Post-Retinal Surgery: Symptoms and When to Seek Help - Ophthalmology

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Post-retinal surgery


Hello, doctor.
I would like to ask you about my family member who recently underwent scleral buckle surgery.
During the follow-up visit, the doctor said everything was normal, but today my family member feels like there is something moving in their eye.
Is this normal? Do we need to return for an urgent follow-up?

Ms. Wu, 20~29 year old female. Ask Date: 2021/09/30

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Wu: Given the different symptoms, it may be best to undergo an examination.
I apologize, but I cannot determine whether this is a normal occurrence.

Reply Date: 2021/09/30

More Info


After undergoing scleral buckle surgery, it is not uncommon for patients to experience a variety of symptoms as their eyes heal. The sensation of something moving in the eye can be concerning, but it is essential to understand the context and nature of this feeling to determine whether it is a normal part of the healing process or if it warrants immediate medical attention.


Understanding Post-Surgery Symptoms
1. Fluid Movement Sensation: After retinal surgery, especially procedures like scleral buckle, patients may experience a sensation of fluid movement within the eye. This can be due to the presence of gas or silicone oil used during the surgery, which may create a feeling of pressure or movement as it interacts with the eye's natural fluids. Additionally, the healing process can lead to temporary changes in the vitreous gel, which can also cause unusual sensations.

2. Visual Disturbances: Patients often report visual disturbances such as floaters, flashes of light, or blurred vision after surgery. These symptoms can be part of the normal healing process as the retina and surrounding structures recover. However, if these disturbances are accompanied by significant changes in vision or new symptoms, it is essential to consult with a healthcare provider.

3. Pain and Discomfort: Mild discomfort or a sensation of pressure is common after surgery. However, if the pain is severe or worsening, it could indicate complications such as infection or increased intraocular pressure, which would require immediate evaluation.


When to Seek Help
While some symptoms are typical after retinal surgery, certain signs should prompt a return to the doctor:
- Sudden Changes in Vision: If there is a sudden decrease in vision or a new onset of significant visual disturbances, it is crucial to seek medical attention promptly.

- Severe Pain: If the sensation of discomfort escalates to severe pain, this could indicate a complication that needs immediate evaluation.

- Signs of Infection: Symptoms such as increased redness, swelling, discharge, or fever may suggest an infection, which requires urgent care.

- Persistent or Worsening Symptoms: If the sensation of something moving in the eye persists or worsens over time, it is advisable to consult with the surgeon or an eye care specialist.


Conclusion
In summary, the sensation of something moving in the eye after scleral buckle surgery can be a normal part of the healing process, particularly if the doctor has indicated that everything appears normal during follow-up visits. However, it is essential to remain vigilant for any concerning symptoms that may arise. If there is uncertainty or if symptoms change, it is always better to err on the side of caution and seek medical advice. Regular follow-up appointments are crucial for monitoring recovery and addressing any issues that may arise during the healing process.
Encourage your family member to communicate openly about their symptoms with their healthcare provider, as this will help ensure they receive the appropriate care and support during their recovery.

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