Post-Surgery Symptoms: Is Redness Normal After Retinal Surgery? - Ophthalmology

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Retinal detachment


Hello doctor, my father just had retinal surgery and it has been almost a month.
Recently, when I was helping him apply eye drops, I noticed that his eye is still red.
He hasn't gone outside or lifted heavy objects.
I would like to ask if this indicates that the surgery has failed.

Xiao Rong, 40~49 year old female. Ask Date: 2023/11/18

Dr. He Jianxian reply Ophthalmology


Hello Miss Hsiao-Rong: The redness in your eyes is simply conjunctival hyperemia, and a more pronounced condition would be subconjunctival hemorrhage, which is not related to surgical failure.
Director Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

Reply Date: 2023/11/18

More Info


After retinal surgery, it is not uncommon for patients to experience various symptoms, including redness in the eyes. This redness can be attributed to several factors, and it is essential to understand that it does not necessarily indicate a failure of the surgery.

Firstly, the redness you observe in your father's eyes is likely due to conjunctival hyperemia, which is a common post-operative response. This condition occurs when the blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) become engorged with blood, leading to a red appearance. This can happen due to inflammation, irritation, or even the healing process itself. It is important to note that this redness is often temporary and should gradually improve as the eye heals.

In the context of retinal surgery, such as scleral buckle or vitrectomy, the manipulation of the eye and the surgical techniques employed can lead to localized inflammation and swelling. This is a normal part of the healing process and can manifest as redness and sometimes even mild swelling around the eye. The presence of stitches or sutures used during the surgery can also contribute to discomfort and redness as the tissues adjust and heal.

Moreover, if your father has been prescribed eye drops post-surgery, it is crucial to ensure that he is using them as directed. These medications are often aimed at reducing inflammation and preventing infection, both of which can help alleviate redness over time. If the redness persists or worsens, it is advisable to consult the surgeon or an ophthalmologist for a thorough examination.

Regarding your concern about the possibility of surgical failure, it is essential to understand that redness alone is not a definitive indicator of such an outcome. Surgical failure is typically associated with more severe symptoms, such as significant vision loss, persistent pain, or the presence of new floaters or flashes of light. If your father is experiencing any of these symptoms, it would warrant immediate medical attention.

In summary, redness in the eyes after retinal surgery is generally a normal occurrence and does not necessarily indicate a failure of the procedure. It is part of the healing process, and with time and appropriate care, it should improve. However, continuous monitoring and communication with the healthcare provider are essential to ensure that the healing process is on track and to address any concerns that may arise. If there are any doubts or if the symptoms change, seeking a follow-up appointment with the surgeon is always a prudent course of action.

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