Post-Retinal Detachment Surgery: What to Expect

Q: Post-Retinal Detachment Surgery: What to Expect

Hello： I cannot determine what the situation is, but after the examination by the physician, if the retina is gradually reattaching and the fluid is slowly resolving, we can wait and see.

Post-retinal detachment surgery

Hello, it has been seven weeks since my scleral buckle and cryotherapy, but the fluid accumulation has been resolving slowly, and there is only a little left now.
However, the area where my retina was detached still appears dark, and my vision fluctuates between good and bad.
When I asked the doctor, he said it shouldn't be possible and that it might just be an illusion due to anxiety.
However, I am certain that the dark shadow in the detached area varies in intensity.
I would like to confirm if this is normal.
Thank you.

Vicky, 20~29 year old female. Ask Date: 2023/01/13

Dr. Gao Pilin reply Ophthalmology

Hello: I cannot determine what the situation is, but after the examination by the physician, if the retina is gradually reattaching and the fluid is slowly resolving, we can wait and see.

Reply Date: 2023/01/13

More Info

After undergoing retinal detachment surgery, particularly procedures like scleral buckle and cryotherapy, it is common for patients to experience a range of visual changes and sensations during the recovery process. Your concerns about the persistent dark area in your vision and the fluctuating nature of this shadow are valid and deserve careful consideration.

Firstly, it is important to understand that after retinal detachment surgery, the healing process can take time. The retina, which is the light-sensitive layer at the back of the eye, may not immediately return to its normal appearance or function. The area where the detachment occurred may appear darker or shadowy for an extended period, and this can be due to several factors:
1. Healing Process: The retina needs time to heal after surgery. The presence of fluid (like the residual subretinal fluid you mentioned) can affect how light is perceived in that area. As the fluid gradually resolves, you may notice changes in your vision, but this can take weeks to months.

2. Visual Perception: It is not uncommon for patients to perceive changes in their vision that may not correlate with the actual state of the retina. Anxiety and stress about the surgery and recovery can heighten awareness of visual disturbances, leading to the perception of shadows or fluctuations in vision that may not be present.

3. Retinal Changes: The area where the detachment occurred may still be in a state of recovery, and the appearance of the retina can change as it heals. Sometimes, the retina can have a mottled or uneven appearance during the healing phase, which can contribute to visual disturbances.

4. Postoperative Symptoms: Patients often report symptoms such as floaters, flashes of light, or changes in visual acuity post-surgery. These symptoms can persist for some time as the eye adjusts and heals.

5. Follow-Up Care: Regular follow-up appointments with your ophthalmologist are crucial. They can monitor the healing process, assess the retina's condition, and determine if any additional treatment is necessary. If the dark area persists or worsens, it is essential to communicate this with your doctor, as they may want to perform additional imaging or examinations to ensure there are no complications.

In summary, while it is common to experience fluctuations in vision and the presence of dark areas after retinal detachment surgery, it is essential to maintain open communication with your healthcare provider. They can provide reassurance and guidance based on your specific situation. If you feel that your symptoms are not improving or if you have any new concerns, do not hesitate to reach out to your ophthalmologist for further evaluation. Your recovery is a priority, and understanding what to expect can help alleviate some of the anxiety associated with the healing process.

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