Post scleral buckle surgery

[NaeemAyub]

I had a Retinal detachment in left eye and went through scleral buckle surgerywith Gas bubbles injected in the eye on 19th Feb, recovering well and eye-sight is improving; a bit concerned that my buckle shows up as a bump under Eye Lid when i look right; would appreciate if anybody can shed some light on it. i tried to find-out on the internet but everywhere it is mentioned that nobody can notice it after surgery but in my case it can be seen as bump upon looking right side.

[NaeemAyub]

Thanks for your guidance John

[NaeemAyub]

hi.. it's been almost 4 months since my surgery,, my vision still is wavy and circular object looks to me oval and bit more distant than they actually are.
any advise/observation on normal recovery...

[JohnHaganMD]

RD surgery makes the eye more myopica often if a "scleral buckle" is done that could account for the image being distorted. The wavy objects are due to macular abnormalities. It could have been a 'macula off retinal detachment" or you could have swelling of the macula (edema) or a membrane over the macular (epiretinal membrane). These could be permanent but could also improve with time. You will need to discuss with your surgeon. Ask whther the macula was off or on before RD surgery done. If macula off more likely to be permanent.

[JohnHaganMD]

=

[NaeemAyub]

Thank you and have a nice day. :)

[JohnHaganMD]

Go with the physician that you are seeing now. That is the only one that can see how your eye is healing. Also read all the side effects of prolonged steroids. You are also being treated for glaucoma. Its possible that you might have "steroid glaucoma" from your prolonged use of steroid drops.

JCH MD

[NaeemAyub]

actually i  moved to another country after surgery and according to my surgeon i was supposed to use steroid drops for about 3 to 4 months; however the new doctor examined me a couple of days ago and advised to stop using them; its been 52 days since surgery as of today.

I am confused due to difference of opinion between my surgeon and the new doctor that i am seeing for post-op followup.  cant disagree with the new dr but i was looking for your opinion if i continue steroid drops for another month would it be harmful? I am using FML-NEO( Allergan). The new dr gave me combigan (allergan) for IOP and Hylo Gel as lubricant.

[JohnHaganMD]

Steroids do not reduce risk of infection they are an anti-inflammatory medication and use varies considerably with scleral buckle surgery so can't generalize. Your surgeon will need to advise.

[NaeemAyub]

Hi John,  

Please advise for a healthy person  in general; how long steroid eye drops should be used after scleral buckle surgery to avoid any kind of infection etc.

your response would be highly appreciated.

[JohnHaganMD]

Best of luck with your healing