Cataract + Retinal Detachment
Initially, after my cataract surgery, my vision was very clear.
However, during my follow-up appointment, the doctor mentioned that there was a hole that needed laser treatment.
After the laser procedure, the issue persisted, and I ended up with a retinal detachment.
The retina had come off, and I needed air injected into my eye.
Even after the air injection, it didn't resolve the issue, and ultimately, the doctor decided to inject silicone oil into my eye to help reattach the retina.
After the silicone oil injection, I had to lie face down for nearly two months.
Although the wound has stabilized and the retina is attached now, the doctor advised against removing the silicone oil for fear that the retina might detach again.
I would like to ask the doctor if it is normal that I cannot see anything with my right eye, whether near or far, and everything appears blurry.
Would getting glasses for farsightedness be helpful? Thank you, doctor.
Mr. Lin, 40~49 year old female. Ask Date: 2020/09/04
Dr. He Jianxian reply Ophthalmology
Hello Mr.
Lin: After retinal detachment surgery, it is generally necessary to wait a few months for the nerve function to return to normal.
Please consult your attending physician to determine if your retinal function has recovered and whether it is appropriate for you to wear glasses.
For your reference.
Director He Jianxian, Department of Ophthalmology, Nantou Hospital.
Reply Date: 2020/09/04
More Info
After undergoing cataract surgery followed by complications leading to retinal detachment, it is understandable to have concerns about your vision and recovery. The journey through these eye surgeries can be complex, and it is essential to have a clear understanding of what to expect post-surgery, especially when dealing with conditions like retinal detachment and the use of silicone oil.
Understanding Your Current Situation:
1. Post-Surgery Vision Changes: After cataract surgery, many patients experience improved clarity of vision. However, complications such as retinal detachment can lead to significant changes in vision. The fact that you are experiencing blurred vision in both near and far distances is not uncommon, especially after the introduction of silicone oil. This oil is used to help reattach the retina, but it can also affect visual acuity temporarily.
2. Silicone Oil and Vision: The presence of silicone oil in the eye can lead to various visual disturbances, including blurred vision. It is not unusual for patients to report that their vision is not as clear as expected after the oil is injected. The oil can create a barrier that affects how light enters the eye and is processed by the retina.
3. Expectations for Recovery: The recovery process can vary significantly from person to person. While some may see gradual improvements in vision as the eye heals, others may experience persistent issues. It is crucial to have realistic expectations and understand that complete restoration of vision may not always be possible, especially if there are underlying issues with the retina or if the optic nerve has been affected.
Consulting Your Doctor:
1. Follow-Up Appointments: Regular follow-up appointments with your ophthalmologist are essential. They will monitor the status of your retina and the silicone oil. If the oil is not causing any complications, it may be left in place for an extended period. However, if it is affecting your vision significantly, your doctor may discuss the possibility of removing it.
2. Vision Correction Options: Regarding your question about wearing glasses for distance vision, it is essential to consult your eye doctor. They can perform a refraction test to determine your current prescription needs. If your vision is significantly impaired due to the silicone oil, it may not be beneficial to get new glasses until after the oil is removed and your vision stabilizes.
3. Potential for Improvement: There is a possibility that your vision may improve once the silicone oil is removed, but this is contingent upon the health of your retina and overall eye condition. Your doctor will provide guidance on the best course of action based on your specific situation.
Long-Term Considerations:
1. Retinal Health: The health of your retina is paramount. If the retina has reattached successfully and there are no further complications, there is hope for improvement. However, if there are signs of further detachment or other issues, additional interventions may be necessary.
2. Lifestyle Adjustments: Depending on your vision status, you may need to make temporary adjustments to your daily activities. Avoiding strenuous activities or anything that could put pressure on your eyes is advisable until you receive clearance from your doctor.
3. Emotional Support: Dealing with vision changes can be emotionally challenging. It may be beneficial to seek support from friends, family, or support groups for individuals experiencing similar issues.
In conclusion, while it is concerning to experience blurred vision after such surgeries, it is essential to maintain open communication with your healthcare provider. They are best equipped to assess your condition and provide tailored advice for your recovery. Remember, each case is unique, and your doctor will guide you through the next steps based on your specific needs and circumstances.
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