Post-Retinal Detachment Surgery Vision Changes

Q: Post-Retinal Detachment Surgery Vision Changes

Hello Vincent： Typically, when a retinal detachment occurs, damage to the retina has already been done, and surgery aims to reposition it as much as possible. <br>However, some imaging issues may be unavoidable. <br>If there is macular edema, it may result in distortion, deformat

Post-retinal detachment surgery

Last month, my elder family member underwent retinal detachment surgery, which included a vitrectomy.
Currently, they are experiencing a distortion in vision where objects appear smaller and warped.
Is this a possible side effect, and can their vision return to its previous state? Thank you!

Vincent, 30~39 year old female. Ask Date: 2019/10/20

Dr. Gao Pilin reply Ophthalmology

Hello Vincent: Typically, when a retinal detachment occurs, damage to the retina has already been done, and surgery aims to reposition it as much as possible.
However, some imaging issues may be unavoidable.
If there is macular edema, it may result in distortion, deformation, or a reduction in the size of objects.
If the macular edema improves, these conditions may also improve.
The Ophthalmology Department at Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2019/10/20

More Info

Understanding vision changes after retinal detachment surgery, particularly following procedures like vitrectomy, is crucial for both patients and their families. Retinal detachment surgery is a delicate procedure aimed at reattaching the retina and restoring vision, but it can lead to various visual disturbances during the recovery process.

Common Vision Changes Post-Surgery
1. Visual Distortion: Many patients report seeing straight lines as wavy or distorted. This phenomenon, known as metamorphopsia, can occur due to changes in the retinal structure or the way the brain processes visual information after surgery. The retina may take time to heal, and the brain may need to adjust to the new visual input.

2. Size Perception Changes: The perception of objects appearing smaller or larger than they are (micropsia or macropsia) can also occur. This is often related to the way the retina has been affected by the detachment and subsequent surgery. The brain interprets signals from the retina, and if the retina has been altered, the brain may misinterpret the size of objects.

3. Blurriness and Reduced Visual Acuity: Post-surgery, it is common for patients to experience blurry vision or a decrease in visual acuity. This can be due to several factors, including the presence of fluid in the eye, changes in the vitreous gel, or the development of cataracts, which can occur after retinal surgery.

Potential Causes of These Changes
- Retinal Healing: After surgery, the retina undergoes a healing process. During this time, it is not uncommon for visual disturbances to occur as the retina adjusts and heals.

- Vitreous Changes: The removal of the vitreous gel can lead to changes in how light is focused on the retina, contributing to visual distortions.

- Cataract Formation: Surgery can accelerate cataract formation, which can further complicate vision. If the patient has not had cataract surgery, this may need to be addressed in the future.

Recovery and Prognosis
The recovery timeline can vary significantly from person to person. While some patients may notice gradual improvements in their vision over weeks to months, others may experience persistent visual disturbances. Here are some considerations for recovery:
- Time: The brain often requires time to adapt to changes in vision. Many patients find that their vision improves as they adjust to the new visual input.

- Follow-Up Care: Regular follow-up appointments with an ophthalmologist are essential. These visits allow the doctor to monitor the healing process and address any complications that may arise.

- Visual Rehabilitation: In some cases, visual rehabilitation therapy may be beneficial. This therapy can help patients adapt to their new vision and improve their quality of life.

Conclusion
In summary, the changes in vision experienced by your family member after retinal detachment surgery, such as seeing objects smaller or distorted, are not uncommon and can be attributed to the healing process of the retina and the adjustments the brain must make. While some patients may recover fully, others may continue to experience some degree of visual distortion. It is crucial to maintain open communication with the healthcare provider to monitor progress and explore potential interventions if necessary. Encouraging patience and adherence to follow-up care can significantly aid in the recovery process.

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