Post-Surgery Vision Blurriness and Eye Indentation Concerns

Q: Post-Surgery Vision Blurriness and Eye Indentation Concerns

Hello Miss Chen： Typically, for such a complex surgery, it is necessary to allow more time for recovery, which could take as long as six months. <br>As for the cause of the eye socket depression, I am not very clear on that. <br>Generally, this condition occurs after multiple sur

Postoperative blurred vision and sunken eyes?

On November 27, I underwent surgery for a retinal detachment in my left eye, which included scleral buckle, vitrectomy, retinal laser treatment, and intraocular gas tamponade.
After resting at home for a month, I returned for a follow-up examination and found that the detachment had recurred.
At the end of December, I had gas injected again and underwent another laser procedure.
After another month, my doctor prescribed a bottle of anti-inflammatory medication (steroids) and eye drops for glaucoma to manage my intraocular pressure.
I feel that my vision is not clear, and I am wondering if it will gradually improve over the next two to three months.
I have also noticed a sunken appearance in my left eye; is this normal? I am very concerned that there may be another issue with my eye.
Could you please provide some guidance? Thank you.

Zhen, 50~59 year old female. Ask Date: 2024/02/25

Dr. He Jianxian reply Ophthalmology

Hello Miss Chen: Typically, for such a complex surgery, it is necessary to allow more time for recovery, which could take as long as six months.
As for the cause of the eye socket depression, I am not very clear on that.
Generally, this condition occurs after multiple surgeries on the eye that result in loss of function.
Director He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2024/02/25

More Info

Post-surgery concerns regarding vision blurriness and eye indentation are quite common among patients who have undergone procedures for retinal detachment, such as the one you described. It’s understandable to feel anxious about these symptoms, especially after multiple surgeries. Let’s break down your concerns and provide some insights based on medical knowledge.

Vision Blurriness After Surgery
After undergoing surgery for retinal detachment, it is not unusual to experience temporary vision blurriness. This can be attributed to several factors:
1. Healing Process: The eye is a delicate organ, and surgeries like scleral buckle, vitrectomy, and laser treatment can cause inflammation and changes in the eye's structure. During the healing process, the retina and other structures may take time to stabilize, which can lead to fluctuating vision.

2. Inflammation and Medication: The use of anti-inflammatory medications (like steroids) and medications for managing intraocular pressure (such as those for glaucoma) can also affect vision temporarily. These medications are essential for controlling inflammation and preventing complications, but they may take some time to show their full effect.

3. Gas Bubble: If a gas bubble was used during your surgery, it can temporarily affect your vision until it dissipates. The presence of the bubble can cause visual distortions, including blurriness.

4. Retinal Recovery: The retina may still be in the process of healing and reattaching, which can lead to temporary visual disturbances. It’s essential to follow up with your ophthalmologist to monitor the healing process.

Eye Indentation Concerns
Regarding the indentation or "sunken" appearance of your left eye, this can be a result of several factors:
1. Scleral Buckle Surgery: If you underwent a scleral buckle procedure, it involves placing a band around the eye to help support the retina. This can sometimes lead to changes in the eye's shape or appearance, including indentation.

2. Post-Surgical Changes: After surgery, the eye may undergo changes in volume or shape as it heals. This can result in a temporary indentation or asymmetry, which may improve over time.

3. Fat Loss: In some cases, there may be a loss of fat around the eye due to the surgical procedure or the healing process, contributing to a sunken appearance.

Recovery Timeline
It is common for patients to experience gradual improvement in their vision over several months following retinal surgery. While some patients may notice improvements within weeks, others may take longer. It is crucial to maintain regular follow-up appointments with your ophthalmologist to monitor your progress and address any concerns.

Recommendations
1. Follow-Up Appointments: Ensure you attend all scheduled follow-ups with your eye doctor. They will monitor your healing and can provide specific insights into your condition.

2. Report Symptoms: If you notice any sudden changes in vision, increased pain, or other concerning symptoms, contact your ophthalmologist immediately.

3. Patience: Healing from retinal surgery can be a slow process. It’s essential to be patient and give your body the time it needs to recover.

4. Avoid Strain: Limit activities that may strain your eyes, such as prolonged screen time or reading, especially if you notice discomfort.

5. Medication Compliance: Continue using prescribed medications as directed to manage inflammation and intraocular pressure.

In conclusion, while your concerns about vision blurriness and eye indentation are valid, they are not uncommon after retinal surgery. With time and proper care, many patients experience significant improvements. Always consult your ophthalmologist for personalized advice and reassurance regarding your recovery.

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