How Long Does Fluid Accumulate After Scleral Buckling Surgery?

Q: How Long Does Fluid Accumulate After Scleral Buckling Surgery?

Hello Mr. <br>Shenmu： I have seen cases where subretinal fluid after scleral buckle surgery takes six months to a year to resolve, so for some individuals, it really does take a long time. <br>It seems that there are no specific methods in clinical practice to assist with the abs

How long does it take for fluid accumulation to resolve on its own after scleral buckle surgery?

Doctor, about three weeks ago, I was diagnosed with a retinal detachment and underwent scleral buckle surgery.
During the procedure, no gas or silicone oil was injected, and I was not instructed to maintain a prone position postoperatively.
To this day, I still experience some distortion and yellow light in my vision.
During my follow-up appointment today, it was noted that there is still fluid accumulation in my eye.
The doctor mentioned that further observation is needed, and if the fluid persists, more invasive surgery may be required.
I would like to ask, generally speaking, how long does it take for the fluid in the eye to be absorbed after scleral buckle surgery? Besides resting my eyes, what other methods can help improve my eye condition postoperatively?

Shenmu, 40~49 year old female. Ask Date: 2021/01/18

Dr. He Jianxian reply Ophthalmology

Hello Mr.
Shenmu: I have seen cases where subretinal fluid after scleral buckle surgery takes six months to a year to resolve, so for some individuals, it really does take a long time.
It seems that there are no specific methods in clinical practice to assist with the absorption.
Director He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2021/01/18

More Info

Scleral buckling surgery is a common procedure performed to treat retinal detachment. After this surgery, it is not uncommon for patients to experience fluid accumulation in the eye, which can lead to symptoms such as distortion of vision or the perception of yellow light. The duration and management of this fluid accumulation can vary significantly among patients.

Typically, after scleral buckling surgery, the fluid that accumulates in the eye may take several weeks to months to resolve on its own. In many cases, the body will gradually absorb the excess fluid, and vision may improve as this occurs. However, the timeline for fluid absorption can depend on several factors, including the extent of the detachment, the presence of any underlying conditions, and the individual healing response of the patient.

In your case, since it has been three weeks since your surgery and you are still experiencing fluid accumulation, it is essential to follow your doctor's recommendations closely. Your doctor may suggest monitoring the situation for a little longer, as some fluid may still resolve naturally. However, if the fluid does not decrease or if your symptoms worsen, further intervention may be necessary, such as additional surgical procedures to address the fluid accumulation.

To help facilitate recovery and improve your overall eye health post-surgery, consider the following recommendations:
1. Rest Your Eyes: It is crucial to give your eyes ample rest, especially after surgery. Avoid straining your eyes with prolonged screen time or reading.

2. Follow-Up Appointments: Attend all scheduled follow-up appointments with your ophthalmologist. These visits are vital for monitoring your recovery and making any necessary adjustments to your treatment plan.

3. Avoid High-Impact Activities: Refrain from activities that could put stress on your eyes, such as heavy lifting, vigorous exercise, or any activity that risks trauma to the eye.

4. Maintain a Healthy Diet: Eating a balanced diet rich in vitamins and minerals, particularly those beneficial for eye health (like vitamins A, C, and E, as well as omega-3 fatty acids), can support healing.

5. Stay Hydrated: Proper hydration is essential for overall health and can aid in the healing process.

6. Follow Medication Instructions: If your doctor has prescribed any medications, such as anti-inflammatory drops or antibiotics, ensure you take them as directed.

7. Monitor Symptoms: Keep track of any changes in your vision or symptoms. If you notice any sudden changes, such as increased pain, flashes of light, or a significant decrease in vision, contact your doctor immediately.

In summary, while fluid accumulation after scleral buckling surgery can take time to resolve, it is essential to maintain open communication with your healthcare provider and adhere to their recommendations. Each patient's recovery is unique, and your doctor will be able to provide the best guidance based on your specific situation.

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