Post-Surgery Vision Clarity: Insights on Vitrectomy Recovery - Ophthalmology

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Postoperative condition after vitrectomy for macular pucker?


Hello, Doctor Gao.
I had surgery in mid-September, but currently, the vision in my operated eye is blurrier than before the surgery.
Two weeks post-operation, my intraocular pressure reached as high as 56, but it has returned to normal after a month.
Will it take a longer time for the blurriness to improve? Is it currently safe for me to play table tennis (which involves eye movement)? Thank you.

Hansen, 60~69 year old female. Ask Date: 2016/10/29

Dr. Gao Pilin reply Ophthalmology


Hello, Mr.
Hansen: The outcomes of surgery for the macula can vary significantly, and it's difficult to predict how long it will take for the blurred vision to improve.
This will depend on clinical evaluations as well.
Playing table tennis should be fine, but it would be best to consult your surgeon for a more accurate assessment.
The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Sincerely, Gao Pilin.

Reply Date: 2016/10/29

More Info


Hello! Thank you for your question regarding post-surgery vision clarity following vitrectomy. It's understandable to be concerned about your vision after such a significant procedure, especially when experiencing blurred vision compared to your pre-surgery state.

Firstly, it's important to recognize that recovery from vitrectomy can vary significantly from person to person. The surgery involves removing the vitreous gel from the eye, which can lead to changes in vision as the eye heals. In the initial weeks following surgery, it is not uncommon to experience fluctuations in vision clarity, including blurriness. This can be attributed to several factors, including inflammation, the presence of gas or fluid in the eye, and the healing of the retina.

You mentioned that your intraocular pressure (IOP) was elevated at 56 mmHg shortly after surgery but has since returned to normal levels. Elevated IOP can indeed affect vision clarity and may cause discomfort or other symptoms. It's good to hear that your pressure has stabilized, as maintaining normal IOP is crucial for the health of your optic nerve and overall eye health.

Regarding the timeline for improvement, many patients notice gradual improvements in their vision over several weeks to months following vitrectomy. It is essential to be patient during this recovery phase. Vision may continue to improve as the eye heals and any residual inflammation subsides. However, if your vision does not improve or worsens, it is crucial to follow up with your ophthalmologist for further evaluation.

As for your question about playing table tennis, engaging in activities that involve eye movement is generally acceptable, but it is essential to consider the intensity and nature of the activity. Light activities that do not involve high-impact or risk of trauma to the eye may be permissible, but you should consult with your eye doctor before resuming any sports or activities. They can provide personalized advice based on your specific condition and recovery progress.

In summary, while it may take some time for your vision to stabilize and improve after vitrectomy, it is essential to maintain regular follow-up appointments with your ophthalmologist. They will monitor your healing process and address any concerns you may have. If you experience any sudden changes in vision, pain, or other unusual symptoms, do not hesitate to seek immediate medical attention. Your eye health is paramount, and your doctor is the best resource for guidance during your recovery. Thank you for reaching out, and I wish you a smooth recovery!

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