Recovery from detached retina surgery involves distinct healing stages, each with specific expectations. This article outlines what individuals can anticipate during this process.
The Immediate Aftermath
After detached retina surgery, patients recover from anesthesia. Initial discomfort is common, including mild pain, blurry vision, or a gritty sensation, especially if stitches were used. The eye may also appear red, swollen, or tender for days or weeks.
Medical staff provide instructions, often including wearing an eye patch or shield. If a gas bubble was introduced to help the retina reattach, specific head positioning instructions will be given. This positioning, such as face down or on a side, helps the bubble exert pressure on the retina.
Navigating Home Recovery
At home, adhere to the prescribed eye drop regimen for several weeks to prevent infection and manage inflammation. Mild pain and discomfort are normal during the initial weeks and can be managed with over-the-counter pain relievers. Some eye drainage is also expected during the first week, gradually decreasing.
Vision changes are common during home recovery. If a gas bubble was used, vision will be significantly blurry, gradually improving as the bubble dissipates and is replaced by the eye’s fluid. This process can take weeks or months; patients might notice a horizontal line as the bubble shrinks. Regular follow-up appointments monitor healing, assess eye pressure, and adjust the treatment plan.
Activity and Lifestyle Modifications
During recovery, modify activities to support healing and prevent re-detachment. Avoid strenuous activities, heavy lifting, and bending over for several weeks, as these increase eye pressure. Do not rub or press on the operated eye. If a gas or oil bubble was placed, maintain specific head positioning for days to weeks.
Specific restrictions apply to travel and hygiene. Flying or traveling to high altitudes is prohibited with a gas bubble, as cabin pressure changes can expand it and damage the eye. When showering or washing hair, prevent water and soap from entering the eye. Driving is restricted until vision stabilizes and the surgeon provides clearance.
Potential Concerns and Vision Prognosis
As recovery progresses, be aware of symptoms warranting immediate medical attention. These include severe or increasing eye pain not relieved by medication, new flashes of light or increased floaters, sudden worsening vision, or infection signs like thick discharge, increasing redness, or swelling around the eye. Any such symptom requires immediate contact with the ophthalmologist.
Long-term vision outcomes after detached retina surgery vary among individuals. Factors like macula involvement (the central part of the retina responsible for sharp vision) and surgical repair type influence final visual acuity. Vision generally improves over time, but achieving the best possible vision can take several months, sometimes six months or longer. Some individuals may still experience blurriness, double vision, or residual floaters. If silicone oil was used, a second surgery may be necessary to remove it.