Seeing Flashes After Scleral Buckling: Should You Be Concerned? - Ophthalmology

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Flashes of light reappearing a few weeks after scleral buckle surgery?


Hello Doctor, I had a scleral buckle surgery for retinal detachment in my left eye about a month ago and was hospitalized for nine days.
The doctor said the attachment is good and I should return for a follow-up in a month.
About three weeks after discharge, I started seeing flashes in my left eye, similar to what I experienced before the retinal detachment, so I went to a nearby ophthalmology clinic.
The physician mentioned that seeing flashes is not a good sign, but the retina is still well attached; however, the blood and fluid in the area of the buckle have not yet been absorbed.
Does seeing flashes mean that my retina might be detaching again? Will the flashes ever go away on their own? I'm really worried!

Mr. Chen, 20~29 year old female. Ask Date: 2014/01/03

Dr. He Jianxian reply Ophthalmology


Hello: It is advisable to visit a medical institution for examination.
Wishing you good health.

Reply Date: 2014/01/03

More Info


Seeing flashes of light after undergoing scleral buckling surgery can understandably cause concern, especially given your recent history of retinal detachment. It's important to understand the context of these symptoms and what they might indicate.

Flashes of light, or photopsia, can occur for several reasons, particularly in the context of retinal health. After a scleral buckling procedure, which is designed to repair a detached retina, the eye undergoes significant changes as it heals. The surgery involves placing a silicone band around the eye to support the retina and help it reattach. During the healing process, the vitreous gel inside the eye may continue to change, and this can lead to sensations of flashes or light.

In your case, since you are seeing flashes in the same location as before the surgery, it is understandable to worry that this might indicate a recurrence of retinal detachment. However, it is also possible that these flashes are a result of the vitreous gel pulling on the retina as it continues to heal. This is a common occurrence and does not always signify a new detachment.
The fact that your doctor has confirmed that the retina is still well attached is reassuring. It suggests that while the flashes may be concerning, they do not necessarily indicate an immediate problem. However, it is crucial to monitor these symptoms closely. If the frequency or intensity of the flashes increases, or if you experience new symptoms such as a sudden increase in floaters, a shadow in your vision, or a curtain-like effect, you should seek immediate medical attention.

Regarding your concern about whether the flashes will ever go away, it is difficult to predict. Some patients find that these flashes diminish over time as the eye continues to heal and the vitreous gel stabilizes. Others may continue to experience them intermittently. If the flashes persist but do not worsen, it may be something you can learn to live with, although it is always best to keep your eye doctor informed about any changes.

In summary, while seeing flashes after scleral buckling can be concerning, it is not uncommon and does not automatically indicate a new retinal detachment, especially if your retina is still attached according to your recent examination. Continue to monitor your symptoms and maintain regular follow-ups with your eye care provider. They can provide the best guidance tailored to your specific situation and help alleviate your concerns. Remember, your eye health is paramount, and staying informed and proactive is key to managing your condition effectively.

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