Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips

Post-retinal detachment surgery?

Hello Doctor, I had a retinal detachment and underwent gas injection treatment (SF6) and retinal laser treatment for my left eye on December 23.
It has been almost 4 weeks since my discharge, during which I have had 3 follow-up visits and additional laser treatments.
The doctor mentioned that my recovery is progressing as expected.
Aside from the noticeable presence of gas in my eye, my vision has significantly improved since the surgery.
I would like to ask you a few questions:
1.
I read that SF6 gas typically absorbs within about 2 weeks.
It has been 4 weeks, and the gas is still quite prominent.
Is this normal, or could there be an issue with absorption?
2.
I am still maintaining a head tilt to the right at about 45 degrees.
Besides wanting to return to work soon and being concerned about my cervical spine alignment, should I wait until the gas is completely absorbed before resuming a normal posture? Will I be able to lie down comfortably to sleep only after the gas is fully absorbed?
3.
I had a habit of exercising and running before the surgery.
I have read many articles suggesting avoiding vigorous exercise post-surgery.
Is there a chance I can return to my previous exercise routine? If so, how long should I rest before doing so?
4.
There are many eye health supplements available on the market.
Would you recommend supplementing with products like fish oil or lutein? Would these be beneficial for my post-operative recovery?
Thank you for your responses, Doctor Gao.
🙏

Mr. Lai, 20~29 year old female. Ask Date: 2020/01/20

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Lai,
1.
I have seen responses from doctors on the forum stating that SF6 gas typically absorbs within about two weeks.
It has been four weeks for me, and the gas is still quite significant.
Is this a normal situation, or could there be an issue with absorption? It can sometimes take longer, but this should not affect your recovery, so there is no need to worry.
2.
I am still maintaining a head tilt to the right at about 45 degrees.
Besides wanting to return to work soon and being concerned about my cervical spine alignment, I would like to ask the doctor if I need to wait until the gas is completely absorbed before I can return to a normal posture and sleep normally.
While the gas is present, maintaining a posture is beneficial; once it is gone, posture adjustments are no longer necessary.
Whether you can return to a normal sleeping position may be best discussed with your physician, as their judgment will be more accurate.
3.
Since I had a habit of exercising and running before the surgery, I have read many articles suggesting avoiding vigorous exercise post-surgery.
I would like to ask the doctor if there is a chance I can return to my original exercise routine.
If so, how long should I rest? It is possible to resume after recovery, but this will depend on the results of clinical examinations, so you should consult your physician.
4.
There are many eye health supplements available on the market.
Would the doctor recommend supplementing with products like fish oil or lutein? Would these be beneficial for post-operative recovery? These are not particularly related to the recovery from retinal detachment.
A normal diet should suffice.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses are for reference only; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Best regards,
Gao Pilin

Reply Date: 2020/01/20

More Info

Post-retinal detachment surgery recovery can be a complex process, and it's great to hear that you are making progress. Here are answers to your questions based on common practices and medical knowledge regarding recovery from retinal detachment surgery, particularly with gas tamponade using SF6.

1. Gas Absorption Timeline: It is typical for SF6 gas to be absorbed within 2 to 6 weeks post-injection. However, individual variations can occur based on factors such as the volume of gas injected, the patient's body response, and the specific surgical technique used. If you still notice a significant amount of gas after 4 weeks, it may not necessarily indicate a problem, but it is essential to discuss this with your ophthalmologist during your next follow-up. They can assess whether the gas is absorbing as expected or if further evaluation is needed.

2. Posture and Sleeping Position: Maintaining a specific head position is crucial after retinal surgery to ensure that the gas bubble remains in the correct position to support the retina. Generally, it is advised to keep your head tilted towards the side of the surgery until the gas bubble has fully absorbed. Once the gas is no longer present, you should be able to return to your normal sleeping position. If you are concerned about neck strain or discomfort, discuss this with your doctor, who may provide specific recommendations based on your recovery status.

3. Return to Exercise: After retinal detachment surgery, especially with gas tamponade, it is typically recommended to avoid strenuous activities, including heavy lifting and vigorous exercise, for at least 4 to 6 weeks. This precaution helps prevent any complications that could arise from increased intraocular pressure or strain on the eye. Once your doctor confirms that your retina is stable and the gas has absorbed, you can gradually resume your exercise routine. Always follow your doctor's advice regarding the timing and intensity of your return to physical activity.

4. Nutritional Supplements: While there is no definitive evidence that supplements like fish oil or lutein directly impact recovery from retinal surgery, maintaining a healthy diet rich in antioxidants and omega-3 fatty acids can support overall eye health. These nutrients may help reduce inflammation and promote healing. However, it's essential to consult your ophthalmologist before starting any new supplements, as they can provide personalized advice based on your health status and recovery.

In summary, your recovery seems to be progressing well, but it's crucial to maintain open communication with your healthcare provider. They can provide tailored advice based on your specific situation and ensure that you are following the best practices for a successful recovery. Always prioritize your eye health and adhere to your doctor's recommendations regarding posture, activity levels, and any supplements you may consider.

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