Post-vitrectomy and post-retinal detachment surgery?
Hello Doctor, I have a retinal detachment in my left eye.
On July 20, the doctor performed a vitrectomy, filling it with air and heavy liquid.
It has now been five weeks, and I notice that straight lines appear slightly distorted, as if I am looking through a transparent plastic sheet.
Is this situation normal? Additionally, I see a black circle in my lower vision in the affected eye.
Is this also normal? Thank you for your response, Doctor.
Amelia, 50~59 year old female. Ask Date: 2023/08/24
Dr. He Jianxian reply Ophthalmology
Hello Amelia: The distortion in the straight line may take some time to recover.
As for the black circle below, it should theoretically be gas; however, after five weeks, the gas should have been fully absorbed.
I hope this information is helpful to you.
Director He Jianxian, Ophthalmology, Nantou Hospital.
Reply Date: 2023/08/24
More Info
After undergoing vitreous surgery for retinal detachment, it's common for patients to experience a range of visual disturbances during the recovery period. Your description of seeing straight lines as distorted and having a sensation similar to looking through a transparent plastic sheet is not unusual. These symptoms can be attributed to several factors related to the surgery and the healing process.
Understanding Post-Surgery Visual Changes
1. Distorted Vision: The distortion you are experiencing, where straight lines appear bent or wavy, is often referred to as "metamorphopsia." This can occur due to changes in the retina or the presence of fluid in the eye. After vitreous surgery, the retina may take time to settle and heal, which can lead to temporary visual distortions.
2. Black Spots or Shadows: The presence of a black circle or shadow in your vision could be a result of several factors, including:
- Floaters: These are small clumps of gel or cells that float in the vitreous fluid and can cast shadows on the retina, appearing as spots or circles in your vision.
- Post-Surgical Changes: After surgery, the retina may still be adjusting, and any residual fluid or air bubbles can also contribute to visual disturbances.
- Retinal Issues: While less common, it’s essential to rule out any complications such as new retinal tears or detachments.
What to Expect During Recovery
- Healing Time: The recovery process after vitreous surgery can vary significantly from person to person. It may take weeks to months for your vision to stabilize fully. During this time, it’s crucial to monitor your symptoms and report any significant changes to your ophthalmologist.
- Follow-Up Appointments: Regular follow-up visits with your eye doctor are essential to assess the healing process. They can perform tests to evaluate the retina and ensure that there are no complications.
- Visual Rehabilitation: If your vision does not improve as expected, your doctor may recommend visual rehabilitation strategies or additional treatments to help manage your symptoms.
When to Seek Help
While some visual disturbances are normal, you should contact your eye doctor if you experience any of the following:
- Sudden changes in vision or an increase in the number of floaters.
- A sudden increase in the size or number of black spots or shadows.
- Any new flashes of light or significant pain in the eye.
Conclusion
In summary, the symptoms you are experiencing after vitreous surgery for retinal detachment can be typical during the recovery phase. Distorted vision and the appearance of black spots may gradually improve as your eye heals. However, it is essential to maintain open communication with your healthcare provider and attend all follow-up appointments to ensure proper recovery and address any concerns promptly. Your eye doctor will be the best resource for understanding your specific situation and providing tailored advice for your recovery journey.
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