Post-Retinal Detachment Surgery: Do I Need to Stay Face Down?

Q: Post-Retinal Detachment Surgery: Do I Need to Stay Face Down?

Hello Mike： Whether you should lie down should depend on the results of your examination. <br>Please follow the instructions given by your attending physician during your follow-up visit. <br>Online answers can only serve as a reference; if necessary, you should seek medical care

Post-retinal detachment surgery

Hello, Doctor.
I just had surgery last month due to a retinal detachment caused by trauma.
The doctor injected gas into my eye, so I had to stay face down for two weeks.
During my follow-up appointment two weeks later, the gas was still present, but the retina was not very close to the back of my eye, so the doctor performed laser treatment.
Do I need to continue staying face down?

Maike, 20~29 year old female. Ask Date: 2021/06/12

Dr. Gao Pilin reply Ophthalmology

Hello Mike: Whether you should lie down should depend on the results of your examination.
Please follow the instructions given by your attending physician during your follow-up visit.
Online answers can only serve as a reference; if necessary, you should seek medical care at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2021/06/12

More Info

After undergoing retinal detachment surgery, particularly when gas is injected into the eye, the position you maintain post-operatively can significantly influence the healing process. The primary reason for requiring patients to stay face down or in a specific position is to ensure that the gas bubble remains in contact with the retinal tear or detachment site. This contact is crucial for the reattachment of the retina, as the gas bubble helps to push the retina against the underlying tissue, promoting healing.

In your case, since you have already been advised to maintain a face-down position for two weeks and have returned for a follow-up appointment where the doctor noted that the gas bubble is still present but the retina is not yet fully attached, it is essential to follow your doctor's recommendations closely. If your doctor performed laser treatment during your follow-up visit, this may indicate that they are attempting to facilitate the reattachment of the retina. However, whether you need to continue staying face down after this procedure depends on several factors, including the extent of the detachment, the effectiveness of the laser treatment, and the current position of the gas bubble.

Typically, if the retina is still not fully attached, your doctor may recommend continuing to stay in a face-down position for a certain period. This is to maximize the chances of the retina reattaching properly. On the other hand, if the doctor assesses that the retina is stable and healing well, they may allow you to change your position. It is crucial to communicate openly with your healthcare provider about any discomfort or concerns you have regarding your positioning and recovery.

In addition to positioning, it is also important to adhere to any prescribed medications, such as anti-inflammatory drops or antibiotics, to prevent infection and manage inflammation. Regular follow-up appointments are vital to monitor the healing process and make any necessary adjustments to your care plan.

In summary, whether you need to continue staying face down after your retinal detachment surgery largely depends on your doctor's assessment of your specific situation. Always prioritize the advice of your healthcare provider, as they have the best understanding of your individual case and can provide tailored recommendations for your recovery. If you have any doubts or experience changes in your vision, do not hesitate to reach out to your doctor for further guidance.

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