Safe Travel After Retinal Detachment Surgery: How Long to Wait? - Ophthalmology

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Retinal detachment


My older sister is 55 years old and has recently undergone surgery for retinal detachment.
She is considering traveling abroad but is concerned about elevated eye pressure while flying.
How long should she wait before it is safe to travel?

Xiao Ming, 40~49 year old female. Ask Date: 2006/07/03

Dr. Wang Zhangji reply Ophthalmology


Hello: Some retinal surgeries involve injecting gas into the eye, which makes it unsuitable to fly.
It is best to consult the surgeon to determine if the gas has been absorbed.
Sincerely, Dr.
Wang Zhang-ji, Ophthalmology.

Reply Date: 2006/07/03

More Info


After retinal detachment surgery, it is crucial to prioritize your sister's recovery and ensure her safety before considering travel, especially by airplane. The timeline for when it is safe to fly can vary based on several factors, including the type of surgery performed, the specific techniques used, and her overall health condition.

Typically, if gas was injected into the eye during the surgery, it is advised to wait until the gas has fully absorbed before flying. This can take anywhere from a few weeks to several months, depending on the type of gas used. For instance, if a long-acting gas like sulfur hexafluoride (SF6) was used, it may take about 6 to 8 weeks to fully dissipate. During this time, flying is not recommended because the decrease in atmospheric pressure at high altitudes can cause the gas to expand, potentially leading to increased intraocular pressure and complications.

If no gas was used, the general recommendation is to wait at least 2 to 4 weeks post-surgery before flying. However, this is a conservative estimate, and the best course of action is to consult with the ophthalmologist who performed the surgery. They can provide personalized advice based on her specific situation, including the type of detachment, the surgical technique employed, and her recovery progress.

In addition to the type of surgery, it is essential to consider her overall health and any underlying conditions that may affect her recovery. For example, if she has a history of high blood pressure or diabetes, these conditions could complicate her recovery and may require additional precautions.

Moreover, even after receiving clearance to fly, it is advisable to take certain precautions during the flight. Encourage her to stay hydrated, avoid straining her eyes, and follow any specific instructions given by her doctor. It might also be beneficial for her to wear sunglasses to protect her eyes from bright lights and to minimize any discomfort during the flight.

Regarding her desire to travel, if the trip involves activities that could strain her eyes or involve high altitudes, it may be wise to reconsider or modify her plans. Activities such as hiking in mountainous areas or engaging in strenuous physical activities should be avoided until she has fully recovered.

In summary, the timeline for safe travel after retinal detachment surgery can vary significantly based on individual circumstances. It is crucial for your sister to have a thorough follow-up appointment with her ophthalmologist to assess her recovery and receive tailored advice regarding travel. By prioritizing her health and following medical guidance, she can ensure a safe and enjoyable travel experience in the future.

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