Post-Retinal Detachment Surgery Recovery: What to Expect

Q: Post-Retinal Detachment Surgery Recovery: What to Expect

Hello Ms. ShinyV： 1. The overall assessment of the vitreous opacities should wait until the gas dissipates. 2. The main issue with gas tamponade is the increased risk of cataract formation, which is greater the longer the gas remains. 3. Someti

Recovery after retinal detachment surgery?

I underwent a left eye retinal tear detachment surgery with SF6 gas injection and laser repair three weeks ago.
The doctor stated that there are no signs of recurrence, and the reattachment status is normal.
I need to tilt my head to the left at an 11 o'clock angle and rest for one month.
After the gas injection, I started daily laser treatments on the third day of the first week, and during the second week follow-up, I received an additional laser treatment.
Currently, I need to return for weekly check-ups to examine the fundus.

1.
The condition of vitreous opacities has not worsened, but occasionally I see some floating black spots that disappear shortly after.
Could this be related to the gas? Will this decrease or disappear over time?
2.
The injected gas is still quite substantial and is expected to last longer than average.
If I need to use the computer or read, could this lead to other eye conditions?
3.
There have been quite a few laser treatments after the gas injection.
Is this due to poor adhesion, or do different doctors have varying operational habits? My attending physician is not very talkative; he mentioned that the adhesion is good and that the additional laser treatment is just a precaution.

shinyV, 40~49 year old female. Ask Date: 2023/06/02

Dr. He Jianxian reply Ophthalmology

Hello Ms.
ShinyV:
1.
The overall assessment of the vitreous opacities should wait until the gas dissipates.

2.
The main issue with gas tamponade is the increased risk of cataract formation, which is greater the longer the gas remains.

3.
Sometimes, laser treatment can be challenging due to the presence of gas, so performing it in multiple sessions is reasonable.

Director He Jianxian, Ophthalmology Department, Nantou Hospital

Reply Date: 2023/06/02

More Info

Post-retinal detachment surgery recovery can be a complex process, and it’s essential to understand what to expect during this time. Based on your situation, you have undergone a surgery involving SF6 gas injection and laser repair for a retinal detachment, and you are currently three weeks post-operation. Here’s a detailed response to your questions and additional insights regarding your recovery.

1. Floaters and Visual Disturbances: The presence of floaters or black spots in your vision is not uncommon after retinal surgery, especially following gas injection. These floaters can be remnants of the vitreous gel or debris that may have been disturbed during the surgery. While they can be bothersome, many patients find that these floaters diminish over time as the eye heals and the gas dissipates. The SF6 gas typically takes several weeks to months to fully absorb, and as it does, you may notice a gradual reduction in the floaters. However, if you experience a sudden increase in floaters or flashes of light, it’s crucial to contact your doctor immediately, as these could indicate potential complications.

2. Impact of Computer Use and Reading: Using a computer or reading after gas injection can be a concern, particularly if you are experiencing visual disturbances. While moderate use is generally acceptable, it’s essential to follow your doctor’s recommendations regarding activity restrictions. Prolonged screen time may lead to eye strain, especially if your vision is not yet stable. It’s advisable to take regular breaks, practice the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds), and ensure proper lighting to minimize discomfort. If you notice any worsening of your symptoms, consult your ophthalmologist.

3. Frequency of Laser Treatments: The need for multiple laser treatments post-surgery can vary based on individual circumstances. Your doctor may have opted for additional laser applications to ensure that the retina adheres properly and to address any areas that may not have sealed completely during the initial procedure. This approach is not necessarily indicative of poor adhesion but rather a precautionary measure to enhance the surgical outcome. Different surgeons may have varying protocols based on their experience and the specific characteristics of the detachment. If you have concerns about the frequency of these treatments, it’s reasonable to seek clarification from your surgeon about their rationale.

4. General Recovery Expectations: It’s important to adhere to your doctor’s advice regarding rest and activity limitations. The recommendation to tilt your head to a specific position (in your case, towards 11 o'clock) is crucial for the gas bubble to support the retina effectively. Recovery from retinal detachment surgery can take time, and while many patients experience significant improvements, some may have lingering visual disturbances. Regular follow-ups are essential to monitor your progress and address any concerns promptly.

In summary, while your recovery is progressing well with no signs of re-detachment, it’s vital to remain vigilant about your symptoms and maintain open communication with your healthcare provider. Each patient’s recovery journey is unique, and your doctor will tailor their recommendations based on your specific situation. Always prioritize your eye health and do not hesitate to reach out for further clarification or assistance as needed.

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