How to Handle Face-Down Recovery After Retinal Surgery
Most people understand that the key to optimal healing is found in recovery. Following the doctor’s orders for proper rest means getting back to your regular routine sooner rather than later while ensuring you get the results you hope for. But what if your healing time requires a sort of unconventional method not typical in most recovery plans. Post retinal surgery requires that patients maintain a face-down position for an extended period. Situating the body this way allows the gas bubble or oil placed in your eye during surgery to press against the retina, helping it to reattach properly. While this recovery may seem a bit overwhelming, there are strategies to make the process more manageable and comfortable.
Face-down recovery is typically necessary after surgeries that involve a gas bubble or silicone oil placement inside the eye to help the retina stay attached while healing. These include vitrectomy for retinal detachment, macular hole repair and macular pucker surgery. (Surgeries that do not require face-down recovery include laser photocoagulation and cryotherapy for retinal tears). Gravity helps the bubble stay in the correct position, while simultaneously reducing the chance of fluid accumulation in the eye. Failing to maintain a face-down position can cause fluid to seep behind the retina leading to complications including failed surgery or additional procedures. In some cases, a side-lying or upright position may be an alternative to a full-face down recovery, depending on where the gas bubble needs to apply pressure. Always follow your ophthalmologist’s instructions of specific guidance based on your surgery type and individual healing needs.
Adapting to a face-down position can be challenging, but specialized equipment can make it easier. Face-down recovery chairs, cushions and mirrors are designed to support this posture comfortably and many of these items are available to rent if purchasing them is not an option. Sleeping face-down may also be difficult, but using a functional face pillow or crafting a set up with a cut out hole for your face can provide relief and help maintain the necessary position overnight.
Creating a comfortable recovery space is essential as, most often, patients are required to continue with a face-down recovery from 5 to 14 days, although depending upon healing, that timeline could be extended to several weeks. Patients are encouraged to arrange a chair with adequate support and use a face-down system or stacked pillows to enhance comfort. A mirror placed on a table can aid in watching TV or interacting with others without straining your neck. Recovery should also involve having someone who can assist you with daily tasks such as meal preparation, household chores and errands. Engaging in passive activities like listening to audiobooks, podcasts or music can help pass time without requiring visual strain.
Neck and back pain are common during face-down retinal recovery. To alleviate potential issues, consider regular massages, gentle stretching and ergonomic support tools. Boredom and feelings of isolation may arise so stay connected to friends and family for your mental and emotional well-being. Prolonged contact with pillows and supports may cause irritation so use breathable fabrics and move as directed by your doctor. You’ll be able to get up and walk around when needed but be sure to look down at your toes to maintain that face-down position.
By following these guidelines on how to handle face-down recovery after retinal surgery, you increase the likelihood of a successful surgery that will help improve or stabilize vision. Retinal surgeries do not guarantee full restoration of eyesight depending on the severity of your condition, so your best course of action is staying patient as well as adherent to the recovery plan.
For more information, contact Associated Retina Consultants at 602-242-4928 or WEBSITE.