Post-Retinal Detachment Surgery: Common Concerns and Symptoms

Postoperative Issues After Retinal Detachment Surgery

My mother underwent retinal detachment surgery three days ago.
During the postoperative examination, her eye was found to be in good condition, and she is now resting at home as per the doctor's instructions to maintain a prone position for an extended period.
I would like to ask: 1.
While lying prone, my mother is concerned that pressure on the surrounding area of the eye may have an impact.
Could this cause an increase in intraocular pressure? 2.
My mother reports that she can only see a black line with the operated eye, while everything else appears white and completely indistinct.
Is this symptom normal?

Youxin Xiao Bo, 30~39 year old female. Ask Date: 2018/03/06

Dr. He Jianxian reply Ophthalmology

1.
There's no need to worry about this; we will monitor the intraocular pressure during follow-up visits to check for any increases.
2.
His eyes still contain gas, which is why he cannot see clearly.
He will need to wait until the gas dissipates and the retina is properly attached to regain normal vision.

Reply Date: 2018/03/06

More Info

After retinal detachment surgery, it is common for patients to have various concerns and symptoms as they recover. Your mother's situation is not unusual, and I will address her questions based on medical knowledge and common post-operative experiences.

1. Concern about Pressure from Lying Down: Your mother is right to be cautious about her position after surgery. Lying face down (prone position) is often recommended after retinal detachment surgery to help the gas bubble (if used) press against the retina, promoting healing. However, many patients worry about increased pressure in the eye due to the weight of the head or the position itself. Generally, lying down in the recommended position should not significantly increase intraocular pressure (IOP) to harmful levels. The eye is designed to withstand some pressure, and the surgical team typically monitors IOP during follow-up visits. If your mother experiences discomfort or has concerns about eye pressure, it is essential to communicate this with her surgeon. They may perform an eye pressure test to ensure everything is within a safe range.

2. Seeing a Black Line and Blurry Vision: It is not uncommon for patients to experience visual disturbances after retinal surgery. The perception of a black line or a "curtain" effect can occur as the retina heals and adjusts post-surgery. The presence of a black line may indicate that the retina is still recovering, and the brain is trying to interpret the visual signals it receives. The "white mist" or haziness that your mother describes is also a typical symptom during the healing process. This can be due to several factors, including swelling, the presence of a gas bubble, or changes in the vitreous gel. Over time, as the retina heals and inflammation decreases, her vision should gradually improve. However, it is essential for her to have regular follow-up appointments with her eye doctor to monitor her recovery and address any persistent or worsening symptoms.

In summary, while your mother's concerns are valid, many of the symptoms she is experiencing can be part of the normal healing process after retinal detachment surgery. It is crucial to maintain open communication with her healthcare provider, who can provide specific guidance tailored to her situation. Encourage her to report any new or worsening symptoms, as early intervention can be vital in ensuring the best possible outcome. Recovery can take time, and patience is often necessary as the eye heals.

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