Post-Scleral Buckling Surgery: Common Concerns and Recovery Tips

Q: Post-Scleral Buckling Surgery: Common Concerns and Recovery Tips

Hello： <br>1. <br>Regarding the sutures on the eyeball, it is normal to experience a foreign body sensation after scleral buckle surgery, typically caused by the sutures used during the procedure. <br>This sensation may persist during the recovery period but may become less notic

Post-scleral buckle surgery

Hello, Doctor.
I underwent a left eye scleral buckle procedure on December 22, and I would like to ask:
1.
Will the sutures on the eyeball fall out? They feel a bit protruding and uncomfortable, like a foreign body.
2.
Is it normal to see the scleral buckle protruding? How can I tell if it is excessively exposed?
3.
There are still quite a few blood vessels in my eye; how long will it take for them to dissipate?
4.
Is it normal for intraocular pressure to increase after surgery? During my last follow-up, my eye pressure was 38, and I am currently using eye drops to lower it.
5.
How long will it be before I can wash my hair on my own?
6.
Sometimes I feel a tight sensation around my temples; is this related to the eye surgery? How can I relieve it?
Thank you, Doctor, for your hard work!

Ling, 20~29 year old female. Ask Date: 2024/01/12

Dr. Gao Pilin reply Ophthalmology

Hello:
1.
Regarding the sutures on the eyeball, it is normal to experience a foreign body sensation after scleral buckle surgery, typically caused by the sutures used during the procedure.
This sensation may persist during the recovery period but may become less noticeable over time and usually does not require additional treatment.
If the foreign body sensation continues or becomes more uncomfortable, it is advisable to consult an ophthalmologist.
2.
It is normal to see the scleral buckle protruding after surgery, which is related to the location of the retinal detachment.
If the protrusion feels excessive or causes discomfort, please seek an ophthalmological examination as soon as possible.
3.
The amount of blood vessels in the eye varies among individuals, but it should generally decrease gradually within a few weeks after surgery.
If the blood vessels persist or if there are other unusual symptoms, it is recommended to see an ophthalmologist.
4.
An increase in intraocular pressure after surgery can be a normal occurrence, and using anti-glaucoma eye drops is an appropriate measure.
If the intraocular pressure remains elevated or if there are other discomforts, please consult an ophthalmologist promptly.
5.
Regarding washing your hair, it is usually safe to gently wash your hair with clean water the day after surgery, but avoid letting water directly hit the eyes.
Please ensure that your eyes are well protected during this process.
6.
A tight sensation in the temples may be a normal reaction after surgery; however, if the symptoms persist or worsen, it is advisable to consult an ophthalmologist to rule out any other issues.
You may consider gently massaging the temple area or applying a mild warm compress to alleviate discomfort.
Wishing you a speedy recovery.

Reply Date: 2024/01/12

More Info

Post-scleral buckling surgery is a significant procedure often performed to treat retinal detachment. It involves placing a silicone band around the eye to support the retina and prevent further detachment. While the surgery can be effective, patients often have concerns during the recovery phase. Here are some common concerns and recovery tips based on your questions:
1. Suture Absorption: After scleral buckling surgery, the sutures used to secure the silicone band may cause a sensation of discomfort or an "alien" feeling in the eye. In many cases, these sutures are absorbable and will dissolve over time, typically within a few weeks to months. However, if the sensation persists or worsens, it’s essential to consult your ophthalmologist to ensure there are no complications.

2. Visibility of the Scleral Buckle: It is not uncommon for patients to notice the buckle protruding slightly. This is generally considered normal. However, if the buckle appears excessively prominent or if you can see it protruding significantly beyond the normal contour of the eye, this could indicate a problem. An "exposed" buckle is when the band is visible on the surface of the eye, which can lead to irritation or complications. If you have concerns about the appearance or comfort of the buckle, follow up with your surgeon.

3. Blood Vessels in the Eye: Post-operative redness or blood vessels in the eye can be common after scleral buckling surgery due to the trauma of the procedure. This redness usually resolves within a few weeks. If the blood vessels persist beyond this period or if you experience any vision changes, it’s crucial to have your eye examined.

4. Increased Intraocular Pressure (IOP): It is not unusual for patients to experience elevated eye pressure following scleral buckling surgery. An IOP of 38 mmHg is considered high and may require treatment with eye drops to lower the pressure. Regular monitoring of your eye pressure is essential, as prolonged high pressure can lead to complications such as glaucoma. Always follow your doctor's recommendations regarding medication and follow-up appointments.

5. Washing Hair Post-Surgery: After scleral buckling surgery, it is generally advised to avoid getting water directly in the eye for at least a week. You can wash your hair, but it’s best to lean back and avoid splashing water directly onto your face. Always follow your surgeon's specific instructions regarding post-operative care.

6. Tightness Around the Temple: Feeling tightness around the temple area can occur after eye surgery, possibly due to muscle tension or stress related to the surgery. This sensation may also be linked to changes in vision or eye strain. To alleviate this discomfort, consider practicing relaxation techniques, gentle massage around the temple, or using warm compresses. If the tightness persists or is accompanied by other symptoms, consult your doctor.

In summary, while many of the symptoms you are experiencing can be typical after scleral buckling surgery, it is crucial to maintain open communication with your ophthalmologist. Regular follow-ups are essential to monitor your recovery and address any complications that may arise. Recovery can take time, and patience is key. Always prioritize your eye health and seek immediate medical attention if you notice any sudden changes in vision or increased discomfort.

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