Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips - Ophthalmology

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Post-operative inquiry regarding retinal detachment surgery, thank you?


Hello, Director Gao.
Thank you for your response.
I would like to ask about my left eye, which has a retinal detachment.
I underwent scleral buckle surgery and air injection at the end of October, followed by a second surgery at the end of November, which involved vitrectomy, oil injection, and cataract extraction.
After the surgery, the oil migrated to the anterior chamber, and my intraocular pressure spiked to 50, so I received laser treatment to facilitate aqueous humor drainage.
I am currently awaiting my follow-up appointment in April.
I am only using two types of eye drops to lower the intraocular pressure and have not yet had the oil removed or had a lens implanted.
I still take 30-minute naps in the morning and afternoon, and I often experience pain above and beside my left eye post-surgery, for which I take pain medication.
I also feel a prickling sensation in my eye, and I have been tearing continuously.
When I visited the clinic, the doctor mentioned that there are two suture ends outside.
Additionally, I feel that I cannot fully open my eye.

Could you please advise if the pain above and beside my eye is a normal phenomenon? Will the pain ever subside? Is it normal to have a significant amount of discharge in the morning? What should I do if I cannot fully open my eye? Currently, I can only see blurred shadows with my left eye, and I am still wearing an eye shield.
Thank you.

Xiao Bai, 50~59 year old female. Ask Date: 2016/02/10

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Bai: Pain above and beside the eye may be caused by external sutures, as there are wounds that need to be stitched after surgery.
It is common to have discharge after eye surgery, and it is still necessary to use medication for treatment.
If no lens was implanted, blurred vision is normal, and retinal detachment can also cause vision impairment.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2016/02/10

More Info


Post-retinal detachment surgery recovery can be a complex process, and it is essential to understand the common concerns and care tips that can help facilitate healing. Based on your description, it seems you have undergone multiple procedures, including scleral buckling and vitrectomy, which can lead to a variety of postoperative symptoms and concerns.


Common Concerns After Retinal Detachment Surgery
1. Pain and Discomfort: It is not uncommon to experience pain or discomfort in the eye after surgery. The presence of sutures, inflammation, and the healing process can contribute to these sensations. Pain that is persistent or severe should be reported to your physician, as it may indicate complications such as infection or increased intraocular pressure.

2. Tearing and Discharge: Increased tearing and discharge can occur post-surgery, especially if there are sutures present. This is often a normal response as the eye heals. However, if the discharge is yellow or green, or if you experience increased redness or swelling, you should consult your doctor to rule out an infection.

3. Visual Changes: After surgery, it is common to have blurred vision or to see shadows. The vision may fluctuate as the eye heals, and it can take weeks to months for vision to stabilize. The presence of oil in the eye can also affect vision clarity. Your doctor will monitor your progress and determine the best time to remove the oil and replace it with a lens.

4. Intraocular Pressure (IOP): Elevated IOP is a concern after retinal surgery, especially if you have had procedures that involve the use of gas or oil. It is crucial to adhere to the prescribed medications to manage IOP and to attend follow-up appointments for monitoring.

5. Positioning: The recommendation to maintain a specific position (such as lying face down) is often to ensure that the retina remains in the correct position during the healing process. If your doctor has advised you to continue this practice, it is essential to follow their guidance.


Recovery Tips
1. Follow-Up Appointments: Regular follow-ups with your ophthalmologist are critical. They will assess the healing process, monitor IOP, and determine when it is appropriate to remove the oil and perform any additional procedures.

2. Medication Compliance: Continue using your prescribed eye drops, especially those for lowering IOP. If you experience side effects or have concerns about your medications, discuss them with your doctor.

3. Pain Management: If you are experiencing pain, discuss this with your physician. They may adjust your pain management plan or investigate further if the pain persists.

4. Eye Protection: Wearing an eye shield or patch as recommended can help protect your eye during the healing process. Avoid rubbing or putting pressure on the eye.

5. Rest and Activity Modification: Ensure you are getting adequate rest and avoid strenuous activities that could strain your eyes. Follow your doctor's advice regarding physical activity.

6. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support overall healing. Nutrients such as omega-3 fatty acids, vitamins C and E, and zinc are beneficial for eye health.


Conclusion
In summary, while some discomfort and visual disturbances are expected after retinal detachment surgery, persistent or severe symptoms should be evaluated by your ophthalmologist. It is essential to adhere to your follow-up schedule, medication regimen, and any specific positioning instructions provided by your doctor. Your recovery is a gradual process, and maintaining open communication with your healthcare provider will help ensure the best possible outcome. If you have any concerns about your symptoms or recovery, do not hesitate to reach out to your medical team for guidance.

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