Will Scar Tissue Disappear After Retinal Surgery? - Ophthalmology

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Post-retinal surgery


Hello Doctor, I underwent surgery last year for tractional retinal detachment with vitreous hemorrhage.
The surgery was successful, but I later discovered that scar tissue formed inside my eye.
Will this scar tissue disappear over time?

Ying Meizi, 60~69 year old female. Ask Date: 2023/09/28

Dr. Gao Pilin reply Ophthalmology


Hello: The scar formed on the retina may not disappear.
If you are concerned about the effects of the scar or have any other questions, it is advisable to consult your attending physician as soon as possible.

Reply Date: 2023/09/28

More Info


Scar tissue formation after retinal surgery is a common concern among patients, especially following procedures like vitrectomy or retinal detachment repair. The presence of scar tissue can significantly impact visual recovery and overall eye health.
To address your question directly: scar tissue, once formed, typically does not disappear on its own. This is particularly true for scar tissue that develops within the eye, such as epiretinal membranes or proliferative vitreoretinopathy (PVR), which can occur after retinal surgery. These types of scar tissue can lead to complications, including distorted vision or further vision loss, depending on their location and severity.

Scar tissue forms as part of the body’s natural healing process. After surgery, the eye undergoes a healing phase where fibroblasts (a type of cell that synthesizes the extracellular matrix and collagen) proliferate and lay down collagen fibers. This can result in the formation of scar tissue. In some cases, this scar tissue can contract and pull on the retina, leading to complications such as tractional retinal detachment.

While some patients may experience a reduction in the visibility or impact of scar tissue over time, it is unlikely that the scar tissue will completely resolve. In certain situations, if the scar tissue is causing significant vision problems, a secondary surgical procedure may be necessary to remove or address the scar tissue. This could involve a repeat vitrectomy or membrane peeling, depending on the specific circumstances.

It is essential to maintain regular follow-up appointments with your ophthalmologist after retinal surgery. They can monitor the condition of your retina and the scar tissue, assess its impact on your vision, and determine if any intervention is needed. If you notice any changes in your vision, such as increased blurriness, distortion, or new floaters, it is crucial to report these symptoms to your doctor promptly.

In summary, while scar tissue typically does not disappear after retinal surgery, its effects can vary from person to person. Regular monitoring and communication with your healthcare provider are key to managing any potential complications associated with scar tissue formation. If you have further concerns or specific symptoms, do not hesitate to reach out to your ophthalmologist for personalized advice and treatment options.

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