Post-Retinal Detachment Surgery: Vision Recovery and Symptoms

Postoperative Visual Recovery After Retinal Detachment Surgery

Hello Dr.
Wang: I would like to ask you some questions.
I have high myopia and underwent scleral buckle surgery for retinal detachment three weeks ago, with gas tamponade.
I am experiencing the following conditions: 1.
I have a persistent feeling of a white, hazy vision.
Can this condition heal, and how long might it take? 2.
When I close my eyes or in the dark, I occasionally see flashes of light.
Is this due to the reflection of the gas inside the eye or another reason? 3.
The doctor has not yet measured my vision, and I am unsure about the recovery of my eyesight.
Generally, how long after surgery is vision testing performed to assess the extent of the surgical impact?

Pai Gu, 40~49 year old female. Ask Date: 2012/12/26

Dr. Wang Zhangji reply Ophthalmology

Based on very limited information, we can only provide some speculations.
Macular edema or the gas itself could potentially cause the sensation of a white haze in the vision.
Flashes are generally produced by traction or stimulation of the retina (avoid straining your eyes when they are closed).
Postoperative conditions are not solely determined by visual acuity; each physician has different habits regarding the timing of visual acuity measurements, but you may ask your doctor if it is appropriate to measure it.

Reply Date: 2012/12/26

More Info

Post-retinal detachment surgery recovery can be a complex process, especially for individuals with high myopia, as they may have a higher risk of complications. It is important to understand the symptoms you are experiencing and the timeline for recovery.

1. Persistent Blurriness: The sensation of a white, foggy vision is not uncommon after retinal detachment surgery, particularly when gas is used to help reattach the retina. This blurriness can be due to several factors, including the presence of gas bubbles, inflammation, or changes in the vitreous gel. The gas bubble typically takes several weeks to dissipate, and as it does, your vision may gradually improve. In many cases, patients notice a gradual clearing of vision over a period of weeks to months. However, the exact duration can vary widely among individuals. It is crucial to follow up with your ophthalmologist regularly to monitor your recovery and address any concerns.

2. Flashes of Light: Experiencing flashes of light, especially when closing your eyes or in low-light conditions, can be related to several factors. It may be due to the gas bubble interacting with the retina or the vitreous gel pulling on the retina as it begins to heal. This phenomenon is often referred to as "photopsia." While it can be alarming, it is not uncommon after surgery. However, if these flashes increase in frequency or intensity, or if you experience new floaters or a curtain-like shadow in your vision, it is essential to contact your doctor immediately, as these could be signs of complications.

3. Vision Assessment Timeline: Typically, vision assessments are conducted at various intervals post-surgery. Many surgeons will wait a few weeks after the procedure to allow for initial healing before performing a comprehensive vision test. This timeline can vary based on the individual’s healing progress and the specific surgical techniques used. It is essential to have regular follow-up appointments with your ophthalmologist, who will determine the appropriate time for vision testing based on your recovery.

In addition to these points, it is essential to adhere to your doctor's post-operative instructions, which may include positioning (such as maintaining a certain head position) and avoiding activities that could strain your eyes. Nutritional support, such as a diet rich in antioxidants (found in fruits and vegetables), may also be beneficial for overall eye health, although specific supplements should be discussed with your healthcare provider.

Finally, maintaining open communication with your ophthalmologist is crucial. If you have any concerns about your symptoms or recovery process, do not hesitate to reach out for clarification or reassurance. Each recovery journey is unique, and your healthcare team is there to support you through this process.

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