Post-Surgery Double Vision After Cataract Removal

Q: Post-Surgery Double Vision After Cataract Removal

Hello Mr. <br>Chen： There is still gas in your eye, which can cause double vision. <br>Therefore, we need to wait until the gas dissipates before we can assess your condition. <br>Perhaps by then, the diplopia will resolve. <br>The doctor has examined you and mentioned that there

Before the surgery, there was no diplopia, but after the surgery during the recovery period, diplopia was observed?

I underwent cataract extraction due to retinal hemorrhage on January 7th.
Before the surgery, I did not experience double vision, but now during my recovery, I seem to have developed double vision.
When I asked my doctor during a follow-up visit, he mentioned that I need to wait until the air in my eye completely dissipates before assessing the situation.
I would like to know what causes this double vision and if it is indeed due to the air in my eye not having fully absorbed yet.

Mr. Chen, 30~39 year old female. Ask Date: 2020/01/21

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Chen: There is still gas in your eye, which can cause double vision.
Therefore, we need to wait until the gas dissipates before we can assess your condition.
Perhaps by then, the diplopia will resolve.
The doctor has examined you and mentioned that there is still gas present, indicating that it has not been fully absorbed yet.
Please wait a little longer and see how it goes.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
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We hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2020/01/21

More Info

Post-surgery double vision, or diplopia, can be a concerning issue for patients recovering from cataract surgery or any eye surgery, including vitrectomy. In your case, it seems that you are experiencing double vision after undergoing a vitrectomy due to retinal hemorrhage. This is not an uncommon occurrence, and there are several factors that could contribute to this condition.

Firstly, it's important to understand that during a vitrectomy, the vitreous gel that fills the eye is removed, and often, air or gas is injected into the eye to help maintain the shape of the eye and to assist in the healing process. This air or gas bubble can temporarily affect vision as it can create a barrier to light entering the eye properly. If your doctor mentioned that you need to wait for the air to dissipate, this could indeed be a contributing factor to your double vision. The presence of air can cause light to scatter or refract differently, leading to visual disturbances.

Additionally, the surgical procedure itself can cause temporary changes in the alignment of the eyes or the way they work together. The muscles that control eye movement may be affected during surgery, leading to misalignment and double vision. This is particularly true if there was any manipulation of the eye muscles during the procedure.

Another consideration is the healing process. After surgery, inflammation and swelling can occur, which may also contribute to visual disturbances. As your eye heals, these symptoms may improve. Your doctor is likely monitoring your recovery closely and will be able to assess whether the double vision is a temporary side effect of the surgery or if it indicates a more serious issue that needs to be addressed.

In terms of management, your doctor may recommend specific exercises or therapies to help your eyes work together more effectively as you recover. In some cases, if double vision persists after the air has dissipated and the eye has healed, further evaluation may be necessary to determine if additional treatment is required, such as prism glasses or even surgery to correct any misalignment.

It's crucial to maintain open communication with your healthcare provider during this recovery period. If your double vision does not improve or worsens, or if you experience any other concerning symptoms, such as increased pain or changes in vision, you should seek medical attention promptly. Your doctor can provide tailored advice based on your specific situation and the progress of your recovery.

In summary, double vision following cataract surgery or vitrectomy can be caused by several factors, including the presence of air in the eye, surgical manipulation, and the healing process. It's essential to follow your doctor's guidance and allow time for recovery, while also being vigilant about any changes in your symptoms. If you have further concerns, do not hesitate to reach out to your eye care professional for clarification and support.

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