Postoperative care after vitrectomy combined with scleral buckle surgery?
Hello Dr.
He, I underwent a vitrectomy combined with scleral buckle surgery and gas tamponade for retinal detachment and tears in my right eye at the end of August.
It has been about a month and a half since the surgery, and I am experiencing some issues with my eye.
I have the following questions for you:
1.
My gas bubble was a large circle for the past few days, but yesterday a small circle suddenly appeared at the edge, and today it has been increasing in size.
Is it normal for a small circle to appear?
2.
Currently, the image I see with my right eye is distorted in the central area and does not focus properly.
The light appears dim, and there is a hazy white layer over my vision.
Occasionally, I see a few small black spots (about 5 to 8, and they are not large).
Is this normal?
3.
I have a flight scheduled for next Monday, with a duration of about 40 minutes.
Is it safe for me to travel?
Thank you, Dr.
He! Luisa
luisa, 40~49 year old female. Ask Date: 2020/10/07
Dr. He Jianxian reply Ophthalmology
Hello Luisa: 1.
Under normal circumstances, the gas should have dissipated by now.
2.
Since the retina has just been reattached, the visual condition may not be very normal; I recommend monitoring it for another two months.
3.
Whether you can fly, I cannot confirm; you may need to consult your surgeon.
Director of Ophthalmology, Nantou Hospital, Dr.
He Jianxian.
Reply Date: 2020/10/07
More Info
Post-operative concerns after vitrectomy and scleral buckling surgery are quite common, and it’s essential to understand what symptoms may be expected and when to seek further medical attention. Your questions highlight some typical post-operative experiences, and I will address each of them based on medical knowledge and practices.
1. Appearance of a Small Circle in the Gas Bubble: After vitrectomy and scleral buckling, it is common for the gas bubble to change in appearance as it gradually dissipates. The presence of a small circle at the edge of the gas bubble can be normal, especially as the gas begins to absorb and the bubble shrinks. However, any sudden changes in vision or the appearance of the gas bubble should be monitored closely. If the small circle is accompanied by significant changes in vision or discomfort, it is advisable to consult your ophthalmologist.
2. Visual Disturbances: The symptoms you describe, such as distortion in the central vision, difficulty focusing, and the perception of a hazy layer, are not uncommon after retinal surgery. These can be attributed to several factors, including the presence of the gas bubble, changes in the retina, or even the healing process itself. The small black dots you see, often referred to as "floaters," can also be a normal occurrence after vitrectomy as the vitreous gel is removed and the eye adjusts. However, if these symptoms worsen or are accompanied by flashes of light or a sudden increase in floaters, it would be prudent to seek immediate medical evaluation to rule out any complications such as re-detachment of the retina.
3. Traveling by Air Post-Surgery: Regarding your upcoming flight, it is generally advised to avoid flying until the gas bubble has fully dissipated, as changes in cabin pressure can lead to complications. The timeline for gas absorption varies depending on the type of gas used during the surgery. If your surgery was performed with air or a gas mixture, it typically takes about 1-2 weeks for the gas to dissipate, but this can vary. Since you mentioned that it has been about 1.5 months since your surgery, you should consult your ophthalmologist for personalized advice. They can assess the status of the gas bubble and determine if it is safe for you to fly. If the gas bubble is still present, flying could pose a risk of increased intraocular pressure and potential complications.
In summary, while some post-operative symptoms can be normal, it is crucial to maintain open communication with your healthcare provider. Regular follow-ups are essential to monitor your recovery and address any concerns that arise. If you experience any significant changes in your vision or discomfort, do not hesitate to reach out to your ophthalmologist for guidance. Your eye health is paramount, and proactive management is key to a successful recovery after vitrectomy and scleral buckling surgery.
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