Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
Do you know what surgery you had? Vitrectomy with gas/fluid exchange and endolaser, or scleral buckle etc?
Your pupil is probably still dilated due to the drops you are on or that were used during your surgery. One drop of atropine can keep your pupil dilated for 3 weeks or so.
what drops are you currently on?
I am ready doctor
the operation I had is silicon oil fill of the eye. The drops are:
Cyclate: I stopped this completely 10 days after the surgery
Pred Forte: I use this every two hours since the surgery
Xolamol: I use this two time a day (starting from the 10th day after the surgery)
Hello doctor, I answered you
Hi. Sorry. I am at work and had to see a patient....
With an eye full of silicone oil, you will not see well.
The xolamol is to control your eye pressure. This will not affect your pupil size
The effects of the cyclate, which does dilate your pupil, should be wearing off in the near future. There is a possibility, however, that you pupil may still stay dilated for other reasons.
The fact that your surgeon told you that your macula was not detached is a very, very good thing. This fact will give you the best chance of regaining good, useful, vision in this eye when everything is said and done.
You will, however, get a cataract in the near future from the silicone oil and your retina surgery. This will have to be fixed with another surgery. You will also, most likely, need another operation to remove the silicone oil once your torn retina has scarred down.
So. To directly answer your questions:
1. Don't worry about your dilated pupil at this point. Most likely this is from the drops you were using and it should return to normal.
2. It is going to take a long time, probably up to a year, for your vision to get to the point where it will be the best it is going to be. You will, for sure, require one or two more surgeries even if things progress as well as they possibly can.
Does this make sense to you?
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations. Thanks in advance, Dr. Rick MD FACS
I see that you are offline. I will switch to Q&A format. This format works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)
Hello Doctor, are you online?
I wanted to tell that I already had the cataract surgery simultaneously with the RD operation. I spent like three hours in the operation room
Thanks, but I surgeon told me that he will use the silicone oil the moment he examined me for the first time (less than a day after I had the detachment). At that time, the detachment was not complex, it was just in the upper right corner of the eye, but later the progress right before the surgery was rapid (I do not know why).
One thing to note is that the vision before I undergo the surgery was very bad and annoying (there was a black curtain from the bottom and the right sides of my eye); the rest of the vision was very foggy. When I saw the doctor for the first time the day after the operation, he was surprised due to the level of detachment I had just prior to the surgery (he told me this probably was due to the gravity action or so).
I need to know that if 68 hours have passed after I had the detachment is good or bad thing. And what if the macula was detached, but for a short time (hours), what will happen.
one more note, the objects (especially spot likes) look very distorted when I look at them and so are everything. Is this due to the operation or the dilated pupil? Also, I am afraid that the nerves of the pupil are damaged owing to the operation and it will not constrict back again.
Further, I need to know the chance that RD might happen in the left eye because I mainly depend on my left eye even before the surger (it was much stronger than the right eye); I use to to catch the very fine details. How can I avoid such a thing.
This is very disappointing, I asked the surgeon a straight question whether the macula was off or not, he answered that it was not, but the detachment was close to it. I am not sure what to believe and what to expect.
As for my case, with some focus I can see the numbers on my mobile from the usual distance. Also, i can read the caller name, although very distorted. The point is that I can read white letters on a black surface, but not black letter on a white surface!!!
My work is mainly in the office, so i need to know the estimated visual outcome from this surgery.
Also, I need to resume going to the gym because I always used to do so. I should note here that I never use heavy weights at the gym because I know that this might cause retinal tears. I just use moderate weights.
Also, how about driving especially overnight with this distorted vision?
another query; can I start working out on a treadmill or a cross trainer at this time to stress free my mind?
Also, in the future after recover, how often i should examine my retina in both eyes?
Doctor, I am already very shortsighted in both eyes, so I used to check my eyes yearly. After the RD, should I change the schedule of the eye exam (for example every 6 months?)
Also, when a surgeon will start taking the new prescription of the glasses after RD surgery using silicone oil?
it is clear from your answer that I will have to be patient for a considerable time. Being dependent on one eye (the non-operated eye) for that time negatively affects that eye or what? because I see two different pictures from both eyes.
Dr. Rick, could you please tell me the causes of retinal tears and what are the symptoms of development of a retinal tear? Also, what is the time required between the development of a tear in the retina and for the development of a retinal detachment. I need to take good care of the my both eyes in the future and avoid such situation..
This is what I am doing after each answer i receive. What else I can do?
So, you will not answer my question until I contact the customer service?