Post-Scleral Buckling Surgery: Recovery Concerns and Vision Changes - Ophthalmology

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Postoperative recovery issues after scleral buckle surgery?


Hello, Doctor.

1.
I recently underwent scleral buckle surgery for a retinal detachment in the lower right quadrant of my right eye (without affecting the macula).
Postoperatively, my vision in the right eye is very blurry.
At my five-day follow-up, it was found that my right eye has a refractive error of approximately -1200 diopters, while prior to the surgery, both eyes were around -300 diopters.
I would like to know if this -1200 diopter measurement is temporary.
Is there a chance it could decrease to under -1000 diopters in a month?
2.
Additionally, how long will the appearance of blood vessels in my right eye persist before it resolves?
3.
I am scheduled for laser treatment on both eyes in a month.
Will this procedure affect my vision? Are there any potential side effects I should be aware of?
Thank you for your response, Doctor!

Niming, 20~29 year old female. Ask Date: 2018/04/17

Dr. Cai Wenyuan reply Ophthalmology


Hello: I apologize, but your situation may require consultation with a surgical specialist.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/04/17

More Info


Hello! Thank you for your questions regarding your recovery after scleral buckling surgery. It’s understandable to have concerns about your vision and overall recovery, especially after such a significant procedure. Let’s address your questions one by one.

1. Temporary Vision Changes: After scleral buckling surgery, it is common for patients to experience significant fluctuations in their vision. The increase in your prescription from approximately 300 degrees to 1200 degrees is likely a temporary situation. Post-surgical inflammation, changes in the shape of the eye, and the healing process can all contribute to these fluctuations. Typically, as the eye heals, the vision may stabilize and improve over time. It is possible that your vision could improve to below 1000 degrees within a month, but this can vary widely among individuals. Regular follow-up appointments with your ophthalmologist will be crucial to monitor your progress and make any necessary adjustments to your prescription.

2. Bloodshot Eyes: The presence of blood vessels in your eye, often described as "bloodshot," is also a common occurrence after eye surgery. This condition is usually due to increased vascularity and irritation in the eye as it heals. The duration for these symptoms to resolve can vary, but typically, you might expect improvement within a few weeks. Keeping your eyes lubricated with preservative-free artificial tears can help alleviate discomfort and promote healing. If the redness persists or worsens, it’s important to consult your doctor.

3. Laser Treatment After Surgery: Regarding your upcoming laser treatment, it is essential to discuss this with your ophthalmologist. Laser procedures can be performed after scleral buckling, but the timing is crucial. If your eye is still healing from the surgery, your doctor may recommend waiting until your vision stabilizes. Post-laser treatment, some patients experience temporary changes in vision, but significant long-term complications are rare. Your doctor will provide specific guidance based on your individual situation and the type of laser treatment planned.

In summary, while your current vision changes and symptoms can be concerning, they are often part of the healing process after scleral buckling surgery. It is essential to maintain open communication with your healthcare provider, attend all follow-up appointments, and report any new or worsening symptoms. Your doctor will be able to provide the best advice tailored to your recovery journey. Remember, patience is key during this time, as healing can take several weeks to months. Wishing you a smooth recovery and improved vision ahead!

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