Is Rubbing Around the Eyes Safe After Retinal Surgery?

Issues Related to Rubbing the Eyes

Hello, doctor! I would like to ask you about something.
Most doctors say that rubbing the eyes is not good, which I assume refers to the pressure applied to the eyeball that could cause harm.
What about the area around the eyes? For instance, near the eyebrows, is it still advisable to avoid applying pressure to the eyeball? I have undergone laser retinal repair and am making every effort to avoid rubbing my eyes, but occasionally while cleaning around the eyes, there might be some contact or friction.
I'm a bit concerned that this could lead to a re-tear of the retina.

Niming, 20~29 year old female. Ask Date: 2017/09/21

Dr. Cai Wenyuan reply Ophthalmology

Hello, rubbing your eyes is not advisable as it can put pressure on the eyeball and cause harm.
Pressing around the eyes can also negatively affect the eyeball, and rubbing the eyelids carries a risk of infection, such as conjunctivitis.
It is recommended to avoid these actions as much as possible.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/21

More Info

After undergoing retinal surgery, it is crucial to follow your doctor's advice regarding eye care and handling. Rubbing or applying pressure around the eyes, particularly in the area surrounding the eyeball, can still pose risks, even if you are not directly pressing on the eyeball itself. Here’s a detailed explanation of why caution is necessary and what you should consider.

Understanding the Risks
1. Pressure on the Eye: While rubbing the area around the eyes may seem harmless, it can inadvertently create pressure on the eyeball. This pressure can affect the delicate structures within the eye, especially after surgery when the eye is still healing. The retina, which is the light-sensitive layer at the back of the eye, is particularly vulnerable during this recovery phase.

2. Inflammation and Healing: After retinal surgery, the eye undergoes a healing process that can involve inflammation and changes in the vitreous gel that fills the eye. Rubbing the area around the eyes can exacerbate inflammation or disrupt the healing process, potentially leading to complications such as retinal detachment or re-tear.

3. Increased Risk of Complications: Any form of manipulation around the eyes can increase the risk of complications. For instance, if you have had laser treatment for retinal repair, the laser may have created weak points in the retina. Applying pressure, even indirectly, could potentially lead to a re-tear or other issues.

Recommendations for Eye Care Post-Surgery
1. Avoid Rubbing: It is advisable to avoid rubbing or applying pressure to any part of the eye area, including the eyelids and the skin around the eyes. If you need to clean the area, do so gently and with minimal pressure.

2. Gentle Cleaning: If you must clean around your eyes, use a soft cloth or cotton pad and lightly dab rather than rub. This minimizes the risk of applying pressure to the eyeball.

3. Follow-Up Appointments: Attend all scheduled follow-up appointments with your ophthalmologist. They will monitor your healing process and can provide tailored advice based on your specific situation.

4. Report Any Symptoms: If you experience any unusual symptoms such as increased pain, flashes of light, or changes in vision, report these to your doctor immediately. These could be signs of complications that need prompt attention.

5. Use of Eye Drops: If prescribed, use eye drops as directed. They can help with dryness and irritation, reducing the temptation to rub your eyes.

6. Protective Eyewear: Consider wearing protective eyewear, especially if you are in environments where dust or debris could irritate your eyes. This can help prevent the urge to rub your eyes due to discomfort.

Conclusion
In summary, while it may seem that rubbing around the eyes is less harmful than rubbing the eyeball itself, it is best to avoid any form of pressure or manipulation in the eye area after retinal surgery. The healing process is delicate, and protecting your eyes is paramount to ensuring a successful recovery. Always consult your ophthalmologist for personalized advice and adhere to their recommendations for post-operative care. Your vision is invaluable, and taking these precautions can help safeguard it during your recovery period.

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