Post-Retinal Surgery: Can You Sleep on Your Side? - Ophthalmology

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Post-retinal surgery


Hello, doctor.
I would like to ask about my family member's follow-up visit after scleral buckle surgery.
The doctor said that they no longer need to lie face down.
Out of excitement, I forgot to ask the doctor if side sleeping is allowed.
My question is, after not needing to lie face down, are there any specific sleeping positions to follow? Can they sit and watch TV, or should they just be careful not to overstrain their eyes?

Ms. Wu, 20~29 year old female. Ask Date: 2021/10/15

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Wu: You don't need to sleep on your stomach, which means you don't have to worry too much about your sleeping position; any position is fine.
It's also okay to sit and watch TV, but just don't overexert yourself!

Reply Date: 2021/10/15

More Info


After retinal surgery, particularly after procedures like scleral buckle surgery, patients often have questions about post-operative care, including sleep positions and general activity restrictions. It's great to hear that your family member has received the go-ahead to stop sleeping face down, which is a common requirement in the early stages of recovery to ensure proper healing of the retina.


Sleeping Positions Post-Surgery
1. Side Sleeping: If your doctor has indicated that it is no longer necessary to sleep face down, side sleeping is generally acceptable. However, it is important to clarify which side is safe to sleep on, especially if the surgery was performed on one eye. In many cases, sleeping on the non-operated side is preferred to avoid putting pressure on the healing eye. Always follow your surgeon's specific recommendations regarding sleeping positions.

2. Sitting Up: Sitting up while watching TV is typically fine as long as it does not cause discomfort or strain on the eyes. It’s crucial to maintain a comfortable position that does not lead to excessive eye fatigue. If sitting up feels comfortable and does not exacerbate any symptoms, it is generally permissible.


General Activity Guidelines
- Avoid Eye Strain: While you can engage in activities like watching TV, it’s important to avoid prolonged periods of intense focus or activities that require significant visual concentration, such as reading or using screens for extended periods. This can help prevent eye strain and promote healing.

- Rest Periods: Incorporate regular breaks during any visual activity. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This practice can help reduce eye fatigue.

- Monitor Symptoms: Keep an eye on any symptoms such as increased pain, swelling, or changes in vision. If any concerning symptoms arise, it’s important to contact the healthcare provider for advice.


Follow-Up Care
Regular follow-up appointments with the ophthalmologist are essential to monitor the healing process. During these visits, you can discuss any concerns regarding sleep positions, visual changes, or other post-operative symptoms. The doctor can provide personalized advice based on the specific surgical procedure and the individual’s healing progress.


Conclusion
In summary, after scleral buckle surgery, side sleeping is generally permissible, but it’s best to confirm with your healthcare provider regarding which side is safe. Engaging in light activities, such as watching TV while ensuring to avoid eye strain, is encouraged. Always prioritize comfort and follow the specific guidelines provided by your surgeon to ensure a smooth recovery. If there are any uncertainties or new symptoms, do not hesitate to reach out to the medical team for guidance.

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