Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips

Post-retinal detachment surgery

Hello, doctor.
I would like to ask a few questions.

1.
My father underwent surgery for retinal detachment on June 29, but the doctor did not specify that he must sleep in a prone position.
It has been over a month, and although there has been some improvement, he still reports that things look distorted.
Sometimes, when he views objects from a certain angle, he experiences dizziness.
Why is this happening?
2.
After this type of surgery, is there a risk of developing macular degeneration, and is it possible that it may not improve?
3.
What is the typical recovery time after this surgery, and how can we help his eyes heal more quickly?
Thank you for your response.

Nìmíng, 50~59 year old female. Ask Date: 2023/09/06

Dr. He Jianxian reply Ophthalmology

Dear Mr.
Anonymous,
1.
Depending on the type of retinal detachment surgery performed, it is not always necessary to sleep in a prone position.
After the retina is reattached, there may be temporary visual distortion, but the long-term outcome will depend on the status of the retinal attachment, which is difficult to predict.
2.
Surgery itself does not cause macular degeneration; however, if the retinal detachment involves the macula, it may indeed lead to macular degeneration.
3.
The recovery time cannot be estimated.
Sincerely,
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital

Reply Date: 2023/09/06

More Info

Post-retinal detachment surgery recovery can be a complex process, and it is understandable to have concerns about your father's condition following his surgery on June 29. Let's address your questions one by one, providing insights based on medical knowledge and common practices in post-operative care.

1. Visual Distortions and Dizziness: It is not uncommon for patients to experience visual distortions, such as seeing objects at odd angles or feeling that they are distorted after retinal detachment surgery. This can be attributed to several factors, including the healing process of the retina, the presence of gas or silicone oil used during the surgery, and the brain's adaptation to changes in visual input. The brain may take time to adjust to the new visual signals, especially if there was significant damage before the surgery. Dizziness can also occur due to the visual disturbances or as a result of the body adjusting to changes in vision. If these symptoms persist or worsen, it is crucial to follow up with the ophthalmologist to rule out any complications.

2. Risk of Macular Degeneration: While retinal detachment surgery aims to restore the retina's position and function, there is a risk of developing complications, including macular degeneration or other retinal issues. The macula is the central part of the retina responsible for sharp vision, and if it is affected during or after surgery, it can lead to long-term visual impairment. However, not all patients will experience these complications, and many can achieve significant improvements in vision post-surgery. Regular follow-ups with the ophthalmologist are essential to monitor the health of the retina and address any emerging issues promptly.

3. Recovery Time and Tips for Improvement: The recovery time after retinal detachment surgery can vary significantly from patient to patient. Generally, it may take several weeks to months for the vision to stabilize and improve. Factors influencing recovery include the extent of the detachment, the presence of any complications, and the overall health of the eye. To promote healing and improve vision, patients are often advised to:
- Follow Post-Operative Instructions: Adhering to the surgeon's recommendations regarding activity restrictions, medication use, and follow-up appointments is crucial for optimal recovery.

- Rest and Limit Eye Strain: Avoiding activities that strain the eyes, such as reading or using screens for extended periods, can help reduce discomfort and promote healing.

- Maintain Eye Hygiene: Keeping the eyes clean and avoiding irritants can help prevent infections and other complications.

- Use Prescribed Medications: If the doctor has prescribed eye drops or medications, it is essential to use them as directed to manage inflammation and prevent infection.

- Regular Check-Ups: Attending all scheduled follow-up appointments allows the doctor to monitor the healing process and make any necessary adjustments to the treatment plan.

In conclusion, while your father's recovery may present challenges, it is essential to remain in close contact with his healthcare provider to address any concerns and ensure that he receives the appropriate care. Encourage him to be patient with the recovery process, as visual improvements can take time. If any new symptoms arise or existing ones worsen, seeking immediate medical advice is crucial. Thank you for your questions, and I hope this information helps clarify your concerns regarding post-retinal detachment surgery recovery.

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