Grandma after retinal surgery?
Hello, doctor.
My grandmother has been lying down after her retinal detachment surgery, and her head has been lowered.
This is her second retinal detachment surgery.
I would like to ask you about the eye drops I have been administering at home for the past two weeks.
I noticed a small amount of blood clots; is this normal? However, there hasn't been frequent bleeding.
I'm not quite sure and would like to ask the doctor what this could be.
Mr. Wu, 30~39 year old female. Ask Date: 2023/07/25
Dr. He Jianxian reply Ophthalmology
Hello Mr.
Wu: Do you still have blood clots two weeks after the surgery? It is recommended that if the condition persists, you should return for a follow-up appointment with your physician.
Theoretically, there should not be any blood clotting after this amount of time.
Director He Jianxian, Ophthalmology, Nantou Hospital.
Reply Date: 2023/07/25
More Info
Post-retinal surgery care is crucial for ensuring optimal recovery and minimizing complications. After a retinal detachment surgery, patients often experience various symptoms, including the presence of blood clots or bleeding in the eye. It’s essential to understand the nature of these symptoms and when to seek further medical advice.
Firstly, it’s not uncommon for patients to notice some blood or blood clots in the eye following retinal surgery. This can occur due to the surgical manipulation of the retina and surrounding tissues. In many cases, this bleeding is minor and resolves on its own as the eye heals. The body has a remarkable ability to absorb small amounts of blood, and if the bleeding is not persistent or accompanied by significant changes in vision, it may not be a cause for alarm.
However, it is essential to monitor the situation closely. If the blood clots are accompanied by symptoms such as increased pain, significant changes in vision (like sudden blurriness or loss of vision), or if the bleeding becomes more frequent or severe, it is crucial to contact the ophthalmologist immediately. These could be signs of complications, such as re-detachment of the retina or other issues that may require intervention.
Regarding your grandmother’s recovery, maintaining the prescribed post-operative care is vital. This includes adhering to any positional restrictions (like lying face down if advised), using prescribed eye drops, and attending follow-up appointments. The use of eye drops, especially those that may contain steroids or antibiotics, is essential to reduce inflammation and prevent infection, which can also contribute to bleeding.
In terms of activity, it is generally advised to avoid strenuous activities, heavy lifting, or any actions that could increase intraocular pressure during the initial recovery phase. This includes avoiding bending over or any sudden movements that could strain the eye.
As for the presence of blood clots, it’s essential to keep the eye clean and avoid touching or rubbing it. If your grandmother is experiencing discomfort or if you notice any changes in her eye, such as increased redness or swelling, these should be reported to her healthcare provider.
In summary, while some bleeding or blood clots can be normal after retinal surgery, it is essential to monitor the situation closely. If there are any concerning symptoms, do not hesitate to reach out to her ophthalmologist for further evaluation. Regular follow-up appointments are crucial for assessing the healing process and ensuring that any potential complications are addressed promptly.
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