Post-Retinal Detachment Surgery: Blurred Vision Concerns - Ophthalmology

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Blurred vision after scleral buckle surgery for retinal detachment?


Hello, I underwent scleral buckle surgery for retinal detachment on June 2nd, and gas was injected into my eye.
I was instructed to maintain a face-down position.
Since then, during my daily eye drop routine, my vision has been blurrier than before the surgery.
Prior to the surgery, there was no damage to the macula, only a small area of detachment in the lower right quadrant.
However, it has now been 24 days, and my vision remains blurry (although there have been a few instances where small areas were clear).
The gas in my eye is also dissipating quickly (about a quarter of the original amount remains).
The attending physician at the teaching hospital mentioned that it may take several weeks to months for my vision to improve.
Is this normal? I am very concerned.

Chen, 50~59 year old female. Ask Date: 2016/06/26

Dr. He Jianxian reply Ophthalmology


The recovery of vision varies significantly from person to person; however, a observation period of two to three months is necessary.
It is recommended that you wait until the gas has completely dissipated before making a more accurate assessment.

Reply Date: 2016/06/26

More Info


Hello! Thank you for reaching out with your concerns regarding your post-retinal detachment surgery experience. It’s completely understandable to feel anxious about changes in your vision after such a significant procedure. Let’s break down your situation and address your concerns.

Firstly, it’s important to recognize that after a retinal detachment surgery, particularly one involving scleral buckle and gas tamponade, it is common for patients to experience fluctuations in their vision. The surgery aims to reattach the retina and restore its function, but the healing process can take time. The fact that you had a small detachment in the lower right quadrant and that the macula was intact prior to surgery is a positive sign, as the macula is crucial for central vision.

Regarding your specific concerns:
1. Blurred Vision Post-Surgery: It is not unusual for vision to remain blurred for several weeks or even months after surgery. The gas bubble that was injected into your eye serves to hold the retina in place while it heals, but as the gas dissipates, your vision may fluctuate. The presence of gas can also cause visual distortions, and as it decreases, your vision may improve gradually. Your surgeon’s comment about needing several weeks to months for clearer vision is consistent with what many patients experience.

2. Healing Timeline: The healing process after retinal surgery can vary significantly from person to person. While some may notice improvements within a few weeks, others may take longer. It’s crucial to follow up with your ophthalmologist regularly to monitor your progress. They can assess the retina’s status and determine if any additional interventions are necessary.

3. Fluctuations in Clarity: The occasional clear spots you’ve experienced may indicate that your retina is healing and that your vision is adjusting. However, if these clear areas are inconsistent, it’s essential to communicate this to your doctor during your follow-up visits.

4. Potential Complications: While many patients do well after retinal detachment surgery, there can be complications such as the development of cataracts, which can also contribute to blurred vision. If your vision does not improve or worsens, it’s essential to discuss this with your ophthalmologist, who may perform additional tests to rule out any complications.

5. Emotional Impact: It’s natural to feel worried about your vision, especially after such a significant procedure. Engaging in open communication with your healthcare provider can help alleviate some of your concerns. Don’t hesitate to ask questions during your appointments, and if you feel your concerns are not being addressed, consider seeking a second opinion.

In summary, while it’s understandable to be concerned about your blurred vision after surgery, it’s important to remember that healing takes time. Regular follow-ups with your ophthalmologist will be crucial in monitoring your recovery and addressing any issues that may arise. If your vision does not improve or if you experience new symptoms, make sure to reach out to your healthcare provider promptly. Take care, and I wish you a smooth recovery!

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