Post-Retinal Surgery: Concerns About Recovery and Exercise Safety

Q: Post-Retinal Surgery: Concerns About Recovery and Exercise Safety

Hello Mr. <br>Huang： If your physician has informed you that you can return to normal activities, you should consult them regarding exercise, as all answers are closely related to the extent of retinal detachment, the nature of the surgery, and the degree of recovery. <br>I can o

The doctor said I can return to normal life, but I am still very concerned about exercising?

Hello, Doctor Gao.
I would like to seek your advice again.
It has been a month since my right eye underwent scleral buckle surgery for retinal detachment.
During my follow-up appointment last Friday, my attending physician examined me and said everything looks fine, and I can return to normal activities.
However, the external wound around my eye (a tissue-like protrusion and redness around the eyeball) has not yet healed.
I specifically asked whether it was okay for the wound to come into contact with water for bathing, and the doctor said it was fine and provided me with two bottles of medication to continue applying four times a day.
I am scheduled for another follow-up in about a month.

I have a few questions:
1.
I am still a bit concerned.
Will contact with water affect the healing speed of the external wound?
2.
Regarding avoiding sudden head movements and shaking, since I travel in a company truck that has poor shock absorption, there will inevitably be bumps while driving on mountain roads or uneven surfaces.
Could this daily shaking potentially cause new issues with my retina?
3.
For aerobic or anaerobic exercise, aside from avoiding head movements and increased intraocular pressure, if I engage in weight training while maintaining normal breathing and avoiding holding my breath to prevent raising eye pressure, would this be acceptable? Or would there still be risks involved? Thank you.

Huang Guanting, 30~39 year old female. Ask Date: 2020/08/04

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Huang: If your physician has informed you that you can return to normal activities, you should consult them regarding exercise, as all answers are closely related to the extent of retinal detachment, the nature of the surgery, and the degree of recovery.
I can only share my thoughts for your reference.

1.
When it comes to water exposure, this refers to water entering the eyes.
When showering, if you keep your eyes tightly closed, there should not be any water entering.
If a little does get in, it shouldn't be a significant concern.

2.
It is best to avoid any vigorous head movements while the retina is unstable.
The movements from driving should be fine, but it is advisable to refrain from any head-shaking activities.

3.
If you do not hold your breath, you should be able to avoid an increase in intraocular pressure.
However, since there is already retinal pathology, it is advisable to avoid heavy lifting whenever possible.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM; Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.

Dr.
Gao Pilin

Reply Date: 2020/08/04

More Info

After undergoing retinal surgery, particularly procedures like scleral buckle surgery for retinal detachment, it is crucial to follow specific guidelines to ensure proper healing and minimize the risk of complications. Here, I will address your concerns regarding recovery and exercise safety post-surgery.

1. Water Exposure and Wound Healing: It is understandable to be concerned about water exposure to the surgical site. Generally, if your doctor has advised that it is safe for the wound to come into contact with water, it should not significantly impede the healing process. However, it is essential to ensure that water does not directly enter the eye, especially during activities like washing your hair. Keeping your eyes closed tightly while washing can help prevent water from entering. If you notice any unusual discharge or increased redness around the wound, it would be wise to consult your doctor.

2. Daily Movement and Jarring Activities: Regarding your concern about driving a vehicle with poor suspension on bumpy roads, it is advisable to avoid any activities that could cause significant jarring or shaking of the head, especially in the early stages of recovery. While normal daily movements are generally acceptable, sudden or vigorous head movements can pose a risk to the stability of the retina. If you experience discomfort or visual disturbances while driving, it may be prudent to limit such activities until you have fully healed.

3. Exercise Considerations: When it comes to resuming physical activities, both aerobic and anaerobic exercises can be beneficial, but caution is necessary. It is crucial to avoid exercises that could increase intraocular pressure or involve sudden head movements. If you are considering weight training, ensure that you do not hold your breath (a technique known as the Valsalva maneuver) while lifting weights, as this can increase eye pressure. Instead, focus on lighter weights and maintain a steady breathing pattern. Always consult your healthcare provider before starting any new exercise regimen to ensure it aligns with your recovery plan.

4. Long-term Activity Restrictions: You may be concerned about returning to high-impact sports or activities, such as basketball or dancing. While these activities can be resumed, it is essential to approach them with caution. Gradually reintroducing these activities while monitoring for any discomfort or visual changes is advisable. If you experience any issues, it may be necessary to modify your participation or consult your doctor for further guidance.

5. Monitoring for Complications: After retinal surgery, it is essential to remain vigilant for any signs of complications, such as increased floaters, flashes of light, or changes in vision. If you notice any of these symptoms, seek medical attention promptly. The risk of retinal detachment or other complications can vary based on individual circumstances, including the extent of the initial detachment and the success of the surgery.

In conclusion, while you can gradually return to normal activities post-surgery, it is vital to listen to your body and follow your doctor's advice. Regular follow-up appointments are crucial for monitoring your recovery and addressing any concerns that may arise. Always prioritize your eye health and safety as you transition back to your regular lifestyle.

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