Post-Scleral Buckling Surgery Concerns: Long-Term Eye Health

Postoperative Issues Following Scleral Buckling Surgery

I initially underwent surgery for retinal detachment, and the doctor mentioned that the procedure was called scleral buckle surgery.
The doctor advised that the buckle should be removed postoperatively for stability, but removal might increase the risk of recurrence, so I did not return for the removal.
Recently, I have noticed an increase in eye discharge, and there is a very small shadow in the upper right area of the eye that had the surgery.
I would like to know if the implanted device can remain in the eye after 16 years since the surgery.
Given the current shadow in my postoperative eye, do I need to have it removed or take any other measures?

Pang Feng, 30~39 year old female. Ask Date: 2020/04/28

Dr. He Jianxian reply Ophthalmology

Hello, regarding the scleral buckle, prolonged exposure may lead to issues with extrusion.
It is recommended that you return to the original hospital for a consultation to determine if any intervention is necessary.
Dr.
He Jianxian, Nantou Hospital.

Reply Date: 2020/04/28

More Info

After undergoing scleral buckling surgery for retinal detachment, it is understandable to have concerns about long-term eye health, especially after 16 years. Scleral buckling is a procedure designed to support the eye wall and prevent further detachment by placing a silicone band around the eye. While many patients do well post-surgery, there can be long-term effects and complications that may arise.

Firstly, regarding the presence of the silicone implant, it is generally safe for the implant to remain in the eye indefinitely, provided there are no complications. Many patients live with these implants for years without issues. However, it is crucial to monitor the eye for any signs of complications, such as infection, inflammation, or changes in vision. If you are experiencing increased discharge or noticing shadows in your vision, it is essential to consult with an ophthalmologist as soon as possible.

The symptoms you describe, such as increased discharge and the appearance of shadows, could indicate several potential issues. One possibility is that the shadows may be related to changes in the retina or the vitreous gel within the eye. Over time, the vitreous can shrink and pull away from the retina, which can lead to floaters or shadows in your vision. In some cases, this can also lead to further retinal detachment, which would require immediate medical attention.

Another concern could be related to the silicone implant itself. While rare, complications such as silicone-induced inflammation or the development of epiretinal membranes can occur. These conditions can lead to visual disturbances and may require treatment.
In terms of management, it is crucial to have a comprehensive eye examination. This examination should include a dilated fundus exam to assess the retina and the status of the silicone implant. Depending on the findings, your ophthalmologist may recommend monitoring the situation or taking further action, such as surgical intervention if necessary.

It is also important to consider that the eye's health can change over time, and regular follow-ups with your eye care provider are essential for maintaining optimal vision and eye health. If you have not had a follow-up appointment in a while, it is advisable to schedule one to discuss your symptoms and any necessary imaging or tests.

In conclusion, while the silicone implant can remain in the eye for many years without issue, the symptoms you are experiencing warrant a thorough evaluation by an ophthalmologist. They can provide a detailed assessment of your eye health and recommend appropriate measures to address any concerns. Regular monitoring and prompt attention to changes in vision are key to ensuring long-term eye health after scleral buckling surgery.

Similar Q&A

Post-Surgery Concerns After Scleral Buckling: A Patient's Inquiry

Dear Dr. Hu, I discovered a small area of blurred vision in the inner part of my left eye at the end of March this year. Two days later, I visited an ophthalmologist, and after a fundus examination, I was diagnosed with a rhegmatogenous retinal detachment, which had extended to ...

Dr. Hu Yusheng reply Ophthalmology
Hello: For questions Q1 to Q4, please discuss them with your surgeon first. If the issues remain unresolved, we kindly ask you to come to the outpatient clinic. After an examination and assessment, we will provide you with explanations on-site, which will be more beneficial for y...

Post-Scleral Buckling Surgery: Concerns About Vision Distortion and Recovery

Hello Doctor, I discovered a retinal detachment nearly a week after my eye was struck, and there was fluid accumulation. That day, I was transferred to the emergency department at Linkou Chang Gung Memorial Hospital, and the next day I underwent scleral buckle surgery. However, l...

Dr. Gao Pilin reply Ophthalmology
Hello: First of all, retinal detachment is a serious eye condition that requires prompt treatment to prevent further visual impairment. Scleral buckle surgery is typically an effective method for restoring the normal position and function of the retina. However, post-operative vi...

Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks

Hello Doctor, I underwent scleral buckle surgery on my right eye ten years ago before the Lunar New Year. After that, I used Timolol eye drops for about six months, along with other medications like pilocarpine to lower intraocular pressure. However, in July, my eye pressure rose...

Dr. He Jianxian reply Ophthalmology
Hello: I cannot provide a definitive answer to this question. I recommend that you consult a retinal specialist, as they have more experience in addressing related issues. Wishing you good health.

Understanding Scleral Buckling Surgery: Post-Operative Vision Recovery

Dear Dr. Gao, I recently underwent scleral buckle surgery for retinal detachment in my right eye, and it has been two weeks since the procedure. I feel that my vision recovery is going fairly well; however, I have noticed that my eyes seem unable to focus together. Is this norma...

Dr. Gao Pilin reply Ophthalmology
Hello Mr. Lin: The scleral buckle may cause changes in eye movement due to the presence of an implant outside the eyeball, which could result in different movement patterns than before. This phenomenon may normalize as the situation improves, but the timeline for recovery is unce...