Subretinal fluid accumulation after retinal detachment surgery?
Hello Doctor, I underwent retinal detachment surgery (scleral buckle procedure) in early May, and since then, I have been experiencing a strange sensation of seeing things as if I were looking through water, along with unusual light and shadow effects.
During my follow-up appointment, the doctor mentioned that I have subretinal fluid accumulation in the macular area, but he said I can only wait for it to be reabsorbed on its own.
I researched and found that due to the high protein concentration in the fluid, it typically takes an average of 6 months to a year for it to be absorbed.
This is significantly affecting my quality of life.
I would like to ask if there are any methods, aside from traditional Chinese medicine, that could help expedite the absorption process.
Thank you very much.
Lin Wanwen, 30~39 year old female. Ask Date: 2016/07/12
Dr. Hou Yuchang reply Traditional Chinese Medicine
Hello: Currently, there is insufficient evidence in Traditional Chinese Medicine (TCM) to address your issue, as ancient TCM did not have experience with ophthalmic surgical procedures.
There are also no reports of such practices in Taiwan today.
Our approach focuses on the concept of "dampness" in TCM, which we believe is due to the accumulation of fluid that cannot be expelled.
It is recommended to continue cooperating with Western medical treatment for the best outcome.
Wishing you peace and health.
Sincerely, Dr.
Hou Yu-Chang, Director of the Department of Traditional Chinese Medicine, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2016/07/12
More Info
Post-retinal detachment surgery, particularly after procedures like scleral buckle surgery, can lead to various complications, including subretinal fluid accumulation. This condition can manifest as a sensation of seeing through water, often accompanied by distorted vision or unusual light patterns. The presence of subretinal fluid is typically a result of the retina being unable to reattach completely or due to inflammation and other factors affecting the retinal structure.
In your case, it seems that the accumulation of subretinal fluid has been diagnosed, and your doctor has indicated that it may take time for this fluid to be absorbed naturally. Indeed, the absorption of subretinal fluid can be a slow process, often taking anywhere from several months to a year, depending on the individual’s healing response and the underlying cause of the fluid accumulation.
While your doctor has advised waiting for the fluid to be absorbed, there are a few strategies that may help support your recovery and potentially expedite the absorption process:
1. Follow-Up Care: Regular follow-ups with your ophthalmologist are crucial. They can monitor the status of the fluid and the overall health of your retina. If the fluid persists or worsens, they may consider additional interventions.
2. Medications: While there are no specific medications that guarantee the absorption of subretinal fluid, anti-inflammatory medications may help reduce inflammation and promote healing. Discuss with your doctor whether corticosteroids or other anti-inflammatory agents could be appropriate for your situation.
3. Positioning: Some studies suggest that certain head positions may help facilitate the drainage of subretinal fluid. Your doctor may recommend specific positioning techniques, such as maintaining a face-down position for certain periods, although this is more commonly advised immediately after surgery rather than for long-term management.
4. Nutrition and Hydration: Maintaining a well-balanced diet rich in antioxidants (found in fruits and vegetables) may support overall eye health. Staying well-hydrated is also important for optimal bodily function, including the healing processes.
5. Alternative Therapies: While you mentioned interest in traditional Chinese medicine (TCM), it's essential to approach this with caution. Some TCM practices, such as acupuncture or herbal remedies, may provide supportive care, but they should not replace conventional medical treatment. Always consult with your ophthalmologist before starting any alternative therapies to ensure they won't interfere with your recovery.
6. Avoid Strain: Avoid activities that may strain your eyes, such as heavy lifting or intense exercise, until your doctor gives you the green light. This can help prevent further complications.
7. Patience and Support: Understandably, the waiting period for fluid absorption can be frustrating and affect your quality of life. Seeking support from friends, family, or support groups can help you cope with the emotional aspects of recovery.
In conclusion, while there are no guaranteed methods to speed up the absorption of subretinal fluid, maintaining regular follow-ups, considering anti-inflammatory treatments, and adopting supportive lifestyle changes can contribute positively to your recovery process. Always communicate openly with your healthcare provider about your concerns and treatment options. They are best positioned to guide you based on your specific circumstances and the latest medical knowledge.
Similar Q&A
Preventing Retinal Fluid Accumulation: Tips for Eye Health Recovery
Dr. Wang: Thank you so much! I'm not very familiar with the system, so I couldn't leave a review, and I had to express my gratitude this way! My mother was able to go on her cruise trip! Fortunately, her eye condition was stable during the trip, and her check-up upon re...
Dr. Wang Zhangji reply Ophthalmology
You're welcome. Try to avoid excessive force or sudden acceleration and deceleration during activities. If you have vascular conditions such as diabetes or hypertension, it's important to manage them well. Remember to have regular retinal examinations, and sun protectio...[Read More] Preventing Retinal Fluid Accumulation: Tips for Eye Health Recovery
Post-Retinal Detachment Surgery: Understanding Fluid Accumulation
Hello Doctor, I previously underwent scleral buckle surgery and gas injection due to retinal detachment. Three weeks post-operation, the gas bubble has disappeared, but there is still one-third of fluid accumulation in my eye, and recently the fluid seems to be increasing. Is thi...
Dr. Cai Wenyuan reply Ophthalmology
Hello, it is recommended to return to the original hospital for treatment. Wishing you safety and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Post-Retinal Detachment Surgery: Understanding Fluid Accumulation
Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Hello, since September, I have undergone two surgeries on my left eye and I am very concerned about my vision after healing. Here is my medical history: I have been taking medications to control my blood sugar and hypertension (including BOKEY) for a long time. In late August, I ...
Dr. Gao Pilin reply Ophthalmology
Hello Mr. Zhang: Currently, there is a dark area in your left eye with some imaging, but it is not very clear. The lower third appears slightly brighter with some imaging, but again, it is quite unclear. Overall, it presents as a patchy appearance. May I ask if there is damage to...[Read More] Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Understanding Multiple Retinal Detachment Surgeries and Recovery Challenges
Hello Dr. Liang, I have a vision of 575 in my left eye and 525 in my right eye, and I am 38 years old. On June 21, I was referred from a clinic to a regional hospital due to a retinal detachment in my left eye (extending to the macula). That afternoon, I underwent a retinal deta...
Dr. Liang Ce reply Ophthalmology
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another ophthalmology medical facility. Thank you. Wishing you good health![Read More] Understanding Multiple Retinal Detachment Surgeries and Recovery Challenges
Related FAQ
(Ophthalmology)
Retinal Detachment(Ophthalmology)
Posterior Vitreous Detachment(Ophthalmology)
Post-Chalazion Surgery(Ophthalmology)
Vitreous Liquefaction(Ophthalmology)
Retinal Tear(Ophthalmology)
Vitrectomy Surgery(Ophthalmology)
Subconjunctival Hemorrhage(Ophthalmology)
Retinal Degeneration(Ophthalmology)
Retinal Laser Treatment(Ophthalmology)