Post-Scleral Buckling Surgery: Recovery and Vision Issues - Ophthalmology

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Post-scleral buckle surgery


Hello, Doctor.
I underwent scleral buckle surgery two weeks ago.
I understand that postoperative double vision and distortion are part of the recovery process, but the shadow I experienced before the surgery is still present.
Should the shadow have disappeared when the retina was reattached, or is it still part of the recovery phase and will gradually fade away? Today, I noticed some swelling and pain in the orbit of my operated eye, and I suspect it might be due to elevated intraocular pressure.
Therefore, I visited an ophthalmology clinic to check my eye pressure.
In addition to the standard eye pressure and vision tests, the clinic used a device that resembled a gun to examine my eyes, which emitted flashes of light (was this a fundus photography?).
I had to undergo this procedure 7 to 8 times due to repeated failures.
I'm concerned whether such strong flashes could affect my postoperative recovery.
Regarding the postoperative double vision and distortion, are there any training methods or techniques that could help my eyes return to normal vision more quickly? Thank you, Doctor.
:)

Tina, 20~29 year old female. Ask Date: 2012/11/29

Dr. He Jianxian reply Ophthalmology


Hello: The presence of distortion and shadows post-surgery may be due to the retina not being fully reattached yet.
The timeline for complete reattachment can vary from person to person and will require careful monitoring by the surgeon who performed your procedure.
Wishing you peace and happiness.

Reply Date: 2012/11/29

More Info


Post-scleral buckling surgery recovery can be a complex process, and it is understandable to have concerns about symptoms such as diplopia (double vision), visual distortion, and the presence of shadows in your vision. These symptoms can be common during the recovery phase, and understanding their implications is crucial for managing your expectations and recovery plan.

Firstly, the presence of shadows or dark spots in your vision after scleral buckling surgery may not necessarily indicate a failure of the procedure. It is important to recognize that the retina may take time to heal and stabilize after surgery. The shadows you are experiencing could be due to several factors, including residual fluid, inflammation, or changes in the retina's structure following the detachment and subsequent reattachment. In many cases, these symptoms can gradually improve as the eye heals, but the timeline can vary significantly from person to person. It is not uncommon for patients to notice gradual changes in their vision over weeks to months following surgery.

Regarding the discomfort you are experiencing in your eye, including swelling and pain, it is essential to monitor these symptoms closely. Post-operative pain can occur due to inflammation or increased intraocular pressure (IOP). If you suspect that your eye pressure may be elevated, it is prudent to follow up with your ophthalmologist for a thorough evaluation. Elevated IOP can lead to complications, so timely assessment and management are critical.

The procedure you described at the eye clinic, which involved a device that emitted flashes of light, is likely a form of fundus photography or optical coherence tomography (OCT). These imaging techniques are commonly used to assess the health of the retina and can provide valuable information about your recovery. While the flashes may be uncomfortable, they are generally safe and should not adversely affect your recovery. However, if you experience significant discomfort during these tests, it is important to communicate this to the healthcare provider.

As for the management of diplopia and visual distortion, there are several strategies that may help facilitate recovery. Vision therapy, which involves specific exercises designed to improve eye coordination and visual processing, can be beneficial for some patients experiencing double vision. These exercises are typically guided by an eye care professional and can help retrain the brain to better integrate visual information from both eyes.

Additionally, using prisms in your glasses can sometimes help alleviate double vision by altering the way light enters the eye, allowing for better alignment of the visual fields. Your eye care provider can assess whether this is an appropriate option for you.

It is also essential to maintain regular follow-up appointments with your ophthalmologist to monitor your recovery progress. They can provide personalized recommendations based on your specific situation and may adjust your treatment plan as needed.

In summary, while experiencing shadows and visual distortions after scleral buckling surgery can be concerning, these symptoms may improve over time as your eye heals. Monitoring your eye pressure and communicating any discomfort to your healthcare provider is crucial. Engaging in vision therapy and considering the use of prisms may also aid in your recovery. Always consult with your ophthalmologist for tailored advice and to ensure that you are on the right track for recovery.

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