Vision Recovery After Retinal Detachment Surgery

excuse me?

I underwent scleral buckle surgery for retinal detachment a month ago.
My first vision measurement was around 800 degrees, but during the recent second measurement, it decreased by 25 degrees (originally my vision was 600).
I would like to know how long it typically takes for vision to stabilize after surgery, and whether my vision will improve beyond the original level after the procedure.
I plan to wait until my vision stabilizes before getting new lenses.
Additionally, I have noticed red blood vessels in the white part of my eye; when is it normal for this to subside?

Xiao Ya, 20~29 year old female. Ask Date: 2006/09/26

Dr. Zhang Yanrui reply Ophthalmology

It is common to experience an increase of one to two diopters after undergoing a scleral buckle surgery.
It is recommended to wait three to six months for a more stable prescription before getting glasses.
However, it is important to be mentally prepared that even with glasses, vision may not return to the level it was before the retinal detachment, as retinal function may decline after the detachment.

Reply Date: 2006/09/26

More Info

After undergoing retinal detachment surgery, particularly with the use of a scleral buckle, it's common for patients to have questions about their vision recovery and what to expect in the weeks and months following the procedure. Here’s a comprehensive overview based on your concerns.

Vision Recovery Timeline
1. Initial Recovery Phase: After retinal detachment surgery, the initial recovery phase typically spans from a few weeks to several months. During this time, patients may experience fluctuations in vision. It's not unusual for vision to be blurry or to have some distortion as the eye heals.
2. Stabilization of Vision: Vision stabilization can take anywhere from 1 to 6 months post-surgery. In your case, since you mentioned a slight decrease in vision from 600 to 575 degrees, this could be part of the normal healing process. The eye may take time to adjust after the surgery, and it is essential to have follow-up appointments with your ophthalmologist to monitor the healing process.

3. Potential for Improvement: Many patients experience gradual improvement in their vision over time. However, it is important to note that while some may regain their pre-surgery vision, others may not achieve the same level of clarity. Factors such as the extent of the detachment, the duration before surgery, and the presence of any complications can influence the final visual outcome.

Vision Changes and Prescription Glasses
1. When to Get New Glasses: It is advisable to wait until your vision stabilizes before getting new glasses. Since you are experiencing fluctuations, it would be prudent to consult with your ophthalmologist about the best time to have your vision reassessed for a new prescription. They may recommend waiting until the vision has been stable for a period, often around 3 months post-surgery.

2. Expected Changes: Depending on the healing process, some patients may find that their vision improves enough to warrant a new prescription, while others may need to adjust to a new baseline of vision. Your doctor will be able to provide guidance based on your specific recovery trajectory.

Redness in the Eye
1. Postoperative Redness: The presence of red blood vessels or a reddish appearance in the white part of the eye (sclera) is not uncommon after retinal surgery. This can be due to a variety of factors, including the surgical procedure itself, the use of anesthesia, or even the pressure changes in the eye.

2. Healing Timeline: Typically, this redness should begin to diminish within a few weeks as the eye heals. If the redness persists beyond a month or is accompanied by pain, vision changes, or discharge, it is essential to contact your ophthalmologist for further evaluation.

Conclusion
In summary, after retinal detachment surgery, it is crucial to have realistic expectations regarding vision recovery. While some improvement is likely, the extent of recovery can vary significantly among individuals. Regular follow-up appointments with your ophthalmologist are vital to monitor your progress and address any concerns you may have. If you notice any significant changes in your vision or if the redness in your eye does not improve, do not hesitate to reach out to your healthcare provider. They are best equipped to provide personalized advice and treatment options based on your specific situation.

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