post-operative residual silicon oil bubble

[psuoh]

Hi

I had retinal detachment surgery (vitrectomy) and silicon oil was used.  i had the oil taken out a month ago.  i am seeing post-operative residual silicon oil bubbles after few days of the surgery. I understand that it can be difficult to spot and remove all of these during vitrectomy.  will the bubble eventually get absorbed by the body or will i have these bubbles forever?

thanks in advance.

[JohnHaganMD]

The most important thing is protecting the remaining good eye from injury, eye or systemic disease.  Note bending and lifting is not the cause of detachments.

JCH MD

[Mixxmol]

I've had oil in my eye due to excessive bleeding on 1 st surgery. It was removed after a month and a gas bubble put in. Then 2 more detatchnents. And bleeding. Then oil again and lense removed due to a large cataract developing.  His plan was to leave oil 6 months but now scar tissue developing so surgery number 5 is in 3 weeks. He plans to remove oil fix scar tissue and put in a large gas bubble. If all heals fine then ill get a new lense. He does not expect I'll have all vision restored.  I'm hoping for half. No telling till its done . I doubt I'll  be able to return to my job as it involves bending and lifting and I'm afraid to have another detatchnent or the other eye doing the same.

[CTPL]

Hi Sir, my mum have few retina surgery last 2 years. during first 2 retina detachment operation the specialist pump in gas into my mum eye. However, the retina still detach again. At last the doctor put in oil into my mum eye. Till now the oil work well in my mum eye. Until recent follow up session, the specialist advice that the oil has started to block the lens in my mum eye. Doctor give my mum 2 option. 1) leave the oil in the eye, but the vision will get more blur n blur. Option 2) take out the oil & change a new lens.after this operation there will be 30% vision left.But there is a risk where retina will detach again.

Would like to seek your advice on below:
1) is there any side effect if my mum choose to leave the oil permanently in the eye? Since the oil started to block the vision, will my mum loss all her vision if the oil remain in the eye?


2)if my mum choose option 2. Is there high risk that the retina may detach again? Touch wood if the retina detach again will it affect my mum eye structure & vision?

Thanks

[John C Hagan III, MD, FACS, FAAO]

The oil within the eye is not painful, however oil is used in very extensive, complex surgery such as recurrent retinal detachment and there is often pain, redness and irritation after surgery.

If possible you might seek an independent second opinion.

JCH MD

[manav25]

Hi, sir my father also had retina surgery a month ago and silicon oil was injected in his eye also, but the problem is that post operation there has been a lot of pain in his eye and no doctor has any answers to it. He has been taking pain killers for it but they also have side effects...plz suggest me an alternative. Will reducing oil from the eye help???
Thanks
Manav

[John C Hagan III, MD, FACS, FAAO]

There have been several questions on both eye forums about SILICONE OIL. Because neither Dr. Kutryb no I are retinal surgeons I spoke with one of the retina surgeons in our group about recent questions.

1. Silicone oil can be left in the eye indefinitely although that isn't necessarily the recommended course. Typically most retinal specialists will try to remove oil after 4-6 months depending on how the retina looks. I have several patients that have a localized area of retinal that becomes detached under oil, for that reason I will elect to keep the oil in indifinitely due to the poor visual potential and the risk of redetachment if the oil is removed.

2. During removal it is always recommended to remove as much of the silicone oil as possible.

3. The biggest concerns with the silicone oil are corneal decompensation, migration into the anterior chamber, glaucoma and smulsification on the posterior surgace of a silicone intraocular implant (IOL).

Your symptoms should get better with time. Ask your surgeon this question.


JCH III MD