Post-Surgery Eye Issues: Floating Black Spots Explained - Ophthalmology

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Regarding small black spots after eye surgery?


Hello, Doctor Gao.
My wife has difficulty with her eyes, so I'm inquiring on her behalf.
Since she underwent retinal detachment surgery last year, she has had repeated vitrectomy procedures.
Recently, she had scleral surgery.
Today, she went for a follow-up appointment, but I couldn't accompany her because I had to work.
She told me that after returning home, she noticed a small black spot on her lower eyelid where she had previously had surgery.
After using the eye drops prescribed by the doctor, she discovered that the small black spot, along with some white discharge from her eye, had come off.
However, it is now floating in her eye socket, and if it moves to her lower eyelid, it causes a stinging sensation.
The doctors at Taipei Veterans General Hospital are quite far away, and it's difficult to get an appointment with her attending physician (the chief).
I'm very worried that something may have detached after her surgery, and I don't know how serious it is.
She only feels discomfort as mentioned above.

Chen Pei-Yu, 50~59 year old female. Ask Date: 2021/11/15

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, the small black dot may be a suture thread, and the wound should have healed by now.
It's not a concern if the thread has fallen out.
However, if you continue to feel a foreign body sensation, it would be advisable to visit a nearby clinic for a doctor to help remove it.

Reply Date: 2021/11/15

More Info


It sounds like your wife is experiencing some concerning symptoms following her retinal detachment surgery and subsequent procedures. The presence of floating black spots or "floaters" is a common occurrence after eye surgeries, particularly those involving the vitreous body or retina. Here’s a detailed explanation of what might be happening and what you should consider.


Understanding Floaters
Floaters are small specks or strands that drift through your field of vision. They are typically caused by changes in the vitreous gel that fills the eye. As we age or after certain eye surgeries, the vitreous can become more liquid and may pull away from the retina, leading to the formation of floaters. In your wife's case, the floaters could be a result of the vitreous gel's changes post-surgery.


Post-Surgery Symptoms
1. Black Spots and Floaters: After retinal surgery, it is not uncommon for patients to notice an increase in floaters. These can appear as small dots, lines, or cobweb-like structures. If your wife is seeing a new black spot or an increase in floaters, it could be related to the surgery itself. However, if these floaters are accompanied by flashes of light or a sudden increase in the number of floaters, it could indicate a more serious issue, such as a retinal tear or detachment.

2. White Discharge: The white discharge you mentioned could be a result of the eye drops or a natural response of the eye to surgery. If the discharge is excessive or accompanied by redness, pain, or vision changes, it may indicate an infection or other complications that need to be addressed.

3. Discomfort and Pain: The discomfort your wife feels when the floaters move to the lower eyelid could be due to irritation or sensitivity in the eye. This is not uncommon after surgery, but it should be monitored closely.


When to Seek Help
Given your wife's history of retinal surgery and the new symptoms she is experiencing, it is crucial to consult with an ophthalmologist as soon as possible. Here are some signs that warrant immediate medical attention:
- Sudden Increase in Floaters: If she notices a sudden increase in the number of floaters or if they are accompanied by flashes of light.

- Vision Changes: Any sudden changes in vision, such as blurriness or loss of vision, should be evaluated immediately.

- Pain or Discomfort: If the discomfort persists or worsens, it is essential to have it checked out.


Follow-Up Care
Since you mentioned that it is difficult to get an appointment with her primary ophthalmologist, consider visiting an urgent care eye clinic or another ophthalmologist who can provide a timely evaluation. It’s important to ensure that her eye health is monitored closely, especially after surgeries that can have significant implications for vision.


Conclusion
In summary, while floaters can be a normal part of recovery from retinal surgery, any new or worsening symptoms should be taken seriously. It is always better to err on the side of caution when it comes to eye health. Encourage your wife to keep a close eye on her symptoms and seek medical attention if anything seems off. Regular follow-ups are crucial in ensuring her recovery is on track and to address any potential complications early on.

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