Eye Surgery for Bubble Behind the Left Eye: Risks and Recovery - Ophthalmology

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There is a 2-3 mm bubble behind the left eyeball (inside the brain), causing misalignment of the eyes and resulting in strabismus (diplopia)?


Hello, doctor.
Recently, I had a CT scan of my brain, and the results showed that there is a 2-3 mm bubble behind my left eyeball (inside the brain), which is causing misalignment of my eyes and resulting in strabismus (double vision).
The doctor mentioned that surgery would be needed on the sclera to realign my eyes.
I couldn't find similar cases online, which has made me a bit anxious, so I would like to ask if this surgery is considered major surgery? What is the success rate? Are there any potential complications? Will there be significant pain after the surgery? I appreciate your response to these questions.
Thank you.

Zhong Xiansheng, 50~59 year old female. Ask Date: 2024/03/08

Dr. Liang Ce reply Ophthalmology


We recommend that you: 1.
Discuss the above situation further with your attending physician.
2.
Consider consulting an ophthalmologist at a major hospital.
Wishing you good health.
Thank you!

Reply Date: 2024/03/08

More Info


When considering surgery for a bubble located behind the left eye, it is essential to understand the nature of the procedure, its associated risks, success rates, potential complications, and postoperative recovery. Based on your description, it seems that the bubble is likely affecting the positioning of your eye, leading to strabismus (misalignment of the eyes) and diplopia (double vision).

Nature of the Surgery
The surgery you are referring to is likely a form of vitrectomy or a similar procedure where the surgeon will access the eye through the sclera (the white part of the eye) to address the bubble. This type of surgery is generally considered a specialized procedure and may be classified as a major surgery, depending on the complexity of the case and the specific techniques used.

Success Rates
The success rates for eye surgeries can vary widely based on several factors, including the underlying condition, the surgeon's experience, and the patient's overall health. In many cases, surgeries to correct strabismus or to remove bubbles or other obstructions from the eye can have high success rates, often exceeding 80-90%. However, it is crucial to have a detailed discussion with your ophthalmologist, who can provide statistics specific to your case and the type of surgery planned.


Risks and Complications
As with any surgical procedure, there are inherent risks involved. Common risks associated with eye surgery include:
1. Infection: Postoperative infections can occur, although they are relatively rare with proper sterile techniques.

2. Bleeding: There may be bleeding within the eye, which can affect vision.

3. Retinal Detachment: This is a serious complication where the retina can become detached from the back of the eye, potentially leading to vision loss.

4. Vision Changes: Some patients may experience changes in vision, including blurred vision or new visual disturbances.

5. Pain and Discomfort: Postoperative pain can vary. Many patients report mild discomfort, which can usually be managed with prescribed pain relief medications.


Postoperative Pain and Recovery
Postoperative pain levels can vary from person to person. Many patients experience some discomfort after surgery, but this is typically manageable with over-the-counter pain relievers or prescribed medications. Your surgeon will provide specific instructions on pain management and what to expect during recovery.


Recovery Process
Recovery from eye surgery usually involves several stages:
- Initial Recovery: You may need to rest for a few days post-surgery. Your vision may be blurry initially, and you may experience some swelling or redness in the eye.

- Follow-Up Appointments: Regular follow-ups with your ophthalmologist will be necessary to monitor healing and to check for any complications.

- Activity Restrictions: You may be advised to avoid strenuous activities, heavy lifting, or bending over for a certain period to allow for proper healing.


Conclusion
It is understandable to feel anxious about the surgery, especially when you cannot find similar cases online. However, the best course of action is to have an open and thorough discussion with your ophthalmologist. They can provide you with tailored information regarding your specific situation, including a detailed explanation of the procedure, expected outcomes, and any concerns you may have. Remember, your health and vision are paramount, and addressing these issues promptly can lead to better long-term outcomes.

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