Can You Fly After Retinal Detachment Surgery? Key Considerations - Ophthalmology

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Can I fly after retinal detachment surgery?


Hello Doctor: A family member underwent retinal detachment surgery (macular degeneration, cataract extraction) on October 13, and special gas was injected.
Currently, they need to remain face down.
However, they have planned to travel abroad around November 20, with a flight time of approximately 3 hours.
Therefore, I would like to confirm the following: 1.
If the gas has been absorbed, will traveling abroad affect the outcome of the previous surgery? Or does the absorption of the gas mean there will be no impact? 2.
Is there a possibility that cabin pressure during the flight could lead to a re-detachment of the retina? 3.
How long is the recovery period considered safe if special gas was used? 4.
Will traveling to a colder country have any impact on the retina? 5.
Additionally, I would like to know the likelihood of recurrence after retinal detachment surgery.
Thank you for your clarification!

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

Dr. He Jianxian reply Ophthalmology


Hello, after retinal detachment surgery, if the retinal attachment status is stable, it is generally safe to fly after 3 to 6 months, when stable attachment is typically achieved.
It is recommended to consult with a specialist at an ophthalmology clinic before traveling abroad.
Thank you.

Reply Date: 2019/10/20

More Info


After undergoing retinal detachment surgery, particularly when gas is injected into the eye, there are several important considerations regarding air travel. Here’s a comprehensive overview addressing your concerns:
1. Gas Absorption and Travel: If the gas injected during your surgery has been fully absorbed, it is generally safe to fly. The gas is used to help flatten the retina against the back of the eye, and as it is absorbed, the eye should return to normal pressure. However, it is crucial to confirm with your ophthalmologist that the gas has completely dissipated before making travel plans. If gas is still present, flying could lead to increased intraocular pressure as the gas expands in lower atmospheric pressure, potentially causing complications.

2. Risk of Retinal Re-detachment: The risk of retinal re-detachment due to changes in cabin pressure during a flight is minimal, especially if the gas has been fully absorbed. However, if you experience any sudden changes in vision, such as flashes of light or an increase in floaters during the flight, it is advisable to seek immediate medical attention upon landing.
3. Recovery Period: The recovery period after retinal detachment surgery can vary significantly among patients. Generally, it may take several weeks to months for the eye to heal adequately. Your ophthalmologist will provide specific guidance based on your individual case. It is essential to follow their recommendations regarding activities, including travel, to ensure optimal healing.

4. Impact of Cold Weather: Traveling to a colder climate should not directly affect the health of your retina post-surgery. However, extreme temperatures can cause discomfort or dryness in the eyes. It is advisable to keep your eyes well-hydrated and protected from harsh winds. Wearing sunglasses can help shield your eyes from cold air and bright sunlight, which can be particularly harsh in winter conditions.

5. Recurrence of Retinal Detachment: The likelihood of a recurrent retinal detachment varies based on several factors, including the initial cause of the detachment, the type of surgery performed, and individual patient factors. Generally, the risk of re-detachment is higher in the first few months following surgery. Regular follow-up appointments with your ophthalmologist are crucial to monitor your eye health and catch any potential issues early.

In summary, if your gas has been fully absorbed and you have received clearance from your ophthalmologist, flying should be safe. Always prioritize communication with your healthcare provider regarding your specific situation, especially if you have any concerns or experience changes in your vision. Safe travels!

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