Post-Retinal Detachment Laser Surgery: Key Concerns and Recovery Tips

Q: Post-Retinal Detachment Laser Surgery: Key Concerns and Recovery Tips

Hello Mr. Yeh： 1. 2. Whether you can lift heavy objects after surgery depends on the extent of the retinal detachment, so it is best to consult your surgeon. 3. That should be the case. 4. Yes, you can. 5. Changes in cabin pressure should not h

Retinal detachment and post-operative issues following retinal laser surgery?

Hello, Doctor.
I have myopia in both eyes, approximately -650 degrees.
I had my first fundus examination around the end of March and was shocked to discover that both eyes have retinal detachment.
The doctor informed me that the detachment in my left eye has been present for a long time, and the wound has become fibrotic.
Additionally, there is a blind spot in the upper part of my left eye compared to my right eye, but I didn't notice it because I usually use both eyes and the affected area is outside the lens of my glasses.
The doctor suggested that if the visual defect in my left eye does not affect my daily life, we could proceed with laser treatment to surround the detachment and prevent further deterioration.
I apologize for having many questions to ask you:
1.
I was advised to avoid lifting heavy objects post-surgery, and since I used to work out at the gym (which I have paused), will I be able to return to weight training in the gym in the future? How long after surgery is it recommended to wait? Can I still lift small children (under 20 kg) at home?
2.
I was also told to avoid vigorous head movements.
I used to ride a bike, jog, and swim, but these activities seem to cause head vibrations or movements.
Will I be able to engage in these activities after surgery?
3.
If the retinal detachment in my left eye has already become fibrotic, does that mean that even if I undergo retinal surgery in the future, I may not regain my original field of vision?
4.
Will I still be able to wear regular disposable contact lenses in the future?
5.
Currently, due to work, I need to fly to other countries.
Will the acceleration during takeoff and landing, as well as cabin pressure, have any impact on my condition?
I apologize for the many questions and appreciate your understanding.
Thank you.

Ye Xiansheng, 30~39 year old female. Ask Date: 2016/04/20

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Yeh: 1.
2.
Whether you can lift heavy objects after surgery depends on the extent of the retinal detachment, so it is best to consult your surgeon.
3.
That should be the case.
4.
Yes, you can.
5.
Changes in cabin pressure should not have an impact.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday from 1:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical attention at a healthcare facility.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2016/04/20

More Info

After undergoing retinal detachment laser surgery, it's understandable to have numerous questions and concerns regarding recovery and future activities. Here’s a comprehensive overview addressing your queries based on medical knowledge and common practices in post-operative care.

1. Returning to Weight Training: After retinal surgery, it is crucial to avoid heavy lifting and strenuous activities for a period of time. Generally, most surgeons recommend waiting at least 4 to 6 weeks before resuming weight training. This timeframe allows the retina to stabilize and reduces the risk of complications. As for lifting children or objects weighing up to 20 kg, it’s advisable to consult your surgeon for personalized guidance, as individual recovery can vary significantly.

2. Engaging in Activities with Head Movement: Activities such as cycling, running, and swimming can indeed cause head movement, which may pose a risk post-surgery. It is typically recommended to avoid these activities for at least 4 to 6 weeks after surgery. After this period, you may gradually reintroduce these activities, but it’s essential to listen to your body and consult your doctor to ensure that you are not putting undue stress on your eyes.

3. Understanding Fibrosis in the Detached Retina: If the detachment site has fibrosed, it indicates that the area has healed but may not restore the original vision. While laser surgery can help prevent further detachment, it does not guarantee the return of lost vision. The extent of recovery largely depends on the severity of the initial detachment and the duration before treatment. Discussing your specific case with your ophthalmologist will provide more clarity on potential outcomes.

4. Wearing Contact Lenses Post-Surgery: After retinal surgery, many patients can return to wearing contact lenses, including disposable ones, but this is contingent on the healing process. Typically, it is advisable to wait at least 4 to 6 weeks before resuming contact lens use. Your eye doctor will assess your eye's condition during follow-up visits and provide guidance on when it is safe to start wearing them again.

5. Flying After Surgery: Traveling by air post-surgery can raise concerns due to changes in cabin pressure during takeoff and landing. Generally, if you are stable and have received clearance from your surgeon, flying should not pose a significant risk. However, it is crucial to ensure that you are not experiencing any complications such as retinal tears or infections before flying. Always inform your doctor about your travel plans, as they may recommend a follow-up appointment before your trip.

In summary, while recovery from retinal detachment surgery can be a gradual process, adhering to your surgeon's recommendations is vital for optimal healing. Regular follow-ups will help monitor your progress and address any concerns. It’s essential to maintain open communication with your healthcare provider, especially regarding activities you wish to resume. Your vision and eye health are paramount, and taking the necessary precautions will aid in a successful recovery.

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