Post-Retinal Detachment Surgery: Concerns About Gas Bubble and Recovery

Q: Post-Retinal Detachment Surgery: Concerns About Gas Bubble and Recovery

Hello Mr. <br>Lai： The bubbles will be absorbed both in the morning and at night, but some people may experience this process more slowly. <br>Please be patient! A small bubble may appear next to the larger bubble, but it will merge after a while and should not cause any issues.

Post-retinal detachment surgery?

Hello Doctor: I underwent gas surgery on December 23, and as of today, January 29, there are still noticeable bubbles (SF6) present.
During the Lunar New Year period, I experienced what seemed like floaters in my eye, prompting me to visit the emergency ophthalmology department where I underwent laser surgery.
The doctor mentioned that there was a small tear in the retina in the same eye but at a different location.
Today at noon, after using the anti-inflammatory eye drops prescribed by the emergency doctor, a small bubble appeared next to the original large bubble.
Will this affect my recovery? Additionally, it has been a month since the surgery, and the bubble is still present.
Does this indicate that my recovery is not progressing well? I have been experiencing discomfort from holding my head at a 45-degree angle...
Thank you, Doctor, for taking the time to respond.
🙏🙏🙏🙏

Mr. Lai, 0~9 year old female. Ask Date: 2020/01/29

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Lai: The bubbles will be absorbed both in the morning and at night, but some people may experience this process more slowly.
Please be patient! A small bubble may appear next to the larger bubble, but it will merge after a while and should not cause any issues.
I believe you are a very cooperative person, which is why you might be feeling more discomfort.
The effort you are putting in should yield positive results, so please hang in there; good outcomes are on the way.

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.
Online responses can only serve as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.

Dr.
Gao Pilin

Reply Date: 2020/01/29

More Info

Post-retinal detachment surgery recovery can be a complex process, and your concerns regarding the presence of gas bubbles and the overall healing of your eye are valid. After undergoing surgery for retinal detachment, particularly with the use of gas (such as SF6), it is common for patients to experience various visual phenomena and changes in their eye condition as they heal.

Firstly, the presence of gas bubbles in the eye is a typical part of the recovery process. Gas is often injected into the eye to help flatten the retina against the back wall of the eye, promoting healing. The duration for which the gas remains can vary significantly among individuals, depending on factors such as the type of gas used, the size of the bubble, and the individual’s healing process. SF6 gas typically takes about 2 to 6 weeks to be absorbed, but in some cases, it may take longer. Therefore, seeing a noticeable gas bubble one month post-surgery is not uncommon, and it does not necessarily indicate poor recovery.

Regarding the new small bubble that has appeared next to the original larger bubble, this could be a result of several factors. It may be a new gas bubble forming due to changes in the eye's internal environment or a separation of the original bubble. While this can be concerning, it is essential to follow up with your ophthalmologist to assess whether this new bubble will affect your recovery. The presence of multiple bubbles can complicate the healing process, but it does not automatically mean that your recovery is compromised.

The symptoms you describe, such as the sensation of having to tilt your head at a 45-degree angle, can be attributed to the positioning of the gas bubble and the way it interacts with your vision. Patients often report visual disturbances, including floaters or changes in their field of vision, especially when gas is present. These symptoms can be frustrating and uncomfortable, but they may improve as the gas is absorbed and the retina continues to heal.

It is crucial to maintain open communication with your healthcare provider. Regular follow-up appointments are essential to monitor the status of your retina and the gas bubble. Your doctor may perform examinations, such as optical coherence tomography (OCT) or ultrasound, to evaluate the retina's condition and ensure that it is healing properly. If there are any concerns about the integrity of the retina or the presence of new tears, your doctor will be able to address these issues promptly.

In summary, while the presence of gas bubbles and the new small bubble can be concerning, they are not uncommon after retinal detachment surgery. Your recovery process can vary, and it is essential to continue following your doctor's advice and attending scheduled appointments. If you experience any sudden changes in vision, increased pain, or other alarming symptoms, do not hesitate to seek immediate medical attention. Your eye health is paramount, and timely interventions can significantly impact your recovery outcome.

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