Recovery After Retinal Detachment Surgery: Your Questions Answered

Q: Recovery After Retinal Detachment Surgery: Your Questions Answered

Hello Ms. <br>Nana： If the surgery had failed, you would likely not be able to see at all, so it seems that it was successful. <br>Whether you can wear contact lenses may depend on consulting your attending physician to assess whether the surface condition of your eyes has return

Surgery for retinal detachment on January 31st of this year?

I had surgery for retinal detachment on January 31, and the doctors have since confirmed that the retina has returned to its original position.
I originally had a high prescription of around -1200 diopters, and due to my work, I often use my phone and computer, which may have caused excessive eye strain.
After the silicone oil was removed on April 21, I noticed a black circle in the lower left part of my vision that resembles a colored contact lens.
It has been over five months since the surgery, and my vision still appears distorted.
When I asked the doctors how long it would take to recover, they said it depends on individual healing conditions.
Could this indicate a failed surgery? Will I need another surgery, or is it possible that my vision may never fully recover? Also, since it has been over two months since the silicone oil removal on April 21, can I wear contact lenses now? Thank you, doctor.

Nana, 30~39 year old female. Ask Date: 2020/07/10

Dr. He Jianxian reply Ophthalmology

Hello Ms.
Nana: If the surgery had failed, you would likely not be able to see at all, so it seems that it was successful.
Whether you can wear contact lenses may depend on consulting your attending physician to assess whether the surface condition of your eyes has returned to normal.
Dr.
He Jianxian, Chief of Ophthalmology, Nantou Hospital.

Reply Date: 2020/07/10

More Info

Recovering from retinal detachment surgery can be a complex and individualized process. It’s understandable to have concerns about your recovery, especially given your history of high myopia and the specific symptoms you are experiencing. Let’s address your questions and provide some insights based on medical knowledge.

Understanding Your Symptoms
1. Visual Distortions and Black Spots: The presence of a black spot resembling a colored contact lens in your vision, along with the distortion of images, can be concerning. These symptoms may be related to several factors, including residual effects from the surgery, changes in the vitreous gel, or even the development of complications such as epiretinal membranes or macular edema. It’s important to note that after retinal surgery, some patients experience visual disturbances that can take time to resolve. However, if these symptoms persist or worsen, it is crucial to follow up with your ophthalmologist for a thorough examination.

2. Recovery Timeline: Recovery from retinal detachment surgery varies significantly among individuals. While some may notice improvements in their vision within weeks, others may take several months. The healing process can be influenced by factors such as the extent of the detachment, the duration before surgery, and individual healing responses. Your doctor’s advice to monitor your recovery is standard, as they can better assess your condition during follow-up visits.

3. Surgical Success and Future Interventions: It’s essential to understand that the success of retinal detachment surgery is often measured by the reattachment of the retina. However, achieving optimal visual acuity can take longer and may not always return to pre-detachment levels, especially in cases of high myopia. If your symptoms do not improve or if you experience new symptoms, further evaluation may be necessary to determine if additional interventions are required.

Contact Lens Use After Surgery
Regarding your question about wearing contact lenses after the silicone oil removal on April 21, it is generally advisable to wait until your eye has fully healed before resuming contact lens wear. This is particularly important if you are experiencing any ongoing visual disturbances or discomfort. Your eye doctor will provide the best guidance based on your specific healing progress and any potential complications. They may recommend a follow-up examination to assess the health of your cornea and overall eye condition before allowing contact lens use.

Recommendations for Recovery
- Follow-Up Appointments: Continue attending all scheduled follow-up appointments with your ophthalmologist. They will monitor your healing and can provide tailored advice based on your recovery progress.

- Visual Rehabilitation: If visual distortions persist, consider discussing vision rehabilitation options with your doctor. This may include specialized exercises or therapies designed to help your brain adapt to changes in vision.

- Protect Your Eyes: Given your high myopia and recent surgery, it’s crucial to protect your eyes from strain. Limit screen time, take regular breaks, and ensure proper lighting when using devices.

- Healthy Lifestyle: Maintain a healthy diet rich in antioxidants (like leafy greens and fish) and stay hydrated, as these can support overall eye health.

In conclusion, while your concerns are valid, it’s essential to remain in close communication with your healthcare provider. They are best equipped to assess your individual situation and guide you through your recovery process. Remember, healing takes time, and patience is key. If you have any further questions or notice changes in your symptoms, do not hesitate to reach out to your ophthalmologist.

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It is advisable to have an examination as soon as possible, as there may be incomplete recovery of the retina, or it could simply be residual vitreous. It is better to confirm this. Wishing you a speedy recovery.