Residual Oil Spots After Vitrectomy: Post-Surgery Vision Issues - Ophthalmology

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Residual oil droplets after VT silicone oil removal surgery?


I discovered a retinal detachment last May and immediately arranged for surgery, which involved scleral buckle and silicone oil injection.
During the Lunar New Year this year, I had the silicone oil removed for the first time and gas was injected instead.
Due to the side effects of the silicone oil, I developed cataracts, so in July this year, I underwent cataract surgery and had a monofocal intraocular lens implanted.
Since the previous silicone oil removal was not completely thorough, I had a second silicone oil removal procedure last Thursday.
I can still see some small oil droplets in my eye, but my vision remains somewhat distorted and unclear.
I would like to know if this is due to residual silicone oil or if it is a normal phenomenon that will improve with time.

jie, 10~19 year old female. Ask Date: 2022/08/25

Dr. He Jianxian reply Ophthalmology


Hello: Based on your description, it seems that there is not much silicone oil remaining, which should not affect your imaging.
The distortion in your images is likely still due to the retina not having fully recovered.
You may want to wait a bit longer to see if your vision returns to normal.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/08/25

More Info


After undergoing vitrectomy and silicone oil injection due to retinal detachment, it is not uncommon for patients to experience residual oil spots and visual disturbances post-surgery. Your situation, where you still see small oil spots and experience some distortion in your vision, raises important questions about the healing process and the effects of residual silicone oil.

Firstly, it is essential to understand that the presence of residual silicone oil can indeed impact your vision. Silicone oil is used in retinal surgeries to help flatten the retina and keep it in place while it heals. However, if not completely removed, residual oil can lead to visual disturbances, including blurriness, distortion, and the appearance of oil droplets in your field of vision. This is because the oil can create a barrier to light entering the eye, leading to a compromised visual experience.
In your case, the fact that you still see small oil spots suggests that there may be some silicone oil left in your eye. While it is possible that the distortion in your vision is related to the residual oil, it is also important to consider that the retina itself may still be healing. After retinal surgery, it can take time for the retina to fully adhere and regain its normal function. If the retina has not completely reattached or if there are any complications, this can also contribute to visual distortions.

Regarding your question about whether this is a normal phenomenon or if it will improve with time, it is crucial to monitor your symptoms closely. Many patients experience gradual improvement in their vision as the retina heals and any residual oil is absorbed or removed. However, if your vision does not improve over the next few weeks or if you notice any worsening symptoms, it is advisable to follow up with your ophthalmologist for further evaluation.

In addition to the residual silicone oil, other factors could be contributing to your visual symptoms. For example, if you have developed cataracts as a result of the silicone oil, this could also lead to blurred vision. Cataracts are a common complication after vitrectomy and silicone oil injection, and they can significantly affect visual clarity. If you have already undergone cataract surgery, it is essential to ensure that your new intraocular lens is functioning correctly and that there are no other complications.

In summary, while residual silicone oil can affect your vision, it is also essential to consider the overall healing process of your retina. If your symptoms persist or worsen, it is crucial to consult your ophthalmologist for a comprehensive examination. They may recommend additional imaging tests or interventions to address any underlying issues and ensure the best possible outcome for your vision. Remember, patience is key in the recovery process, but staying vigilant about any changes in your vision is equally important.

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