Post-Surgery Symptoms: Gas Bubbles After Eye Surgery

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Hello! I would like to consult a doctor.
My husband had retinal hemorrhage in his right eye and underwent cataract surgery on June 1st.
It has been 12 days since the surgery.
A few days ago, there was gas moving inside his right eye, and during his follow-up appointment, the doctor said this is normal.
However, today a small bubble has formed at the edge of the gas in his right eye, and it moves down.
Is this normal? Thank you for your answer!

Ms. Wu, 40~49 year old female. Ask Date: 2022/06/12

Dr. He Jianxian reply Ophthalmology

After a vitrectomy with gas injection, the gas bubbles usually merge into one.
However, sometimes due to movement, small bubbles may appear, which is not a cause for concern.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/06/12

More Info

After undergoing eye surgery, particularly procedures involving the retina or vitreous, it is not uncommon for patients to experience various symptoms, including the presence of gas bubbles. In your husband's case, having had a cataract extraction and experiencing gas movement in the eye is a typical post-operative phenomenon, especially when gas is used as a tamponade to help reattach the retina or fill the vitreous cavity.

Understanding Gas Bubbles Post-Surgery
1. Nature of Gas Bubbles: After certain eye surgeries, particularly those involving retinal detachment or vitreous hemorrhage, surgeons may inject a gas bubble into the eye. This gas bubble serves to support the retina and help it adhere to the underlying tissue. The gas is usually absorbed by the body over time, and its presence is a normal part of the healing process.

2. Movement of Gas Bubbles: The gas bubble can move within the eye, and its behavior can depend on the position of the patient. For instance, when lying down, the gas bubble may shift, and you might notice it moving or changing shape. This is expected and generally not a cause for concern.

3. Formation of Small Bubbles: The appearance of a small bubble at the periphery of the main gas bubble, as you described, can occur. This phenomenon may be due to the gas separating slightly or forming smaller pockets. While it can be alarming to see, it is often a benign occurrence. However, it is essential to monitor any changes and report them to the surgeon.

When to Seek Medical Advice
While the presence of gas bubbles is typically normal, there are certain symptoms that warrant immediate medical attention:
- Increased Pain: If your husband experiences significant pain that is not manageable with over-the-counter medications, this could indicate complications.

- Changes in Vision: Sudden changes in vision, such as a significant increase in blurriness or the appearance of new floaters or flashes of light, should be reported to the doctor.

- Signs of Infection: Redness, swelling, or discharge from the eye could indicate an infection, which requires prompt treatment.

Post-Operative Care
1. Follow-Up Appointments: It is crucial to attend all scheduled follow-up appointments with the ophthalmologist. These visits allow the doctor to monitor the healing process and address any concerns that may arise.

2. Positioning: Depending on the type of gas used and the specific surgical procedure, your husband may need to maintain certain positions (like face-down) to ensure the gas bubble exerts the correct pressure on the retina. Following the surgeon's instructions regarding positioning is vital for optimal recovery.

3. Medication Compliance: Ensure that your husband continues to use any prescribed eye drops or medications as directed. These can help reduce inflammation and prevent infection.

Conclusion
In summary, the presence of gas bubbles and their movement within the eye after surgery is generally a normal part of the healing process. The small bubble you described may not be a cause for concern, but it is always best to consult with the surgeon if you have any doubts or if there are changes in symptoms. Regular follow-ups and adherence to post-operative care instructions will significantly contribute to a successful recovery. If you have further questions or concerns, do not hesitate to reach out to your husband's ophthalmologist for personalized advice and reassurance.

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