When Can I Return to High Altitude After C3F8 Gas Surgery?

Q: When Can I Return to High Altitude After C3F8 Gas Surgery?

Hello, Mr. <br>Shih： Due to the low pressure at high altitudes, gas expansion can occur, leading to an increase in intraocular pressure; therefore, the doctor has advised against going to the mountains. <br>As for a small round bubble, returning to higher altitudes should not hav

Gas pressure

Hello, doctor.
I had emergency surgery on July 2nd using C3F8 gas, and I was advised not to return to my home in the mountains.
I have had three follow-up visits, and my recovery is going well.
On July 23rd, there is still a small round gas bubble in my eye.
When can I return to my home at an altitude of 1400 meters? Do I need to wait for the bubble to completely disappear? Thank you.

Shitai, 60~69 year old female. Ask Date: 2020/07/23

Dr. Gao Pilin reply Ophthalmology

Hello, Mr.
Shih: Due to the low pressure at high altitudes, gas expansion can occur, leading to an increase in intraocular pressure; therefore, the doctor has advised against going to the mountains.
As for a small round bubble, returning to higher altitudes should not have significant effects, but I cannot guarantee that.
After all, retinal detachment has already caused damage to the eye, and we need to avoid any further events that could impact your vision.
It may be safer to wait until it completely resolves.
The Ophthalmology Department at Puzi Hospital in Taiwan is open: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/07/23

More Info

After undergoing surgery involving C3F8 (perfluoropropane) gas, it is essential to follow your doctor's advice regarding altitude restrictions. C3F8 is often used in retinal surgeries, and it creates a gas bubble in the eye to help with healing. The gas bubble will gradually dissipate over time, but it is crucial to understand how altitude can affect this process.

1. Understanding C3F8 and Altitude: C3F8 gas expands as atmospheric pressure decreases, which occurs at higher altitudes. If you ascend to a higher altitude while the gas bubble is still present, it can expand, potentially leading to increased intraocular pressure and complications such as retinal detachment. Therefore, it is generally advised to avoid high altitudes until the gas bubble has completely resolved.

2. When to Return to High Altitude: The timeline for the gas bubble to disappear can vary. Typically, C3F8 gas can take several weeks to months to fully dissolve, depending on the size of the bubble and individual healing rates. Your doctor will likely monitor the bubble during follow-up appointments and provide guidance on when it is safe to return to higher altitudes. It is essential to wait until the gas bubble has completely disappeared before considering a return to your home at 1400 meters (approximately 4,593 feet).

3. Monitoring Recovery: Since you mentioned that you have had three follow-up appointments and your recovery is progressing well, continue to keep your doctor informed about any changes in your vision or discomfort. They will be able to assess the status of the gas bubble and provide personalized advice based on your specific situation.

4. General Recommendations: While waiting for the gas bubble to resolve, it is advisable to avoid activities that could strain your eyes or increase intraocular pressure, such as heavy lifting or vigorous exercise. Additionally, maintaining regular follow-up appointments is crucial for monitoring your recovery.

5. Consulting Your Doctor: Ultimately, the best course of action is to consult your ophthalmologist or the surgeon who performed the procedure. They will have the most accurate information regarding your specific case and can provide tailored advice on when it is safe for you to return to high altitude.

In summary, it is crucial to wait until the C3F8 gas bubble has completely dissipated before returning to high altitudes. This precaution helps prevent potential complications and ensures a safe recovery. Always follow your doctor's recommendations and keep them updated on your progress.

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