Retinal Detachment: Recovery, Laser Treatment, and Vision Concerns

Retinal detachment and follow-up laser treatment?

Hello, Doctor.
In October 2015, I experienced a sudden retinal detachment and underwent vitrectomy and laser surgery.
However, my vision has not improved significantly, and the detachment did not involve the macula.

1.
Does waiting 24 hours to perform surgery after the detachment have any impact?
2.
During my recent follow-up, I was advised to undergo another laser treatment.
Is this situation common? Does it indicate that the surgical outcome was poor? Is there still a chance that further procedures may be necessary?
3.
My vision is worse in dim lighting compared to the morning, where I can hardly see anything.
Additionally, I perceive colors as more orange and yellow during the day.
Are these two conditions normal after surgery, or could there be other retinal issues?
4.
Are there any supplements I can take? Thank you.

Shishi, 20~29 year old female. Ask Date: 2016/03/06

Dr. Wang Zhishun reply Ophthalmology

Hello, if the retinal detachment does not involve the macula, it is best to perform surgery within 24 hours, although other factors should also be considered.
If follow-up visits indicate the need for additional laser treatment, it may be due to localized retinal fluid accumulation or incomplete adhesion.
There are many possible reasons for poor visual recovery, so it is better to consult your physician directly.
There are no specific supplements that are helpful.

Reply Date: 2016/03/06

More Info

Hello! Thank you for your questions regarding retinal detachment and your recovery process. Retinal detachment is a serious condition that can lead to permanent vision loss if not treated promptly. Let's address your concerns one by one.

1. Delay in Surgery: Waiting 24 hours after the onset of retinal detachment before undergoing surgery can potentially impact the outcome, but it largely depends on the extent of the detachment and whether the macula (the central part of the retina responsible for sharp vision) was involved. If the detachment was extensive or involved the macula, the delay could lead to poorer visual outcomes. However, if the detachment was localized and the macula was intact, the delay might not have a significant effect. Each case is unique, and the timing of surgery is crucial in determining the final visual prognosis.

2. Need for Additional Laser Treatment: It is not uncommon for patients who have undergone surgery for retinal detachment to require additional laser treatments. This can happen if there are residual tears or if the retina does not reattach as expected. The need for further intervention does not necessarily indicate that the initial surgery was unsuccessful; rather, it may be a part of the healing process. Continuous monitoring is essential, and your ophthalmologist will determine the best course of action based on your specific situation.

3. Vision Changes in Different Lighting Conditions: Experiencing differences in vision quality in low-light conditions compared to bright environments can be a normal part of recovery, especially after retinal surgery. However, if you notice significant color changes, such as seeing things with a yellow or orange tint, this could indicate changes in the retina or the lens of the eye. It’s essential to discuss these symptoms with your eye doctor, as they may need to conduct further examinations to rule out any complications or additional retinal issues.

4. Supplements for Eye Health: While there are no specific supplements that can reverse retinal detachment or improve vision post-surgery, maintaining overall eye health is important. Nutrients such as omega-3 fatty acids, lutein, zeaxanthin, and vitamins C and E are often recommended for general eye health. However, it’s crucial to consult with your healthcare provider before starting any supplements, especially after a significant eye surgery, to ensure they are appropriate for your condition.

In summary, recovery from retinal detachment can be a complex process, and it’s essential to maintain regular follow-ups with your ophthalmologist. They will monitor your progress and address any concerns you may have regarding your vision. If you experience any sudden changes in vision, such as flashes of light, new floaters, or a curtain-like shadow over your vision, seek immediate medical attention. Your vision is precious, and proactive management is key to achieving the best possible outcome. Thank you for your questions, and I wish you the best in your recovery!

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