Retinal Detachment Recovery: Common Concerns and Symptoms

Retinal detachment

(1) Hello.
It has been one month and ten days since my left eye underwent retinal scleral surgery, but my vision has not yet returned; I cannot see letters, and sometimes my eye still hurts...
It feels uncomfortable, with a sensation of pressure pain in my eye.
Is this normal? How can I know if the retina is properly attached? The follow-up appointment is scheduled far in the future.
How long will this pain last? When can I expect my vision to return to normal? Please, can you provide me with answers? I appreciate it; I cannot keep missing work (￣∇￣).
Does my left eye, which had surgery, need to be replaced? I am still wearing my old prescription glasses, but I still cannot see letters—only blurred shapes and colors.
(2) My right eye had a hole and underwent outpatient retinal laser surgery a month and a half ago.
However, in the past half month, I have noticed an increase in floaters, and sometimes my vision is blurry in the lower part of my eye, while at other times it is not.
When I went for a check-up, the doctor said there were no new holes.
What I want to know is whether the doctor can see if there is any scar tissue developing around the old hole.
Why has my vision been somewhat blurry and obstructed by floaters during this past half month? What should I say to the doctor? Is it possible that the old hole did not receive complete laser treatment? I am unsure how to communicate this to the doctor.
I mentioned the increase in floaters, but the doctor said there are no new holes...
I am very afraid that there might be another problem with my retina (￣∇￣).
I feel very anxious.

Hong S, 30~39 year old female. Ask Date: 2021/01/10

Dr. He Jianxian reply Ophthalmology

1.
After scleral buckle surgery, it is normal to experience discomfort in the eye for a period of time.
This discomfort should gradually subside.
As for whether the retina is properly attached, that is something you need to ask the examining physician, as it cannot be determined by oneself.
Additionally, it often takes a long time for vision to recover.
2.
Retinal laser treatment is not directly related to the disappearance of floaters; typically, floaters will still persist after the laser treatment.
However, about half a month after the procedure, the laser marks can be observed through an examination.
Dr.
He Jianxian, Department of Ophthalmology, Nantou Hospital.

Reply Date: 2021/01/10

More Info

It's understandable to feel anxious after undergoing retinal surgery, especially when experiencing ongoing symptoms such as pain, pressure, and blurred vision. Let's break down your concerns regarding recovery from retinal detachment surgery and the associated symptoms.

Understanding Recovery After Retinal Surgery
1. Post-Surgery Symptoms: After retinal surgery, it is common to experience discomfort, including a sensation of pressure or pain in the eye. This can be due to several factors, including inflammation, the healing process, or the presence of gas or silicone oil used during the surgery. While some discomfort is normal, persistent or severe pain should be reported to your ophthalmologist.

2. Vision Recovery Timeline: Vision recovery can vary significantly from person to person. In many cases, it may take weeks to months for vision to stabilize after surgery. Initially, vision may be blurry or distorted, and it can take time for the retina to heal and for the brain to adjust to the changes. If you are still unable to read or see clearly after a month, it’s essential to follow up with your doctor to assess the healing process.

3. Assessing Retinal Attachment: To determine if the retina has reattached properly, your ophthalmologist will typically perform a thorough examination, which may include imaging tests like optical coherence tomography (OCT) or ultrasound. If your follow-up appointments are spaced out, consider reaching out to your doctor’s office for an earlier appointment if your symptoms worsen or if you have significant concerns.

4. Managing Pain and Discomfort: If you are experiencing ongoing pain, it’s crucial to communicate this to your healthcare provider. They may recommend over-the-counter pain relief or prescribe medication to help manage discomfort. Additionally, avoiding activities that strain your eyes, such as prolonged screen time or reading, can help alleviate symptoms.

Concerns About Your Right Eye
1. Increased Floaters: The appearance of more floaters after surgery can be concerning. Floaters are often a result of changes in the vitreous gel of the eye, which can occur after surgery. While they can be annoying, they are not always indicative of a problem. However, if you notice a sudden increase in floaters or flashes of light, it’s essential to contact your doctor immediately.

2. Old Holes and Scar Tissue: Your concern about whether the previous retinal holes have developed scar tissue is valid. Scar tissue can sometimes form after retinal surgery, which may affect vision. Your doctor can assess this during your follow-up examination. If you feel that your symptoms are not improving or if you have new concerns, be proactive in discussing these with your ophthalmologist.

3. Communicating with Your Doctor: When discussing your symptoms with your doctor, be specific about what you are experiencing. Mention the increase in floaters, any changes in vision clarity, and any discomfort. Keeping a journal of your symptoms can help provide your doctor with a clearer picture of your condition.

Conclusion
In summary, while some discomfort and visual disturbances are common after retinal surgery, persistent pain and significant changes in vision warrant further evaluation. It’s essential to maintain open communication with your healthcare provider and advocate for your health. If you feel that your concerns are not being addressed, don’t hesitate to seek a second opinion or request an earlier follow-up appointment. Remember, your vision is crucial, and ensuring proper healing is paramount for your overall well-being.

Similar Q&A

Understanding Post-Retinal Detachment Surgery Symptoms and Recovery

Hello, at the beginning of this year on January 22, I experienced unusual symptoms in my eye and was diagnosed with retinal detachment in the emergency room. I underwent surgery that afternoon, which included vitrectomy, laser treatment, and the injection of inert gas. After lyin...

Dr. He Jianxian reply Ophthalmology
Hello Jan: If you experience any discomfort after the surgery and the symptoms persist, it is recommended that you return for a follow-up appointment to discuss and examine with your physician. Director He Jianxian, Ophthalmology, Nantou Hospital.

Overcoming the Fear of Retinal Detachment: Common Concerns and Symptoms

Last year, I sought medical attention due to seeing floaters in my vision, and upon examination, a retinal tear was discovered in my right eye. It was successfully treated with laser therapy and has healed well. However, since then, I have been fearful of retinal detachment and h...

Dr. He Jianxian reply Ophthalmology
Hello, Anonymous: Since you regularly undergo dilated fundus examinations, you don't need to be overly anxious about retinal detachment. The related precursor symptoms include a sudden increase in floaters or frequent occurrences of "flashes" in your vision. If you...

Understanding Recovery After Retinal Detachment Surgery: What to Expect

Hello Doctor: I experienced a retinal detachment in my left eye on August 30 of this year and underwent scleral buckle and vitrectomy surgery. Since then, I have noticed that the light perception in my left eye is dimmer, and it feels like there is a thin transparent membrane cov...

Dr. He Jianxian reply Ophthalmology
Hello, after retinal detachment surgery, it generally takes 3 to 6 months to achieve stable attachment, but individual recovery may vary. If you experience any discomfort, it is advisable to return for a follow-up appointment with a qualified physician for evaluation. Thank you.

Post-Retinal Detachment Surgery Care: Key Questions and Concerns

Dear Doctor, Thank you very much for taking the time to clarify my concerns regarding the retina. I have some additional questions. Currently, my right eye has a prescription of -700 diopters (post-retinal detachment surgery with scleral buckle), and my left eye has -750 diopte...

Dr. Gao Pilin reply Ophthalmology
Hello Mr. Huang: If you follow all the precautions to prevent retinal tears and detachments, the likelihood of experiencing another tear or needing surgery again cannot be estimated. You must take care of yourself and be vigilant. 1. After applying eye drops, I noticed a small ...