Post-Retinal Detachment Surgery: Vision Changes After Two Weeks - Ophthalmology

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Post-retinal detachment surgery?


It has been 14 days since the retinal detachment surgery, the gas has dissipated, and vision was stable.
After switching back to a normal sleeping position, I woke up the next day with blurred vision.
Is this normal, or could there be another detachment?

Ms. Chen, 50~59 year old female. Ask Date: 2019/01/10

Dr. He Jianxian reply Ophthalmology


If there are sudden changes in vision, it is recommended to return to the original medical facility for an examination as soon as possible.

Reply Date: 2019/01/10

More Info


After undergoing retinal detachment surgery, it is not uncommon for patients to experience fluctuations in their vision during the recovery period. The situation you described, where your vision was stable for a while but then became blurry after changing your sleeping position, can be concerning. However, it is essential to understand that several factors can contribute to these changes in vision post-surgery.

Firstly, the initial recovery phase after retinal detachment surgery can be quite variable. Patients often report improvements in their vision, but it can also be accompanied by periods of blurriness or distortion. This is particularly true in the first few weeks following the procedure. The gas bubble used during surgery typically helps to hold the retina in place, and once it dissipates, the retina may still be adjusting to its new position. The absence of the gas can lead to changes in how light is refracted in the eye, which might explain the sudden blurriness you experienced.

Additionally, the healing process of the retina can be complex. Even if the retina appears to be reattached, there may still be underlying issues such as swelling or changes in the retinal structure that can affect vision. The fact that you were able to maintain a stable vision for a period before experiencing blurriness suggests that your retina was likely healing, but it may still be sensitive to changes in position or pressure.

It is also important to consider that the brain takes time to adapt to changes in vision after surgery. This adaptation process can lead to temporary visual disturbances, including blurriness or distortion, as the brain learns to interpret the new signals from the eye. If you notice that your vision fluctuates significantly or worsens, it is crucial to consult your ophthalmologist promptly. They can perform a thorough examination to determine if there are any complications, such as a re-detachment of the retina or other issues that may need to be addressed.

In terms of sleeping positions, it is generally advised to follow your surgeon's recommendations. If your doctor has instructed you to maintain a specific sleeping posture during the recovery phase, it is best to adhere to those guidelines until you receive further instructions. Changing your sleeping position too soon may put unnecessary strain on the healing retina.

In conclusion, while experiencing blurry vision after changing your sleeping position is not uncommon, it is essential to monitor the situation closely. If the blurriness persists or worsens, or if you experience any new symptoms, do not hesitate to reach out to your healthcare provider. They can provide the necessary assessments and guidance to ensure your recovery continues smoothly. Remember, patience is key during the recovery from retinal detachment surgery, as the healing process can take time and may involve some ups and downs along the way.

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