Retinal detachment details

[hariprasanna]

I done retinal detachment operation before 6 years but that time my vision is not so clearly I can view only zigzag.. Is there anyway to cure and have clear normal vision?

[JohnHaganMD]

A permanently dilated pupil is a well known and not unusual complication of the type of surgery you had.

The best possible outcome would be if you were on atropine drops until recently (red top). It can take 3-4 weeks to wear off a blue or light colored iris.

Use the search feature and you will find other people that have had dilated pupils following retinal surgery and laser surgery.

JCH MD

[Brian_odka]

Understood. Why my eye is still dilated? Did doctor do something wrong?

[JohnHaganMD]

Given all the problems your eye has had it may not recover normal vision and it may be 6-12 months before you know the final recovery. In the meantime you need to work through what you need to do to read comfortably using your "good" eye.

You logic is wrong using that table.  It refers to a normal eye with that refractive error. You cannot use that table. In spite of putting up the best possible RX your doctor could not get you beyond 20/80. You cannot know what the RX was without asking your doctor.  

JCH MD

[Brian_odka]

The problem is coming from the operated eye. Worry is the operated eye is still dilated and became much worse than it used to. Before the surgery, my operated eye had a glass prescription of -4.5 diopters and other has -5 diopters. My doctor checked eye exam with my current lenses and told me operated eye has 20/80. After looking at the following web link:
http://www.improve-vision-naturally.com/20-20-vision.html
20/80 is equal to -2 diopters. I do not think it is correct.

[JohnHaganMD]

You need to determine if the problem is coming from the operated eye or the unoperated eye.

1. you would not expect the operated eye to be able to read with that level of vision and a dilated pupil.
2. Try reading with the operated eye covered. If you wear glasses cover the lens. If that helps then read with the operated eye covered.
3. If with the operated eye covered you still experience difficulties and you don't wear glasses try getting a +1.00 reading glass at the drug store. You are at the age where reading glasses or bifocals are often necessary.
4. If you are myopic try reading without your glasses.

JCHMD

[Brian_odka]

Hi Dr. Hogan:

Thank you for your posts! I am 39 years old and I had Pars plana vitrectomy membrance peeling, gas fluid exchange, endodiathermy, endolaser, injection of 18% SF6). A problem I have is it has been 30 days since I had this surgery and my affected eye has still dilated and I can not read books. Whenever see books, they are so blurry!  
I never had this problem before this surgery. Now my affected eye has 20/60- at near and  20/80 at long distance. Is it possible that the dilatation causing this short distance vision problem?

[JohnHaganMD]

Use the search feature and archives to read the many posts about retinal detachment surgery and the slow and often incomplete recovery of vision after surgery.

You should be under the care of an ophthalmologist especially with such poor vision in the operated eye. Only an ophthalmologist that actually examined your eye can tell you if anything can be done to help the eye that has had the surgery.  Even more important is to check the remaining eye to be sure it does not develop a RD or glaucoma or other eye disease.

So we cannot tell you anything about what can be done but don't neglect your good eye.

JCH MD