Irritação no olho após cirurgia de retina

If you've undergone surgery to treat a detached retina and are experiencing discomfort, such as redness or eye irritation, it's normal to wonder what might be going on. This article will help you better understand the possible causes of these symptoms and how to proceed to ensure a proper recovery. #### What is retinal detachment? Retinal detachment occurs when the retina separates from the layer of blood vessels that nourishes it, which can lead to partial or total loss of vision if not treated quickly. Depending on the stage of the detachment, interventions can range from less invasive treatments, such as laser photocoagulation, to more complex procedures, such as vitrectomy associated with the use of silicone oil or scleral introflexion. #### Main types of surgery for retinal detachment There are different approaches to treating retinal detachment, each with its own level of complexity. The choice of technique depends on the extent of the detachment, its location and other factors specific to the patient's case. Let's talk a little about the most common procedures: 1. **Laser photocoagulation: This is indicated in cases where there is only a small break in the retina and the detachment has not yet occurred or is at an early stage. The laser creates small scars around the break, preventing the detachment from progressing. 2. **Pneumatic retinopexy: Here, a gas bubble is injected into the eye to press the retina back into place. This gas expands inside the eye, pushing the retina against the eye wall and preventing fluid from continuing to enter underneath it. After the procedure, it is common for the patient to need to keep their head in certain positions to help with the recovery process. 3. **Scleral introflexion: This technique involves placing a silicone band around the white part of the eye (sclera) to press it slightly inwards. This pressure helps to hold the retina in place, allowing the tear to heal properly. 4. **Vitrectomy: Vitrectomy is the most complex procedure. In it, the vitreous (the gel that fills the inside of the eye) is removed and replaced with silicone oil or gas. The silicone oil can be removed in a later surgery, while the gas is reabsorbed by the body over time #### Post-operative discomfort After retinal detachment surgery, it is common to experience some level of discomfort. Patients who have undergone more invasive surgeries, such as vitrectomy with scleral introflexion and the use of silicone oil, may experience swelling, redness and irritation, especially in the first few days. However, when these symptoms persist for months, as in the case reported by one of our followers, it's important to understand what might be going on. 1. **Residual inflammation: Even three months after surgery, it is possible that the eye is still inflamed due to the manipulation carried out during the procedure. The silicone band and silicone oil inside the eye can contribute to this prolonged inflammation. In these cases, the use of eye drops with corticoids or anti-inflammatories may be necessary to help reduce swelling and irritation. 2. **Eye dryness: Continuous use of eye drops, especially those based on corticoids, can lead to dry eyes. Dryness can cause a gritty feeling in the eyes, redness and discomfort, requiring the use of artificial tears for lubrication. #### When to go to the doctor Although discomfort may persist for some time after surgery, it is not expected to last indefinitely. If you are concerned about redness or eye irritation months after surgery, it is essential to consult your ophthalmologist. Only a face-to-face assessment can determine whether there is something else going on, such as an unabsorbed stitch or residual inflammation that requires further treatment. Remember that regular follow-up is essential to ensure a full recovery and prevent complications. Your doctor may adjust your medication or recommend complementary treatments to improve the comfort and health of your eye. This video and its comments are not a substitute for a medical consultation and are for educational purposes only. They should not be used for decision-making purposes, which requires a face-to-face consultation with a specialist doctor. Author: Dr. Mário César Bulla Cremers 28120 Ophthalmologist - Retinologist www.clinicabulla.com.br www.especialistaemretina.com.br Instagram: @retina.bulla Video URL:    • Irritação no olho após cirurgia de retina   @Retina e Vítreo #retina #ophthalmology 0:00 Discomfort after retinal surgery. 1:30 The various types of surgery for retinal detachment. 1:50 Laser, pneumatic retinopexy, scleral introflexion and vitrectomy.