Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips

Q: Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips

Hello, Haohao： It is not a problem to open your eyes after the surgery. <br>I wonder if there is still some postoperative gas in your eye, which might be causing you to see circles. <br>Regarding the issue of the circles and small black spots, further examination will be necessar

Post-operative issues related to retinal detachment surgery?

Hello Doctor, it has been a month since my retinal detachment surgery.
During this time, I have been lying down properly, but in the fourth week, I reduced the hours I spent lying down and mostly slept on my side at night.
However, to prevent any impact, I still cover my left eye with an eye patch.
Most of the time, I use my right eye (the one that hasn't been operated on) to see things.
Sometimes, when I use only my left eye, it tears up and feels a bit sore.

Q1: I would like to ask if it is now okay for me to open both eyes properly? Additionally, I have noticed that when I am lying down, I see a circle in my vision, like a ○.
When I lift my head to look straight ahead, I can only see the upper half of that circle.
It feels like a drop of water, and the image inside the circle appears slightly magnified.

Q2: Is it normal that I can see some images at this stage? Lastly, it has been a month since the surgery, and occasionally when I open my left eye (the operated eye), I see about three or four small black dots, similar to the floaters associated with myodesopsia.

Q3: Could this indicate that the surgery was not completely successful, or is there a possibility of other complications? I hope you can help answer these three main questions.
I will also explain my situation to my attending physician during my follow-up appointment, but I have been feeling a bit anxious during this period and am unsure of what to do.

Haohao, 20~29 year old female. Ask Date: 2017/07/27

Dr. Gao Pilin reply Ophthalmology

Hello, Haohao: It is not a problem to open your eyes after the surgery.
I wonder if there is still some postoperative gas in your eye, which might be causing you to see circles.
Regarding the issue of the circles and small black spots, further examination will be necessary to determine the cause.
After retinal surgery, there may still be some visual changes.
If the examination shows that the structure has returned to normal, then it can be considered complete.
As for functional recovery, since damage has already occurred during the retinal detachment, the extent of recovery will depend on the severity of the detachment.

Taiwan E-Hospital, Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM, and Wednesday afternoon from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2017/07/27

More Info

Post-retinal detachment surgery recovery can be a complex process, and it’s understandable to have concerns about your current symptoms and overall healing. Let’s address your questions one by one.

Q1: Can I open both eyes now?
After one month post-surgery, it is generally acceptable to start using both eyes more frequently, but this should be done gradually and under the guidance of your ophthalmologist. The fact that you are still experiencing discomfort, such as tearing and a sensation of acidity in your left eye, suggests that your eye is still adjusting to the surgery. It’s important to follow your doctor’s advice regarding the use of your eyes, especially if they recommended specific positions or activities to aid in healing. If you feel comfortable and your doctor has not advised against it, you can try to open both eyes, but be cautious and monitor how your left eye responds.

Q2: Is it normal to see a circle when lying down?
Seeing a circle or a distorted image when lying down could be related to the changes in your eye after surgery. The visual disturbances you describe, such as seeing a circle that resembles a droplet of water, can occur due to the presence of gas or silicone oil used during the surgery, or due to changes in the retina as it heals. It’s not uncommon for patients to experience visual distortions during the recovery phase. However, if these symptoms persist or worsen, it’s crucial to report them to your ophthalmologist during your next visit.

Q3: What about the small black dots?
The appearance of small black dots, similar to floaters, is also a common occurrence after retinal surgery. These floaters can be a result of the vitreous gel in your eye pulling away from the retina, which can happen during the healing process. While they can be alarming, they are often benign. However, if you notice an increase in the number of floaters, flashes of light, or a shadow in your peripheral vision, these could be signs of complications, such as a re-detachment of the retina or other issues that require immediate medical attention.

In summary, while some visual disturbances and discomfort can be normal after retinal detachment surgery, it’s essential to maintain open communication with your healthcare provider. They can provide personalized advice based on your specific situation and ensure that your recovery is on track. Always prioritize follow-up appointments and report any new or worsening symptoms promptly.
Additionally, during your recovery, it’s crucial to protect your eyes from potential trauma, as you’ve been doing with the eye patch. Continue to follow your doctor’s recommendations regarding activity levels, and avoid any strenuous activities or heavy lifting until you receive clearance.
Lastly, emotional support is also important during this time. It’s normal to feel anxious about your recovery, so consider discussing your feelings with friends, family, or a counselor who can help you navigate this challenging period. Your vision is precious, and taking care of your mental health is just as important as your physical recovery.

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