Post-Vitreous Surgery Concerns: Sleeping Positions and Recovery Insights

Q: Post-Vitreous Surgery Concerns: Sleeping Positions and Recovery Insights

Hello, Miss Wang： 1. <br>The purpose of lying face down is to allow the gas to rise and press against the retina, so positioning the affected area at the highest point is the correct posture. <br>If side sleeping can achieve that position, lying face down may not necessarily be b

Postoperative Issues After Vitrectomy

Thank you, doctor, for your prompt response; it brings me a lot of relief.

1.
Regarding the previous question, the doctor mentioned that after the surgery, I should not sleep on my stomach and that side sleeping is acceptable.
Since the incision is on the upper side, does this mean that I really do not need to sleep on my stomach? Is it possible to sleep both on my stomach and on my side?
2.
On the day of the examination, I initially went to a general ophthalmologist to check the fundus of that eye.
The doctor found that the retina could not be seen, mentioning something about the vitreous preventing a clear view, and I was immediately referred to a larger hospital.
The physician there used a direct light examination (without instruments) and indicated that only a vitrectomy could be performed, and that scleral buckling was not an option.
Given this situation, I would like to ask if it is indeed true that only vitrectomy can be performed in this case?
3.
In my previous question, I mentioned that after the surgery, the vision in that eye does not feel like a gas sensation; instead, it appears as if I am seeing a small round tank filled about 70% with water, with a clear horizontal surface.
I understand that you believe this should be a gas phenomenon, and it certainly brings me some comfort.
I appreciate the attending physician's insights, and I am grateful to receive your professional opinion as well.
Thank you.

Wang Fangfang, 40~49 year old female. Ask Date: 2022/01/17

Dr. Gao Pilin reply Ophthalmology

Hello, Miss Wang: 1.
The purpose of lying face down is to allow the gas to rise and press against the retina, so positioning the affected area at the highest point is the correct posture.
If side sleeping can achieve that position, lying face down may not necessarily be better, especially after the volume of the gas decreases.
2.
That should be the case; the physician should choose the most appropriate method.

Reply Date: 2022/01/17

More Info

After undergoing vitreous surgery, it is common for patients to have concerns regarding their recovery, particularly in relation to sleeping positions and the overall healing process. Here are some insights based on your questions and the medical context surrounding vitreous surgery.

1. Sleeping Positions Post-Surgery: Your doctor has advised against sleeping on your stomach (prone position) and recommended side sleeping instead. This is generally sound advice, especially if the surgical site is located on the upper part of the eye. Sleeping on your side can help reduce pressure on the eye and minimize the risk of complications. However, if your doctor has confirmed that side sleeping is acceptable, it is crucial to follow their guidance. Sleeping on your stomach may not be advisable as it could potentially put undue stress on the eye and interfere with the healing process. Always consult your surgeon for personalized advice based on your specific surgical site and recovery status.

2. Surgical Options: The decision to perform a vitrectomy (glass body removal) instead of a scleral buckle procedure is often based on the specific condition of the retina and the vitreous body at the time of examination. If the retina was not visible due to the condition of the vitreous, it is likely that vitrectomy was deemed necessary to access and repair the retina effectively. This approach allows for better visualization and treatment of retinal issues, which may not be possible with scleral buckle surgery. It is essential to trust your surgeon's expertise, as they will have assessed your condition thoroughly and determined the most appropriate surgical intervention.

3. Post-Operative Visual Changes: The sensation of seeing a "small round water tank" with a clear horizontal line is not uncommon after vitreous surgery. This phenomenon often relates to the presence of gas or fluid in the eye, which can create visual distortions as the eye heals. The visual experience can vary significantly among patients, and it may take time for your vision to stabilize. If you are experiencing significant changes in vision or discomfort, it is crucial to communicate these concerns with your ophthalmologist. They can provide reassurance and monitor your recovery to ensure that everything is progressing as expected.

In addition to the above points, here are some general recovery tips after vitreous surgery:
- Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments with your ophthalmologist. These visits are crucial for monitoring your healing process and addressing any concerns that may arise.

- Avoid Strenuous Activities: Refrain from engaging in activities that could strain your eyes, such as heavy lifting, bending over, or vigorous exercise, until your doctor gives you the green light.

- Protect Your Eyes: Use sunglasses or protective eyewear as recommended by your doctor, especially if you are sensitive to light post-surgery.

- Medication Compliance: Take any prescribed medications, including eye drops, as directed to help reduce inflammation and prevent infection.

- Rest and Recovery: Allow yourself ample time to rest and recover. Fatigue can exacerbate discomfort and hinder the healing process.

- Healthy Lifestyle: Maintain a balanced diet and stay hydrated to support overall health and recovery.

In conclusion, while it is natural to have concerns following vitreous surgery, adhering to your doctor's advice regarding sleeping positions and understanding the surgical choices made can significantly contribute to a smoother recovery. Always feel free to reach out to your healthcare provider with any questions or uncertainties you may have during your healing journey.

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