Post-Scleral Buckling Surgery: Addressing Eye Discomfort and Concerns

Q: Post-Scleral Buckling Surgery: Addressing Eye Discomfort and Concerns

Hello： After general eye surgery, the surface of the eyeball may have experienced a process of injury, inflammation, and healing, which can lead to a deficiency in the tear film, resulting in dryness and discomfort. <br>However, with appropriate rest, warm compresses, or the appl

Post-scleral buckle surgery

Hello Doctor, I underwent scleral buckle surgery for retinal detachment six months ago.
Recently, I've been experiencing occasional foreign body sensation in the affected eye, which improves after resting or washing my face with a towel.
Additionally, I feel a hardness around the bridge of my nose near the affected eye.
Is this related to the buckle? I'm also curious about the potential effects of removing the buckle.

Aoi, 10~19 year old female. Ask Date: 2014/11/18

Dr. Zhuang Yamin reply Ophthalmology

Hello: After general eye surgery, the surface of the eyeball may have experienced a process of injury, inflammation, and healing, which can lead to a deficiency in the tear film, resulting in dryness and discomfort.
However, with appropriate rest, warm compresses, or the application of eye drops, improvement is usually observed.
This is a common situation following eye surgery and is not limited to scleral buckle procedures.

Additionally, you mentioned feeling a hard area on the nasal side of the eye; this is likely the location of the buckle.
The length and position of the buckle can vary depending on the location and extent of the retinal tear.
Generally, if the retina remains stable for a period after reattachment, and if the surgeon assesses it as permissible, the buckle can be removed if it causes discomfort on the ocular surface.
Of course, this should only be done if it does not jeopardize the stability of the retina.
Therefore, it is essential to have regular follow-up appointments with your surgeon for monitoring and assessment.

Wishing you good health,
Changhua Hospital Ophthalmology Department cares about you~

Reply Date: 2014/11/18

More Info

After undergoing scleral buckling surgery for retinal detachment, it is not uncommon to experience a range of sensations and discomfort in the affected eye. Your concerns regarding the feeling of an "foreign body" sensation, as well as the hardness near the nasal bridge, are valid and warrant further discussion.

Firstly, the sensation of discomfort or a foreign body feeling in the eye can be attributed to several factors post-surgery. The scleral buckle itself, which is a silicone band placed around the eye to support the retina, can sometimes cause irritation or pressure on the surrounding tissues. This can lead to sensations that may feel unusual or uncomfortable. Additionally, the healing process can involve changes in the eye's surface and surrounding tissues, which may contribute to these feelings. It is also possible that the eye is still adjusting to the changes made during surgery, and this can take time.

Regarding the hardness you feel near the nasal bridge, this could indeed be related to the scleral buckle. The buckle may create a slight alteration in the shape of the eye or the surrounding tissues, leading to a feeling of firmness or pressure in that area. It is essential to monitor these sensations, especially if they change in intensity or are accompanied by other symptoms such as pain, swelling, or changes in vision.

As for the question of whether removing the buckle would have any implications, it is crucial to understand that the decision to remove a scleral buckle is not taken lightly. The buckle is intended to provide long-term support to the retina and prevent further detachment. Removing it could potentially lead to complications, including the risk of re-detachment of the retina. Therefore, any consideration of buckle removal should be discussed thoroughly with your ophthalmologist, who can evaluate the current state of your eye and the necessity of the buckle.

In terms of managing your discomfort, here are a few recommendations:
1. Regular Follow-ups: Ensure you are attending all scheduled follow-up appointments with your ophthalmologist. They can assess the healing process and address any concerns you may have.

2. Eye Care: If you experience dryness or irritation, consider using artificial tears to lubricate the eye. This can help alleviate the sensation of a foreign body.

3. Avoid Rubbing: Refrain from rubbing your eyes, as this can exacerbate discomfort and potentially lead to complications.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity of discomfort or any new sensations. Report these to your doctor during your visits.

5. Discuss Concerns: If the discomfort persists or worsens, do not hesitate to bring this up with your ophthalmologist. They may recommend imaging studies or other assessments to ensure everything is healing correctly.

In conclusion, while some discomfort after scleral buckling surgery is normal, it is essential to maintain open communication with your healthcare provider. They are best equipped to evaluate your specific situation and provide tailored advice based on your healing progress. Your eye health is paramount, and addressing these concerns promptly can help ensure the best possible outcome.

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