Post-Retinal Detachment Surgery: Your Recovery and Symptoms

Post-operative condition after retinal detachment surgery?

Hello, doctor.
This is my first time asking a question here.
I noticed symptoms of retinal detachment in early June, so I went to Chang Gung Memorial Hospital for an examination, where they diagnosed me with "retinal fluid" and said it would resolve on its own, so I continued my normal activities, including cycling.
However, on June 15, I felt something was off and went to Cheng Kung University for another check-up, where the result was "detachment" rather than "fluid." I underwent retinal detachment surgery on June 16, which included fluid drainage, reattachment of the retina, and scleral buckle placement.
I was advised to remain face down for at least four weeks post-surgery.
Recently, during a follow-up on July 17, I noticed that I could see images again, and it seemed that the gas had also been absorbed, indicating improvement.

However, I now have a concern: when I open my eyes, it appears as if there is a droplet of water in front of me.
When I gently shake my head, it moves like water.
I am wondering if this could be what is referred to as "macular edema" or "retinal fluid." It truly resembles a droplet of water on glass.
The image within the droplet appears somewhat magnified, like through a magnifying glass.
The area outside the droplet looks normal in proportion, but there seems to be some refraction or reflection.
I am scheduled for OCT and IOL master examinations on July 31.
Will these tests be able to identify the symptoms I described? Is there anything special I should be aware of while continuing my normal activities? During my follow-up, the doctor only advised me to continue using the prescribed eye drops and seemed indifferent when I mentioned my situation.
Therefore, I am unsure if there are any precautions I should take.
Additionally, I have been wearing an eye shield for protection.
Can I now remove the eye shield and try to open my eyes to see? Thank you.

Xiao Yu, 20~29 year old female. Ask Date: 2017/07/19

Dr. He Jianxian reply Ophthalmology

When the retina has just been reattached, it is indeed possible to experience some abnormal visual conditions.
It is recommended that you continue to observe your symptoms and consult your surgeon again.
At this stage, you should no longer need to wear the eye patch.

Reply Date: 2017/07/19

More Info

Post-retinal detachment surgery recovery can be a complex process, and it's understandable to have concerns about your symptoms and overall healing. Based on your description, it seems that you are experiencing some visual disturbances after your surgery, which is not uncommon. Let's break down your concerns and provide some insights.

1. Visual Symptoms: The sensation of seeing a "water droplet" or a distorted image can be attributed to several factors. After retinal detachment surgery, it is possible to experience visual distortions due to changes in the retina or the vitreous gel that fills the eye. The "water droplet" effect you describe could be related to residual fluid in the eye, which may be a result of the surgery or the healing process. This phenomenon can sometimes be associated with macular edema (swelling of the macula) or residual vitreous traction. It is essential to monitor these symptoms, especially since they can indicate changes in the retina or macula.

2. Upcoming OCT and IOL Master Checks: The Optical Coherence Tomography (OCT) and IOL Master tests scheduled for July 31 will provide valuable information about the health of your retina and the status of any intraocular lenses (if applicable). The OCT is particularly useful for assessing the macula and detecting any fluid accumulation or structural changes. If there is any concern about macular edema or other complications, these tests will help your doctor determine the best course of action.

3. Normal Activities and Precautions: It is crucial to follow your doctor's advice regarding daily activities. While many patients can return to their normal routines after a period of recovery, certain precautions should be taken. Avoid activities that could put strain on your eyes, such as heavy lifting or vigorous exercise, until your doctor gives you the green light. If you have been using an eye shield for protection, consult your doctor about when it is appropriate to stop using it. In many cases, once the initial healing has occurred and if there are no complications, patients can discontinue the use of eye shields.

4. Medication and Follow-Up: Continuing to use the prescribed eye drops is essential for preventing infection and managing inflammation. If you have concerns about your symptoms or if they worsen, do not hesitate to reach out to your healthcare provider. It is important to communicate any changes in your vision or discomfort, as these could indicate the need for further evaluation.

5. Monitoring Your Recovery: Keep a close eye on your symptoms and document any changes. If you notice increased distortion, pain, or any new symptoms, contact your doctor promptly. Regular follow-ups are critical in the post-operative period to ensure that your recovery is on track and to address any complications that may arise.

In summary, while some visual disturbances can be a normal part of the recovery process after retinal detachment surgery, it is essential to remain vigilant and proactive in your follow-up care. The upcoming tests will provide more clarity on your condition, and maintaining open communication with your healthcare provider will help ensure a smooth recovery. Take care, and best wishes for your continued healing!

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