Post-Surgery Care for Retinal Hole Repair: Common Concerns and Tips - Ophthalmology

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Hello, Doctor.
I recently underwent a retinal tear repair and would like to ask you a few questions.
After the surgery, if I need to lie face down for work for about 10 to 20 minutes at a time, will this affect the healing of the wound or cause another tear? Additionally, I have been seeing flashes of light for over six months; will these flashes persist indefinitely? Does avoiding vigorous shaking and sitting on a long bus ride (about an hour) count as precautions? I apologize for having so many questions!

Wei, 20~29 year old female. Ask Date: 2017/03/30

Dr. Cai Wenyuan reply Ophthalmology


Hello, I recently underwent a retinal tear repair and would like to ask the doctor if working face down for about 10 to 20 minutes at a time post-surgery will affect the healing of the wound.
It should not.
Does avoiding vigorous shaking and sitting on a long bus ride (about an hour or more) count? It should not count.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/30

More Info


Post-surgery care following retinal hole repair is crucial for ensuring optimal recovery and minimizing the risk of complications. Here are some common concerns and tips for patients who have undergone this procedure.


1. Positioning and Activity Restrictions
After retinal surgery, especially procedures like retinal hole repair, patients are often advised to maintain specific positions to facilitate healing. If your doctor has recommended that you should avoid certain positions, it is essential to follow those guidelines closely.
Working While Prone: If you need to work in a prone position (lying face down), doing so for short periods (10 to 20 minutes) may not significantly impact the healing process, provided that your doctor has not specifically advised against it. However, it’s crucial to ensure that you are comfortable and not straining your eyes or neck while in this position. Always consult your surgeon about your specific situation, as they can provide personalized advice based on the details of your surgery.


2. Visual Symptoms: Flashes and Floaters
Experiencing flashes of light (photopsia) and floaters after retinal surgery is relatively common. These symptoms can persist for several months as the eye heals. Flashes are often caused by the vitreous gel pulling away from the retina, which can happen post-surgery.
Duration of Symptoms: While some patients may notice a gradual decrease in these symptoms over time, others may continue to experience them for an extended period. If the flashes become more frequent or intense, or if you notice a sudden increase in floaters, it is crucial to contact your eye doctor immediately, as these could be signs of complications.


3. Avoiding Strenuous Activities
Post-surgery, it is generally advised to avoid any activities that could put strain on your eyes or increase intraocular pressure. This includes:
- Heavy Lifting: Avoid lifting heavy objects for at least a few weeks post-surgery.

- Vigorous Exercise: Activities that involve rapid movements or jarring motions should be avoided until your doctor gives you the green light.

- Long-Distance Travel: Sitting for extended periods, such as on long bus rides, can be uncomfortable and may not be advisable immediately after surgery. If you must travel, try to take breaks to rest your eyes and avoid any sudden movements.


4. Follow-Up Appointments
Regular follow-up appointments with your ophthalmologist are essential for monitoring your recovery. During these visits, your doctor will assess the healing process, check for any complications, and determine when you can safely resume normal activities.


5. General Care Tips
- Medication Compliance: Ensure you are following your doctor’s instructions regarding any prescribed eye drops or medications.

- Protect Your Eyes: Wear sunglasses when outdoors to protect your eyes from UV light and reduce glare.

- Rest Your Eyes: Take frequent breaks when using screens or reading to avoid eye strain.


Conclusion
In summary, while some activities may be permissible post-surgery, it is vital to adhere to your surgeon's specific recommendations. If you have any concerns about your recovery, visual symptoms, or activity restrictions, do not hesitate to reach out to your healthcare provider. They can provide the best guidance tailored to your individual case, ensuring a smooth recovery process. Remember, your eye health is paramount, and taking the necessary precautions can significantly impact your long-term vision outcomes.

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