Scleral issues after retinal detachment surgery?
I underwent scleral buckle surgery due to retinal detachment in my left eye.
It has been almost two weeks since the surgery, and I have recently noticed that my left eye experiences pain when focusing, and some areas of my vision still appear distorted.
Could this be because the retina has not fully reattached, or is there something else I should be aware of?
A, 10~19 year old female. Ask Date: 2023/04/06
Dr. He Jianxian reply Ophthalmology
Hello Mr.
A: After retinal detachment surgery, some conditions may have a longer recovery period, even up to six months.
Please be patient during the recovery phase.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.
Reply Date: 2023/04/06
More Info
Post-retinal detachment surgery, particularly after a scleral buckling procedure, can indeed lead to a variety of symptoms, including pain and visual distortions. It’s important to understand that these symptoms can be part of the normal healing process, but they can also indicate complications that may require further evaluation.
Firstly, the pain you are experiencing when focusing could be attributed to several factors. After a scleral buckling procedure, the eye undergoes significant changes as it heals. The surgery involves placing a silicone band around the eye to help reattach the retina, which can lead to discomfort as the eye adjusts to the new configuration. Additionally, the presence of inflammation in the eye post-surgery can contribute to pain and discomfort. This inflammation is a natural response to surgery, but if it persists or worsens, it may require medical attention.
The visual distortions you are noticing, such as blurriness or areas appearing warped, can also be linked to the healing process. After retinal detachment, it is common for the retina to take time to reattach fully and for the surrounding tissues to stabilize. If the retina is not completely flat against the underlying tissue, it can lead to visual distortions. Moreover, if there is any residual fluid beneath the retina or if the macula (the central part of the retina responsible for sharp vision) has been affected, this can also result in visual disturbances.
It is crucial to monitor these symptoms closely. If the pain becomes severe, if you experience a sudden increase in visual distortion, or if you notice new symptoms such as flashes of light or a sudden increase in floaters, you should contact your ophthalmologist immediately. These could be signs of complications such as recurrent retinal detachment or other issues that may require prompt intervention.
In terms of what you should do next, it is advisable to follow up with your eye doctor for a thorough examination. They may perform imaging tests, such as optical coherence tomography (OCT) or ultrasound, to assess the status of the retina and ensure that it is healing properly. Your doctor may also evaluate your intraocular pressure, as elevated pressure can lead to additional discomfort and complications.
In the meantime, managing pain with prescribed medications is important. Over-the-counter pain relievers, such as acetaminophen, can be used as directed, but avoid any medications that could increase bleeding risk or interfere with your healing process unless approved by your doctor. Additionally, using artificial tears can help alleviate dryness and discomfort, which is common after surgery.
Lastly, it is essential to adhere to any post-operative care instructions provided by your surgeon, including activity restrictions and follow-up appointments. Avoiding strenuous activities and ensuring you give your eye ample time to heal can significantly impact your recovery.
In summary, while some pain and visual distortion can be expected after scleral buckling surgery, it is vital to remain vigilant and communicate with your healthcare provider about any concerning symptoms. Regular follow-ups and adherence to post-operative care will help ensure the best possible outcome for your vision.
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Related FAQ
Post-Retinal Detachment Surgery
(Ophthalmology)
Post-Scleral Buckle Surgery(Ophthalmology)
Post-Scleral Surgery(Ophthalmology)
Posterior Vitreous Detachment(Ophthalmology)
Macular Pucker(Ophthalmology)
Retinal Tear(Ophthalmology)
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Visual Disturbance(Ophthalmology)