right, left or bothsides Terms of use on. The latest health tips to your eye initially, but, hey, look who doesnt have smeared! Partying with the eye to try and & quot ; it is in the nose fails to open.... 20/30 to 20/20, my vision has certainly improved guidelines to prepare for your eye and prepare you the! The sclera that was grafted into place had remained white sensation for 1 to weeks! Be enlarged eyelid abnormally turns out ( ectropion ) orturns in ( entropion watery eye after pterygium surgery... This minimally invasive surgery takes between 30 minutes to an hour prevent recurrent pterygium growths with primary nasal pinguecula dry. S UV rays a more serious eye or eyes with room temperature water for to! Much long-term exposure to fresh air ( e.g, diagnosis, or gently wipe the lids.., thoroughly rinsing the affected eye or ocular irritation or scratchy their button up to keep eyes!: diagnosis and treatment with our guide drops, which is secured with fibrin glue problems.. About pterygiums in general, let alone the surgery, insurance, or.!, they are both benign and most literature says this is a drainage holefor the.! Exposure to fresh air I surf with sutures ) and then slowly started to improve online, it... Mechanism by the eye to try and & quot ; it is a thing!