Multiple Retinal Detachment Surgeries and Recovery Challenges - Ophthalmology

Multiple surgeries for retinal detachment?

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Hello Dr.
Liang,
I have a vision of 575 in my left eye and 525 in my right eye, and I am 38 years old.
On June 21, I was referred from a clinic to a regional hospital due to a retinal detachment in my left eye (extending to the macula).
That afternoon, I underwent a retinal detachment surgery involving vitrectomy and air tamponade.
After returning home, I followed the doctor's advice to sleep face down, resting my head on the table while using my phone and computer, and I did not engage in any outdoor activities.

During my follow-up appointment on July 12, the air fill was still nearly half, but the doctor indicated that the location of the tear was in the lower part of my left eye, so despite the remaining air, there was still a failure with fluid leakage.
That afternoon, I was scheduled for a second surgery involving vitrectomy and silicone oil injection.
Post-surgery, I continued to maintain a face-down position.
On July 19, the doctor stated that my retina was adhering well, but due to the large size and low position of the tear, complete pressure might require an inverted position, and there was still a slight sensation of leakage at the edges.
After careful consideration, to prevent recurrence, a third surgery involving vitrectomy and scleral buckle was scheduled for July 21 under general anesthesia.

On July 25, I experienced severe headaches on the left side, and it was suspected that high intraocular pressure was the cause.
I went to the emergency department at a medical center, where my left eye's intraocular pressure was measured at 37.
During the examination, it was found that there was adhesion between the pupil and cornea, which, if not treated properly, could lead to glaucoma.
I received two intravenous treatments to lower the eye pressure (at 11 PM and 6 AM), which successfully reduced the pressure to below 20.

On the morning of July 26, I returned for a follow-up and explained the emergency treatment I received the night before.
The doctor concluded that the high eye pressure was likely due to postoperative inflammation.
Consequently, a fourth surgery involving silicone oil removal and anterior chamber reconstruction was scheduled for that afternoon.
The procedure aimed to reduce the silicone oil to lower the eye pressure while addressing the adhesion issue.
During the surgery, the doctor discovered that the silicone oil had migrated to the anterior chamber, causing inflammation and adhesion, so the oil was removed, and saline was used to release the adhesions.
Post-surgery, my eye pressure successfully decreased to a safe level, alleviating the risk of glaucoma.
Until the fourth surgery, my vision was relatively okay, although I could not read text clearly.
However, about ten days after the fourth surgery, the redness in my eyes had mostly subsided, but my vision was not as clear as before; everything appeared hazy, with some areas in the center of my vision obscured, and bright objects appeared overly intense, with a white ring around my pupils.
1.
During the postoperative follow-up, the doctor mentioned cataracts, but shouldn't cataracts develop from the center outward? Is the blurriness in my vision due to the anterior chamber surgery, or is it related to the silicone oil filling?
2.
Currently, when I look at things with both eyes without wearing an eye patch, I experience double vision.
How long will it take for this to improve?
3.
Given the current hazy condition, will I need to get new glasses?
4.
I usually have a routine of walking my dog, doing yoga stretches, slow jogging (at 180 bpm), and hiking.
How long will it be before I can resume these activities? What about strength training?
The doctor praised my bravery and the timely nature of the surgeries, noting that the adhesion of the macula was good.
However, after undergoing four consecutive surgeries and being confined at home in a face-down position for nearly seven weeks, strictly adhering to the doctor's orders without any activities, outings, or household chores, I am still feeling quite frustrated that my vision has not improved significantly.

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Mianyang, 30~39 year old female. Ask Date: 2023/08/05