and Managing Post-Retinal Surgery Visual Tremors

Q: and Managing Post-Retinal Surgery Visual Tremors

Hello, NA： According to your description, there was previously vibration caused by retinal detachment, which improved after surgery. <br>Now, if there is again vibration in the retina, it is possible that there is another occurrence of retinal detachment. <br>This vibration may b

Eight months after retinal surgery, there is an occurrence of visual field oscillation?

Hello Doctor, I had retinal detachment surgery eight months ago.
The flickering phenomenon in my upper visual field had stopped before the surgery, but it has recently reappeared in the same location.
I have tried to relax my eye, but it has not been effective.

1.
What is the mechanism behind the flickering phenomenon?
2.
How can I alleviate this phenomenon?
3.
Since I am currently abroad and unable to seek medical attention promptly, are there any self-help resources I can use to monitor my condition? Thank you!

NA, 20~29 year old female. Ask Date: 2020/04/07

Dr. Gao Pilin reply Ophthalmology

Hello, NA: According to your description, there was previously vibration caused by retinal detachment, which improved after surgery.
Now, if there is again vibration in the retina, it is possible that there is another occurrence of retinal detachment.
This vibration may be due to the detachment area moving.
If this is the case, it is crucial to seek medical attention as soon as possible to avoid missing the opportunity for treatment.
If immediate medical care is not possible, please keep your head elevated while sleeping and avoid any head movement.
In Taiwan, the ophthalmology department at Puzi Hospital is available: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to visit a medical facility if necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2020/04/07

More Info

Post-retinal surgery visual tremors can be a concerning issue for patients who have undergone procedures such as retinal detachment surgery. Understanding the underlying mechanisms and potential management strategies is essential for addressing these symptoms effectively.

1. Understanding the Mechanism of Visual Tremors: Visual tremors, or oscillopsia, can occur due to various factors related to the retina and the visual processing system. After retinal surgery, changes in the retina, such as scarring or alterations in the retinal structure, can lead to abnormal visual signals being sent to the brain. This can result in the perception of tremors or oscillations in the visual field. Additionally, if there is any residual fluid or gas in the eye, it may also contribute to these symptoms. The brain's adaptation to changes in the visual input can sometimes lead to temporary disturbances, especially if the retina is still healing or if there are ongoing issues such as macular edema or retinal folds.

2. Managing Visual Tremors: While it is essential to consult with an eye care professional for a thorough evaluation, there are some strategies you can try to alleviate the symptoms. First, ensure that you are maintaining proper eye health by using lubricating eye drops to prevent dryness, which can exacerbate visual disturbances. Additionally, practicing eye exercises may help improve coordination and reduce the perception of tremors. Focusing on distant objects and then near objects can help your eyes adjust and may reduce the symptoms. If you notice that certain activities or positions worsen the tremors, try to avoid them.
3. Self-Help Resources and Monitoring: Since you are currently abroad and unable to see a doctor immediately, consider utilizing telemedicine services that allow you to consult with an ophthalmologist remotely. Many eye care professionals offer virtual appointments where you can discuss your symptoms and receive tailored advice. Additionally, keeping a symptom diary can be beneficial. Document when the tremors occur, their duration, and any associated activities or environmental factors. This information can be invaluable when you are able to see a healthcare provider.
In the meantime, it is crucial to monitor your symptoms closely. If you experience any sudden changes in vision, increased pain, or other concerning symptoms, seek medical attention as soon as possible.
In summary, visual tremors after retinal surgery can be attributed to changes in the retina and visual processing. While self-management strategies can provide some relief, it is essential to consult with a healthcare professional for a comprehensive evaluation and tailored treatment plan. Your proactive approach to monitoring your symptoms and seeking help when necessary will be key in managing your condition effectively.

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