Post-Retinal Detachment Surgery Complications and Options - Ophthalmology

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Post-Retinal Detachment Surgery


Two years ago, I visited China Medical University in Taichung for treatment of a retinal detachment.
After the surgery, the doctor informed me that I still have a macular hole, which is causing distortion in my left eye's vision.
Additionally, the doctor initially applied for an artificial lens for me, but after it was approved, he insisted on not implanting it, which left me feeling upset and confused.
As a result, my overall vision is blurry because the issues in my left eye are affecting my right eye.
Is there really no hope for the distortion in my left eye? Would implanting the artificial lens, as the doctor suggested, make my situation worse? I wonder if it would have been better to let my left eye go blind and only keep my right eye, as I am quite perplexed and would appreciate some clarification.

Lionel, 50~59 year old female. Ask Date: 2018/12/22

Dr. He Jianxian reply Ophthalmology


As I am not a surgical physician, I cannot explain the reasons why he is not assisting you with the implantation of an artificial lens.
For your concerns, I recommend that you consult your surgeon and ask him to provide a detailed explanation, which would be more appropriate.

Reply Date: 2018/12/22

More Info


After experiencing retinal detachment surgery, it is understandable to have concerns about complications and the overall state of your vision. Your situation, particularly with the presence of a macular hole and the decision regarding the artificial lens, raises important questions about the potential for recovery and the options available to you.

Firstly, it is crucial to understand that post-surgical complications can vary widely among patients. The distortion you are experiencing in your left eye, often described as metamorphopsia, can be attributed to the macular hole and the changes in the retina following the detachment. This condition can lead to visual disturbances, such as straight lines appearing wavy or objects seeming smaller or larger than they are. Unfortunately, if the macular hole is not treated, it may not resolve on its own, and the visual distortion may persist.

Regarding the artificial lens, it is common for surgeons to weigh the risks and benefits before proceeding with such a procedure, especially in complex cases like yours. The decision not to implant the artificial lens may have been based on the surgeon's assessment of the potential outcomes, including the risk of further complications. It is not uncommon for patients to feel frustrated or confused by such decisions, particularly when they are seeking clarity on how to improve their vision.

If your left eye's vision is significantly impacting your quality of life, it may be worth seeking a second opinion from another ophthalmologist. Different specialists may have varying approaches and insights into your condition. They can provide a fresh perspective on whether the implantation of an artificial lens could be beneficial or if there are alternative treatments available to address the distortion and improve your overall vision.

In terms of your concern about whether preserving your right eye while allowing your left eye to become blind would have been a better option, it is essential to recognize that each eye's health is interconnected. The brain relies on input from both eyes to create a cohesive visual experience. If one eye is compromised, it can affect the perception and function of the other eye. Therefore, the decision to preserve both eyes, even with complications, is often aimed at maintaining as much visual function as possible.

Lastly, it is important to maintain open communication with your healthcare providers. If you feel that your concerns are not being adequately addressed, do not hesitate to express this to your doctor. You have the right to understand your condition and the rationale behind treatment decisions. Engaging in discussions about your symptoms, treatment options, and potential outcomes can empower you to make informed decisions about your eye health.

In summary, while the distortion in your left eye may not have a straightforward solution, exploring further options with a trusted ophthalmologist could provide clarity and potential avenues for improvement. Your experience is valid, and seeking additional opinions can help you navigate this challenging situation more effectively.

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