Post-Retinal Detachment Surgery: Eye Care Tips for Vision Recovery

Post-operative recommendations for eye care during the recovery period after retinal detachment surgery?

Hello, Doctor.
Current status: (Surgical eye is the right eye) The right eye underwent retinal detachment surgery about 1.5 months ago (scleral buckle under general anesthesia on 10/9 and vitrectomy under local anesthesia on 10/12).
The gas has just been fully absorbed (on 11/25).
For about ten days since the surgery, I have been wearing a metal eye shield.
On 12/2, I measured the refractive error of both eyes, which is as follows: the surgical eye has myopia of approximately 800 diopters and astigmatism of 400 diopters (SPH -6.00, CYL -4.00, AXIS 10), while the left eye has myopia of approximately 400 diopters and astigmatism of 200 diopters (SPH -4.25, CYL -2.00, AXIS 170) with a significant difference in AXIS.
Over the past ten days, I have tried removing the metal eye shield to use the surgical eye, but I found that the disparity in vision is too great; whenever I use both eyes simultaneously, it becomes very uncomfortable.
Therefore, I still mostly wear the eye shield to avoid using the surgical eye.

Question: Due to work requirements, I still need to use digital devices for long periods, taking a 5-minute break every 50 minutes.
I always wear the metal eye shield to avoid using the surgical eye (the edges of the shield allow some light in, meaning about 80% occlusion).
When using my phone and tablet, I do not wear glasses, but when using my laptop, I wear my old glasses from before the surgery (which I completely cover with tissue paper), meaning 100% occlusion.
I would like to inquire about my current situation: the right eye is actually open, even though it is covered by the metal eye shield.
Will this affect the myopia degree of my surgical eye or have any adverse effects? What would be the best course of action? Thank you!

Shengwen, 40~49 year old female. Ask Date: 2022/12/03

Dr. Cai Wenyuan reply Ophthalmology

The prescription should not increase; it's better to rest more.

Reply Date: 2022/12/03

More Info

Post-retinal detachment surgery care is crucial for ensuring optimal recovery and minimizing complications. After undergoing procedures such as scleral buckling and vitrectomy, patients often have specific concerns regarding their vision and eye health. Here are some essential tips and considerations for your recovery process.

1. Follow-Up Appointments
Regular follow-up visits with your ophthalmologist are vital. These appointments allow your doctor to monitor the healing process and check for any potential complications, such as re-detachment or infection. Make sure to attend all scheduled appointments and communicate any changes in your vision or discomfort.

2. Eye Protection
Wearing an eye shield or patch, as you have been doing, is essential in the early stages of recovery. This helps protect the surgical eye from accidental bumps or pressure, which could jeopardize the healing process. If your doctor has advised you to wear a shield, continue to do so, especially during sleep or when engaging in activities that may pose a risk to your eye.

3. Visual Rest
It’s commendable that you are taking breaks from screen time. The 50-minute work and 5-minute rest cycle is a good practice. However, consider extending your breaks if you experience discomfort or strain. Prolonged screen time can lead to eye fatigue, which may hinder your recovery. If you find it uncomfortable to use both eyes simultaneously, it’s wise to continue using the eye shield to minimize strain on the surgical eye.

4. Avoid Strain and Heavy Lifting
Avoid any activities that may put strain on your eyes, such as heavy lifting, bending over, or vigorous exercise. These actions can increase intraocular pressure and potentially affect the healing of your retina. Your doctor may have specific recommendations regarding when you can safely resume physical activities.

5. Medication Compliance
If you have been prescribed eye drops or medications, ensure you follow the regimen as directed. These medications often include anti-inflammatory and antibiotic drops to prevent infection and reduce inflammation. If you have any concerns about the duration of medication use, discuss this with your doctor.

6. Monitor Symptoms
Keep an eye out for any new symptoms, such as flashes of light, increased floaters, or sudden changes in vision. If you notice any of these, contact your ophthalmologist immediately, as they could indicate complications.

7. Healthy Lifestyle Choices
Maintaining a healthy lifestyle can support your recovery. This includes a balanced diet rich in vitamins A, C, and E, omega-3 fatty acids, and antioxidants, which are beneficial for eye health. Staying hydrated and avoiding smoking are also important.

8. Limit Sun Exposure
Protecting your eyes from UV rays is crucial, especially after surgery. Wearing sunglasses with UV protection when outdoors can help reduce the risk of complications and promote healing.

9. Gradual Return to Activities
As you recover, gradually reintroduce activities. Your doctor will provide guidance on when it is safe to resume driving, exercising, or other daily tasks. Listen to your body and avoid pushing yourself too hard.

Conclusion
Your proactive approach to your recovery is commendable. By following your doctor's advice, protecting your eye, and monitoring your symptoms, you can significantly enhance your chances of a successful recovery. Always prioritize communication with your healthcare provider regarding any concerns or changes in your vision. Remember, each person's recovery journey is unique, and patience is key.

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