Post-Retinal Detachment Surgery: Key Recovery Questions Answered

Q: Post-Retinal Detachment Surgery: Key Recovery Questions Answered

Hello Mr. Chen： 1. Whether you need to lie prone depends on whether there is still gas present. If there is no gas, lying prone would be meaningless. Therefore, it is best to consult with the examining physician. 2. Since surgery will result in a w

Post-retinal detachment surgery

I have experienced a retinal detachment in my left eye and underwent a vitrectomy with gas tamponade on May 18th.
It has now been four weeks.
I would like to ask the following questions:
1.
How many hours should I maintain a prone position each day, and for how many days? Since it has been four weeks, do I still need to continue lying prone?
2.
I have been using steroid eye drops (Dexamethasone), antibiotic drops (Ciloxan), and intraocular pressure-lowering drops (Azopt, Combigan) for four weeks now.
However, there is still slight redness in the sclera and occasional stinging.
Is this normal? How long does it typically take for these symptoms to resolve post-surgery? Should I continue using the eye drops?
3.
When I blink or move my left eye slightly, I see brief flashes of light that quickly disappear.
However, during each follow-up appointment, the doctor has confirmed that the retina is properly attached.
Are these flashes related to the attachment, or could they indicate another issue? Is this normal?
4.
The vision in my left eye appears slightly darker and more yellow compared to my right eye.
Why is this? Is there a possibility that it will improve over time?
5.
Can I currently use my phone and watch television? Are there any time restrictions?
6.
How long after the surgery can I consume alcohol?
Thank you for your assistance!

Mr. Chen, 40~49 year old female. Ask Date: 2022/06/15

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Chen:
1.
Whether you need to lie prone depends on whether there is still gas present.
If there is no gas, lying prone would be meaningless.
Therefore, it is best to consult with the examining physician.

2.
Since surgery will result in a wound, there may be redness and pain for a period of time.
As for medication, it should be adjusted based on clinical symptoms.
If there are no signs of infection, antibiotics can be discontinued.
If intraocular pressure has returned to normal, glaucoma medications can be stopped.
The use of steroids will depend on the level of inflammation.

3.
The flashes of light may be related to a previous retinal tear, which could cause this phenomenon.

4.
Postoperative symptoms may change as the condition improves.
As for why there is a yellowish tint, I cannot provide an answer.
You may need to consult with the examining physician.

5.
Avoid excessive fatigue; watching TV and using your phone should be fine.

6.
Moderate alcohol consumption should not have a significant impact, but it is still advisable to consult with your attending physician.

Reply Date: 2022/06/15

More Info

Post-retinal detachment surgery recovery can be a complex process, and it's great that you're seeking clarity on your recovery journey. Let's address your questions one by one.

1. Prone Positioning: After retinal detachment surgery, especially when gas is used, patients are often advised to maintain a prone position (lying face down) for a certain period. The exact duration can vary based on the surgeon's protocol and the specifics of your case. Typically, patients are encouraged to lie prone for at least 16-20 hours a day for the first week or two post-surgery. By the four-week mark, many surgeons may allow patients to reduce the amount of time spent in this position, especially if the retina is stable. However, it's crucial to follow your surgeon's specific recommendations, as they know the details of your surgery and recovery.

2. Eye Redness and Pain: It's not uncommon for the eye to remain slightly red and experience some discomfort or a sensation of stinging for several weeks after surgery. This can be due to the healing process, irritation from the eye drops, or the surgery itself. The redness may take a few weeks to resolve completely, and it's essential to continue using your prescribed eye drops unless instructed otherwise by your doctor. If the pain intensifies or if you notice any significant changes in your vision, you should contact your healthcare provider.

3. Flashes of Light: The appearance of flashes of light, especially after retinal surgery, can be concerning. These flashes may be a result of the healing process as the retina settles back into place. However, they can also indicate other issues, so it's essential to monitor these symptoms closely. Since your doctor has confirmed that the retina is attached, this could be a normal part of your recovery, but keep an open line of communication with your healthcare provider regarding any new or worsening symptoms.

4. Color Perception: Changes in color perception, such as seeing things as slightly darker or yellowish in one eye compared to the other, can occur after retinal surgery. This may be due to several factors, including the healing of the retina, the effects of the gas bubble, or even the presence of cataracts. Over time, as your eye heals, you may notice improvements in color perception, but this can vary from person to person. If the difference persists, it may be worth discussing with your doctor.

5. Screen Time: Generally, after retinal surgery, patients are advised to limit screen time initially to avoid eye strain. However, after four weeks, many patients can gradually resume normal activities, including watching TV and using their phones. It's best to take breaks every 20-30 minutes to reduce eye fatigue and ensure you're not straining your eyes.

6. Alcohol Consumption: After surgery, it's typically recommended to avoid alcohol for at least a few weeks, as it can interfere with healing and the effectiveness of medications. However, the exact timeline can vary based on your overall health and the medications you are taking. It's best to consult with your surgeon for personalized advice regarding alcohol consumption.

In summary, your recovery from retinal detachment surgery is a gradual process, and it's essential to follow your surgeon's advice closely. Regular follow-ups are crucial to monitor your healing and address any concerns that may arise. If you experience any new symptoms or if your current symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation. Your vision is precious, and ensuring a smooth recovery is paramount.

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