Post-Operative Concerns After Vitrectomy: Recovery and Vision Clarity - Ophthalmology

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Retinal surgery postoperative care


Hello, Doctor.
My girlfriend's mother underwent a vitrectomy with gas tamponade on March 9 of this year.
Since then, she has still been experiencing some dark shadows at the bottom (possibly from the gas), and while the areas without shadows can perceive light, her ability to perceive objects is very blurry, making it difficult to see outlines clearly.
I have seen online that in many cases, vision improves significantly once the gas is absorbed, and it seems that the gas absorption does not typically take this long.
My girlfriend mentioned that the surgeon only recommended eye drops and regular follow-up appointments.
Should we be concerned about the need for a second surgery, or should we wait for the gas to be completely absorbed? Thank you for your response.

Lin Chia-Ching, 30~39 year old female. Ask Date: 2017/03/19

Dr. Cai Wenyuan reply Ophthalmology


Hello: Please follow the doctor's instructions.
Thank you.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/19

More Info


Post-operative concerns following vitrectomy, particularly regarding vision recovery and clarity, are common among patients. Your girlfriend's mother underwent a vitrectomy with gas tamponade on March 9, and it is understandable to be concerned about her ongoing symptoms, such as the presence of shadows and blurred vision.

Firstly, it is important to recognize that the recovery process after vitrectomy can vary significantly from one individual to another. The presence of gas in the eye is a standard part of the procedure, as it helps to flatten the retina and promote healing. Typically, the gas will gradually be absorbed by the body over a period of weeks to months, depending on the type of gas used. During this time, patients may experience fluctuating vision, shadows, or even a sensation of seeing a "curtain" or "shadow" in their visual field, particularly in the area where the gas is still present.

The fact that your girlfriend's mother can perceive light but struggles to see objects clearly suggests that her retina may still be healing, and the visual acuity may improve as the gas is absorbed. However, it is also crucial to monitor for any signs of complications, such as retinal detachment or persistent bleeding, which could affect vision recovery.
Regarding the need for a second surgery, it is essential to consult with the ophthalmologist who performed the procedure. If the doctor has indicated that the current management involves using eye drops and regular follow-ups, it is likely that they believe the situation can improve with time. However, if there are concerns about the retina's status or if the symptoms do not improve, further evaluation may be warranted. This could include imaging studies, such as optical coherence tomography (OCT), to assess the retina's condition and determine if additional intervention is necessary.

In summary, while it is common for patients to experience some degree of visual disturbance following vitrectomy, it is essential to maintain regular communication with the treating physician. They can provide the best guidance on whether the current symptoms are part of the normal healing process or if further intervention is needed. Patience is often required during this recovery phase, but with appropriate monitoring and care, many patients see significant improvements in their vision over time.

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