Post-Retinal Detachment Surgery: Addressing Vision Issues and Dry Eyes

Q: Post-Retinal Detachment Surgery: Addressing Vision Issues and Dry Eyes

Hello： <br>1. <br>Eyeglasses for Vision Improvement： Wearing appropriate eyeglasses may help improve your vision. <br>Due to your retinal detachment and macular damage, your vision may not fully return to normal levels. <br>However, glasses can assist you in seeing objects more c

Post-retinal detachment surgery

Hello, Doctor.
I have a retinal detachment in my left eye with a tear affecting the macula.
I underwent scleral buckle surgery, cryotherapy, and gas injection.
It has now been five months, and the distortion of objects is not severe, with my vision around 0.2-0.3.
I have been regularly attending follow-up appointments.
The doctor mentioned that a membrane has formed on my retina, and I am continuing to use antibiotic eye drops.
I would like to ask: 1.
Can wearing glasses improve my vision for distant objects in my left eye? 2.
What should I do about the frequent dryness in my left eye? 3.
My left eyelid often feels heavy and struggles to stay up, resulting in noticeable asymmetry, especially when my eye is dry.
What could be the reason for this, and how can I improve it?

Miss Lin, 50~59 year old female. Ask Date: 2023/06/20

Dr. Gao Pilin reply Ophthalmology

Hello:
1.
Eyeglasses for Vision Improvement: Wearing appropriate eyeglasses may help improve your vision.
Due to your retinal detachment and macular damage, your vision may not fully return to normal levels.
However, glasses can assist you in seeing objects more clearly within your visual range.
Consult your primary physician for a vision test and eyeglass fitting to determine the most suitable prescription for you.
2.
Management of Dry Eyes: Dryness is a common side effect that may be related to your previous treatments and retinal detachment.
You can try the following methods to alleviate the discomfort of dry eyes:
- Use artificial tears: Regular use of lubricating eye drops can provide moisture and soothing effects.

- Avoid dry environments: Limit prolonged exposure to dry environments, such as fans, air conditioning, or heating.

- Avoid prolonged eye strain: Take timely breaks for your eyes to prevent extended periods of focus or strain.
3.
Difficulty Lifting Eyelids and Asymmetrical Eyes: This may be related to your previous surgery and retinal detachment, but the specific cause needs further evaluation by your primary physician.
Possible reasons include changes in muscle function or dryness of the eye surface.
You can ask your primary physician for any recommendations, such as eye exercises, eye massage, or specific eye drops, to help improve this condition.

Reply Date: 2023/06/20

More Info

Hello! Thank you for your detailed questions regarding your post-retinal detachment surgery experience. It’s understandable to have concerns about your vision and eye comfort after such a significant procedure. Let’s address your questions one by one.

1. Can glasses improve distant vision in my left eye?
After retinal detachment surgery, especially when the macula is involved, vision may not return to its original state. However, glasses can sometimes help improve clarity for distance vision, depending on the specific refractive error present after surgery. If your vision is currently around 0.2-0.3, it indicates a significant reduction in visual acuity. A comprehensive eye exam can determine if there are any refractive errors (like myopia or hyperopia) that glasses could correct. Your eye care provider may suggest a specific prescription that could help you see more clearly at a distance.

2. What should I do about the dryness in my left eye?
Dryness in the eye can be a common issue after surgery, particularly if there has been any disruption to the tear film or if the surgery has affected the eyelid function. To manage dry eyes, consider the following:
- Artificial Tears: Over-the-counter artificial tear drops can provide relief. Look for preservative-free options if you need to use them frequently.

- Warm Compresses: Applying a warm compress can help stimulate tear production and relieve discomfort.

- Hydration: Ensure you are well-hydrated, as systemic hydration can impact tear production.

- Consultation: If dryness persists, consult your ophthalmologist. They may recommend punctal plugs or prescription medications like cyclosporine (Restasis) to enhance tear production.

3. Why do I experience eyelid drooping and a noticeable difference in eye size?
The sensation of your eyelid not being able to fully open can be due to several factors, including muscle fatigue, nerve involvement, or even the effects of surgery. If the eyelid muscles are weak or if there is swelling, this can contribute to the appearance of "lazy" eyelids. The difference in size between your eyes, especially when one is dry, can be more pronounced due to the eyelid not fully retracting. Here are some suggestions to improve this condition:
- Eyelid Exercises: Gentle exercises may help strengthen the eyelid muscles. Your eye care provider can guide you on appropriate exercises.

- Moisturizing Drops: Keeping the eye well-lubricated can reduce irritation and help the eyelid function better.

- Consultation: If the problem persists, it may be beneficial to consult with a specialist, such as an oculoplastic surgeon, who can evaluate the eyelid function and suggest potential treatments, including surgical options if necessary.

In summary, while some visual and comfort issues may improve with time and appropriate management, it’s crucial to maintain regular follow-ups with your ophthalmologist. They can provide tailored advice based on your specific situation and monitor any changes in your condition. Remember, recovery from retinal detachment surgery can be a gradual process, and patience is key. If you have further concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider. Wishing you the best in your recovery journey!

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