Black spots in vision post vitrectomy

[wonderlife007]

Hello,
   My mother recently had vitrectomy in one eye and she took good care of her eye post operation as instructed by he doctor. She had 60% improvement in the vision after the surgery and her Doctor mentioned that she should completely recover in couple months. She was on steroids since the operation. Just 2 weeks back she stopped the steroids as asked by her Doctor and last week all of sudden she has developed this small static black spots in her vision. She got her eye checked with her eye surgeon and got a second opinion but both the doctors mentioned that the eyes are looking good and they donot see anything of concern. They are simply saying that the black spots will eventually go away.

  Any idea on why she is seeing these blacks spots of sudden and what could be going on with her eyes?

thanks in advance for your time.

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

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[LUCKYTRADER01]

Hi;

I had a vitrectomy with all the works, photogoag laser 360 degrees around the retina, sclera buckle and gas.  All an attempt to keep the left eye from having additional retinal detachment, surgery date was April 12th 2010.

I have also noticed a single black spot in my field of vision, primarily  when the eye is exposed to bright sun light, maybe the pupil closing to limit the amounth of light thus causing addtional internal pressure?.  The spot wil diseappear when the amount of light into the eye is reduced.   I have floaters and the gas bubble is still 50% or more in the field of vision.  

Surgeon also says it's normal for the floaters and the spots, with time these should improve.  

Regards,


LUCKYTRADER01

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

What disease condition was the vitrectomy done for?
JCH MD

[wonderlife007]

Hello John,
   Thanks for your reply and sorry for the vagueness in the story.

   Let me try to be more precise on the characteristics of the black spots she has as she described to me:
-> They are static in nature,  always stays in the same place and not moving around.
-> They are very tiny but lot in numbers
-> They are not externally visible to anyone, meaning to us her eyes looks clean.
-> She doesn't have any pain in eyes.
-> They just started appearing all of sudden last week.
One thing to note : Couple weeks back , she stopped the steroids she was taking. Could there be any linkage between the Steroids and the black spots?

Not sure if this information helps.

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

No the story is too vague to be precise.  The black spots could be blood, vitreous floaters, inflammatory cells, air/gas bubbles, silicone oil, inflammed retina, etc

JCH MD