Post-Retinal Detachment Surgery Concerns and Management

Q: Post-Retinal Detachment Surgery Concerns and Management

Hello： 1. <br>Retinal detachment is typically caused by a break in the connection between the retina and the internal structures of the eye. <br>External trauma or gravitational forces are common causes, but they are not the only ones. <br>Emotional issues leading to crying are u

Post-operative issues related to retinal detachment surgery?

I'm sorry to bother you, Doctor.
I have been researching the causes of retinal detachment online, which are mostly attributed to external forces or gravitational impacts.
I have already experienced retinal detachment in my right eye twice, both treated with laser therapy.
However, during my last follow-up appointment, the doctor mentioned that the area sealed by the laser is now down to the last line of defense.
I would like to ask:
1.
I lead a normal daily life without any external impacts or intense exercise, but I do cry frequently due to emotional issues (though my hands do not touch my eyes).
Could this be the reason for my retinal detachment, or is it possible for the retina to detach on its own without any control?
2.
Regarding the last line of defense, if crying could worsen the condition, is it possible to halt the detachment by not crying?
3.
Since my central vision is 1.0, the doctor does not recommend invasive surgery.
If the current sealing fails, they will consider using gas tamponade followed by laser treatment.
Are there any other options available? Previously, a doctor at a general ophthalmology clinic mentioned that I could still undergo laser treatment, but the hospital doctor stated that I have already reached the limit for laser repair.

I apologize for the interruption, and I appreciate you taking the time to respond amidst your busy schedule!

Ak, 20~29 year old female. Ask Date: 2023/06/01

Dr. Gao Pilin reply Ophthalmology

Hello: 1.
Retinal detachment is typically caused by a break in the connection between the retina and the internal structures of the eye.
External trauma or gravitational forces are common causes, but they are not the only ones.
Emotional issues leading to crying are unlikely to be a direct cause of retinal detachment unless there are significant eye movements or strain involved during the crying process.
Retinal detachment may be related to factors such as eye structure, abnormal intraocular pressure, and age; it is best to discuss the specific causes with your physician.
2.
If your retina is at its last line of defense, avoiding crying may help reduce ocular pressure, but it cannot be determined whether this will halt the progression of the detachment.
Retinal detachment is a condition that requires professional treatment and should be managed according to your physician's recommendations.
If you are concerned about further deterioration of the detachment, it is advisable to discuss preventive measures and possible treatment options with an ophthalmologist.
3.
You mentioned that your doctor has reached the limit for laser treatment.
If the condition of the retina cannot be treated further with laser therapy, your doctor may consider other appropriate treatment methods, such as gas tamponade or surgery.
These treatments should be based on your condition, the physician's assessment, and recommendations, so it is advisable to discuss further with your doctor to understand the best treatment options for your situation.

Reply Date: 2023/06/01

More Info

Understanding post-retinal detachment surgery concerns and management is crucial for patients who have undergone such procedures. Your questions reflect a deep concern for your eye health, and it's important to address these issues comprehensively.

1. Causes of Retinal Detachment: Retinal detachment can occur due to various reasons, including trauma, but it can also happen spontaneously without any obvious external cause. Factors such as high myopia (nearsightedness), previous eye surgeries, or even genetic predispositions can increase the risk of retinal detachment. Emotional stress, such as crying, does not directly cause retinal detachment, but it can lead to increased intraocular pressure temporarily. However, this is unlikely to be a significant factor in your case. The retina can detach due to structural weaknesses or tears that develop over time, which may not be preventable.

2. Impact of Crying on Retinal Health: While crying itself is not a direct cause of retinal detachment, it is wise to manage emotional stress and avoid activities that could increase intraocular pressure. If your doctor has indicated that you have reached the limits of laser treatment, it is essential to follow their advice regarding emotional and physical activities. Reducing stress and avoiding situations that could lead to increased eye pressure may help in managing your condition.

3. Management Options: Given that your central vision is still good (1.0), your doctor’s recommendation to avoid more invasive surgery is prudent. If the laser treatment has reached its limits, other options may include pneumatic retinopexy (using gas to help flatten the retina against the wall of the eye) or scleral buckling (a procedure that involves placing a silicone band around the eye to support the retina). These methods can be effective in managing retinal detachment and preventing further issues. It’s essential to have a thorough discussion with your ophthalmologist about the risks and benefits of these procedures, as well as any potential complications.

In addition to medical management, there are lifestyle changes you can adopt to protect your vision:
- Regular Eye Exams: Frequent check-ups with your ophthalmologist can help monitor your condition and catch any changes early.

- Avoid High-Risk Activities: Activities that involve heavy lifting, straining, or high-impact sports should be avoided to reduce the risk of further detachment.

- Healthy Lifestyle: Maintaining a healthy diet rich in antioxidants (found in fruits and vegetables) can support overall eye health. Staying hydrated and managing systemic conditions like diabetes and hypertension is also crucial.

- Protective Eyewear: If you engage in activities that could pose a risk to your eyes, wearing protective eyewear can help prevent trauma.

In conclusion, while emotional stress and crying are unlikely to be direct causes of retinal detachment, managing your overall eye health and following your doctor's recommendations are vital. If you have concerns about your treatment options or the progression of your condition, do not hesitate to seek a second opinion or consult with a retinal specialist who can provide more tailored advice based on your specific situation. Your proactive approach to understanding and managing your eye health is commendable, and I encourage you to continue seeking information and support.

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