Can Modern Treatments Improve Vision After Retinal Detachment Surgery?

Post-retinal detachment surgery, concerns regarding vision recovery?

Over a decade ago, I underwent surgery for retinal detachment (I have forgotten the specific surgical method, but I know that gas was used for the reattachment).
The surgery was likely successful, but my vision recovery has been limited; standard ophthalmic instruments cannot measure my visual acuity.
I typically wear 400-degree contact lenses to balance the disparity with my other eye, and it does not significantly impact my daily life.
I would like to inquire if, with current medical technologies (such as laser treatments), there is a possibility for improving my vision.

siva liu, 50~59 year old female. Ask Date: 2020/03/26

Dr. He Jianxian reply Ophthalmology

After such a long time since the surgery, the condition should be stable.
If cataracts were not caused by the surgery, the current treatment techniques may have limited effectiveness in achieving significant improvement.
This is for your reference.
Dr.
He Jianxian, Nantou Hospital.

Reply Date: 2020/03/26

More Info

Retinal detachment is a serious condition that can lead to significant vision loss if not treated promptly. The surgical intervention you underwent, which involved the use of gas to reattach the retina, is a common and generally effective approach. However, the extent of vision recovery can vary widely among patients, depending on several factors, including the severity of the detachment, the duration before treatment, and any subsequent complications.

In your case, it appears that while the surgery was successful in reattaching the retina, the recovery of vision has been limited. This is not uncommon; many patients experience some degree of permanent vision loss following retinal detachment surgery. The fact that you are using contact lenses with a prescription of 400 degrees indicates that your vision has not fully returned to normal.

Modern advancements in ophthalmology have introduced various treatments that may help improve vision after retinal detachment surgery, although the effectiveness of these treatments can vary based on individual circumstances. Here are some options that might be considered:
1. Laser Treatments: Laser therapy can be used to treat certain complications that may arise after retinal detachment surgery, such as the development of scar tissue or new retinal tears. However, if the primary issue is related to the initial detachment and the resulting changes in the eye's structure, laser treatment may not significantly improve vision.

2. Cataract Surgery: If cataracts develop after retinal surgery, which is common, cataract surgery can help restore some vision. It’s important to assess whether cataracts are contributing to your vision problems, as they can cause blurriness and decreased contrast sensitivity.

3. Intraocular Lens (IOL) Options: If you are considering cataract surgery, discussing the type of intraocular lens to be used is crucial. Some lenses can correct for astigmatism or provide multifocal vision, which may help improve your overall visual acuity.

4. Vision Rehabilitation: Engaging in vision rehabilitation programs can help you adapt to your current vision status. These programs often include training on how to use your remaining vision more effectively and may provide tools to assist with daily activities.

5. New Treatments: Research is ongoing in the field of retinal health, including the development of new medications and therapies that may help improve retinal function. While these treatments are still largely experimental, they may offer hope for future improvements.

6. Regular Monitoring: Continuous follow-up with your ophthalmologist is essential. They can monitor your eye health and recommend interventions as needed. If your vision changes or worsens, it’s important to seek immediate medical advice.

In conclusion, while modern treatments may offer some potential for improving vision after retinal detachment surgery, the degree of improvement can be limited and varies from person to person. It is crucial to have open discussions with your ophthalmologist about your specific situation, potential treatment options, and realistic expectations for vision recovery. They can provide personalized recommendations based on your eye health and history.

Similar Q&A

Understanding Vision Loss After Retinal Detachment Surgery: Can It Improve?

Hello, Dr. Hu. I underwent retinal detachment surgery on my left eye on July 18, 1989, but my vision is still below 0.4. Everything I see is blurry, and my central vision is distorted, making it difficult to see clearly. My vision is also not complete. Could you please explain wh...

Dr. Hu Yusheng reply Ophthalmology
Hello Mr. KK, you underwent retinal detachment surgery four years ago. The common reasons for experiencing blurred and distorted vision now may include: the formation of epiretinal membranes, the development of subretinal membranes, internal retinal degeneration, choroidal neovas...

Post-Retinal Detachment Surgery Vision Issues: Understanding Recovery and Expectations

Hello Doctor, I underwent scleral buckle surgery for retinal detachment on March 20, but due to poor postoperative recovery, I had a vitrectomy with silicone oil injection on April 16. However, my vision has changed post-surgery, and I need new glasses, but I find that no matter ...

Dr. Gao Pilin reply Ophthalmology
Hello Ann: After a retinal detachment, vision is typically affected and will usually be worse than before, as the retina is damaged and even if it is reattached, it will still be impacted. Vision may gradually improve over time, but it may not return to its original level of clar...

Can Distorted Vision and Double Vision Improve After Retinal Surgery?

I have experienced two retinal detachments in my right eye, which affected the macula, and I have undergone several gas tamponade procedures, one silicone oil tamponade surgery, and multiple laser treatments. I am currently in recovery, but I am experiencing distorted vision and ...

Dr. Wang Zhishun reply Ophthalmology
Hello, the visual distortion caused by retinal detachment can be assessed for recovery approximately six months later. If recovery does not occur, the patient will need to gradually adapt.

Post-Retinal Detachment Surgery: Understanding Vision Changes and Recovery

I underwent cataract surgery on my left eye in February 2022, and one month later, I had cataract surgery on my right eye. Unfortunately, a week later, I experienced an accident resulting in a retinal tear and retinal detachment (with half of the retina detached). On March 31, I ...

Dr. He Jianxian reply Ophthalmology
Hello: Visual changes after retinal detachment surgery are quite common, and there is no ideal method for improvement. The best approach is to allow the body to recover and adjust on its own. Dr. He Jianxian, Department of Ophthalmology, Nantou Hospital.