Post-Retinal Detachment Surgery: Managing Eye Misalignment and Symptoms

Strabismus after retinal detachment surgery?

Hello, Dr.
Jiang.
Due to retinal detachment caused by fluid accumulation in my right eye, I underwent a vitrectomy with the placement of a scleral buckle last month.
The surgery was successful, and the gas has been completely absorbed.
I have a few questions:
1.
During each dressing change, I notice that my vision in the right eye differs from the left, resembling strabismus.
Is there a way to address this? Compared to the left eye, the right eye seems to have a smaller appearance, as the left eye feels more prominent while the right eye feels flatter.
2.
The doctor advised against vigorous exercise.
Is running permissible?
3.
When lying on my back, I see several small black spots moving around, which are different from the shadows caused by the gas.
Sometimes there are only two or three spots, while other times there are a dozen or more.
What causes this, and will they disappear?

Miss Hong, 20~29 year old female. Ask Date: 2015/11/12

Dr. Wang Zhishun reply Ophthalmology

Hello, 1.
If you have undergone scleral buckle surgery, this situation may occur (as the buckle is placed beneath the eye muscles).
It is best to observe for 3 months and address any issues if necessary.
2.
Jogging is permissible.
3.
There may still be some debris in the vitreous; please ask your doctor to check during your next appointment.

Reply Date: 2015/11/12

More Info

Hello, thank you for reaching out with your concerns regarding your post-retinal detachment surgery. It’s understandable to have questions and worries after such a significant procedure. Let’s address your queries one by one.

1. Eye Misalignment and Perceived Size Difference: After retinal detachment surgery, it is not uncommon to experience some degree of misalignment or perceived differences in the size of the eyes. This can be due to several factors, including the healing process, changes in the eye's structure, or even the way the brain is processing visual information from the two eyes. If your right eye appears smaller or less prominent than your left, this could be related to the surgery itself or the underlying condition that led to the detachment. In some cases, the eye may take time to adjust post-surgery, and the appearance may improve as healing progresses. However, if the misalignment persists, it would be advisable to consult with your ophthalmologist or a specialist in strabismus (eye alignment) to explore potential treatments, which may include vision therapy or corrective lenses.

2. Exercise Restrictions: Following retinal detachment surgery, it is crucial to adhere to your doctor’s advice regarding physical activity. While light activities may be permissible, you should avoid any vigorous exercise, including running, until your doctor gives you the green light. The reason for this caution is that high-impact activities can increase intraocular pressure and potentially jeopardize the healing process. Always consult your surgeon for personalized advice based on your recovery progress.

3. Floaters and Visual Disturbances: The presence of small black spots or "floaters" in your vision is a common occurrence after vitreoretinal surgery. These floaters are typically caused by changes in the vitreous gel, which can become more liquid and allow small particles to float within it. The appearance of these floaters can vary; they may increase in number or intensity during the healing process but often diminish over time as the eye adjusts. While they can be bothersome, floaters are usually harmless. However, if you notice a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, it’s essential to contact your eye doctor immediately, as these could be signs of complications.

In summary, while some of the symptoms you are experiencing may be common after retinal detachment surgery, it is essential to maintain open communication with your healthcare provider. Regular follow-up appointments are crucial for monitoring your recovery and addressing any concerns that arise. Your doctor can provide tailored advice based on your specific situation and help ensure the best possible outcome for your vision.
If you have any further questions or concerns, please don’t hesitate to reach out to your healthcare provider. Your health and peace of mind are paramount.

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