Post-Retinal Detachment Surgery Symptoms and Concerns - Ophthalmology

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Post-Retinal Detachment Surgery


Hello Director: I have undergone retinal detachment surgery on my left eye, which involved gas injection and vitrectomy.
I also had an artificial lens implanted three years ago, and my vision is approximately 0.8 to 0.9.
However, for the past three years, I have experienced slight shaking or tremors in my left visual field during minor movements.
Even when sitting still, I sometimes feel a slight tremor in my retina, although it is not consistent (I am unsure if this is due to retinal instability or some other reason).
During my follow-up appointments over the past three years, both the fundus examination and OCT scans have shown no abnormalities, so I did not inquire further.
However, after joining a Facebook group focused on retinal issues, I found that others do not experience this condition, so I would like to ask what could be the possible reasons for this? Thank you.

Xiwang, 40~49 year old female. Ask Date: 2024/05/31

Dr. He Jianxian reply Ophthalmology


Dear Mr.
Hope: Based on your description, there should generally be no issues with your retina.
As for the sensation of movement you are experiencing, I cannot interpret that; I recommend discussing it with your attending physician.
Director He Jianxian, Ophthalmology, Nantou Hospital.

Reply Date: 2024/05/31

More Info


Hello, thank you for your inquiry regarding your post-retinal detachment surgery symptoms and concerns. It’s understandable to have questions and worries after such a significant procedure, especially when experiencing unusual sensations in your vision.

From your description, it seems that you are experiencing a sensation of slight movement or shaking in your left eye, even when you are still. This can be quite distressing, especially if it feels like your vision is unstable. While I cannot provide a definitive diagnosis without a thorough examination, I can offer some insights into what might be happening.

1. Post-Surgical Sensations: After retinal detachment surgery, particularly when combined with vitrectomy (removal of the vitreous gel) and gas tamponade, patients may experience various visual disturbances. These can include floaters, flashes of light, or even a sensation of movement. The brain and eyes are adjusting to the changes in the eye's structure, and this can sometimes lead to unusual visual perceptions.
2. Visual Stability: The sensation of your vision being unstable or shaky could be related to several factors. One possibility is that the brain is still adapting to the new visual input after surgery. The removal of the vitreous gel and the presence of gas can alter how light enters the eye and how images are processed. This adjustment period can sometimes last for months or even years.

3. Ocular Health: It’s reassuring to hear that your follow-up examinations, including OCT (Optical Coherence Tomography) and fundus examinations, have shown no abnormalities. This suggests that the structural integrity of your retina is intact, which is a positive sign. However, if you continue to experience these sensations, it may be worth discussing with your ophthalmologist. They might consider additional tests or refer you to a specialist in neuro-ophthalmology to rule out any neurological factors that could be contributing to your symptoms.

4. Psychological Factors: Sometimes, anxiety or stress related to previous eye surgeries can manifest as physical sensations or heightened awareness of visual disturbances. Engaging in relaxation techniques or speaking with a mental health professional may help alleviate some of the anxiety surrounding your symptoms.

5. Community Insights: While it’s helpful to connect with others who have undergone similar procedures, it’s important to remember that each individual’s experience can vary significantly. Factors such as the extent of the detachment, the specific surgical techniques used, and individual healing processes can all contribute to different outcomes and sensations post-surgery.

6. Future Considerations: If the sensations persist or worsen, it would be prudent to bring this up during your next appointment. Your doctor may want to conduct further assessments or consider whether any additional interventions are necessary. Keeping a diary of your symptoms, including when they occur and any associated activities, can provide valuable information for your healthcare provider.

In conclusion, while your experiences are concerning, they are not uncommon following retinal surgery. Continuous monitoring and open communication with your eye care team are essential. If you feel that your symptoms are affecting your quality of life, do not hesitate to seek further evaluation. Your vision and comfort are paramount, and there are often ways to address these post-surgical concerns. Thank you for reaching out, and I wish you the best in your recovery journey.

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