Can I Participate in Hot Air Ballooning After Retinal Surgery? - Ophthalmology

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Retinal issues?


Hello, Doctor.
I am planning to go to Turkey in March next year for a hot air balloon ride.
I had retinal surgery in April 2016 due to an injury, where only a scleral buckle was placed, and nothing else was done.
Can I participate in this activity? I have heard that during the flight, the operators may cause sudden ascents and descents, and there will definitely be some impact upon landing.
These are the concerns I have, so I would like to ask if it is safe for me to engage in this activity, considering that it has been almost two years since my surgery.
Thank you.

judy, 50~59 year old female. Ask Date: 2017/10/20

Dr. He Jianxian reply Ophthalmology


There should be no issues; hot air ballooning is considered a low-altitude activity, and the pressure changes are minimal, so it shouldn't cause any problems.
However, I cannot guarantee the impact force upon landing; if it is not too strong, there should also be no issues.

Reply Date: 2017/10/20

More Info


Participating in hot air ballooning after retinal surgery, particularly after a scleral buckle procedure, is a concern that many patients share. Given your history of retinal surgery and the specific nature of your procedure, it's essential to consider several factors before making a decision.

Firstly, the scleral buckle surgery is designed to support the retina and prevent further detachment. After such a procedure, patients are generally advised to avoid activities that could put undue stress on the eyes, especially during the initial recovery phase. However, since you mentioned that it has been nearly two years since your surgery, your risk of complications from participating in low-impact activities like hot air ballooning is likely reduced.

Hot air ballooning is considered a low-altitude activity, and the pressure changes experienced during the flight are minimal compared to high-altitude flights. The ascent and descent in a hot air balloon are gradual, which means that the risk of sudden pressure changes that could affect your eyes is low. However, you expressed concerns about the potential for jarring impacts during landing. While most hot air balloon operators are trained to land as gently as possible, there is always a risk of a hard landing, which could potentially cause some strain.

It is crucial to listen to your body and be aware of any symptoms you may experience during the flight. If you notice any sudden changes in vision, discomfort, or other concerning symptoms, it would be wise to inform the pilot and consider landing early. Additionally, ensure that you have a thorough discussion with your ophthalmologist or the surgeon who performed your retinal surgery. They can provide personalized advice based on your specific medical history and the current state of your eye health.

In terms of general recommendations, here are a few points to consider:
1. Consult Your Surgeon: Before making any plans, consult with your eye surgeon or ophthalmologist. They can assess your current eye health and provide tailored advice regarding your participation in hot air ballooning.

2. Monitor Your Vision: Pay attention to any changes in your vision leading up to the event. If you experience any new symptoms, such as flashes of light, increased floaters, or a sudden decrease in vision, seek medical attention immediately.

3. Choose a Reputable Operator: Ensure that you choose a reputable hot air balloon company with experienced pilots. They should have a good safety record and be able to provide you with information about their landing techniques.

4. Be Prepared for the Experience: Understand that while hot air ballooning is generally safe, it can be an exhilarating experience. Make sure you are mentally prepared for the flight and any potential bumps during landing.

5. Follow Up Post-Flight: After your hot air ballooning experience, consider scheduling a follow-up appointment with your eye doctor to ensure that everything remains stable with your retinal health.

In conclusion, while it is likely safe for you to participate in hot air ballooning nearly two years after your scleral buckle surgery, it is essential to consult with your healthcare provider to ensure that you are cleared for such activities. Your eye health and safety should always come first, and professional guidance will help you make an informed decision. Enjoy your trip to Turkey and the unique experience of hot air ballooning!

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