Dr. Shachi Dwivedi
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My husband had retinal detachment surgery last year. He had a partial scleral buckle placed in his left eye. He has had a slow recovery but so far, no issues. Today, I hit him in the eye with my elbow. His eye is bloodshot and there is a faint color of purple. He says that he can feel a scratchy feeling but there is not any pain and his vision is normal. What should we do? What symptoms should we look out for if the buckle has been moved or is broken? He is now experiencing double vision. The double vision has subsided. Could you tell me what symptoms we should look out for if the buckle is moved or breaks?
Please help.
Hello,
Welcome to icliniq.com.
I went through your query and understood your concern.
You can see the buckle actually by asking him to look at all different peripheral gazes. The buckle will be seen as an elevated part in the otherwise normal conjunctiva. As for breaks you have to look for flashes of light if seen by him or any floaters. The blood you are seeing is subconjunctival hemorrhage. I suggest you use cold compression for that with vitamin C chewable tablets thrice daily.
I hope this helps.
Thanks and regards.
Patient's Query
Hello doctor,
Thanks for your reply.
His left eye is feeling better and the redness went down quite quickly. I just have one more question to ask. Does retinal detachment increase eye pressure and can increased eye pressure cause retinal detachment?
Please help.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Retinal detachment causes low intraocular pressure (IOP) and low IOP can lead to choroidal detachment.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hello doctor,
Thanks for your reply.
How does it cause low eye pressure? Is there any way to know early whether retinal detachment has occurred?
Please help.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
If retinal detachment is there, your husband will see a black curtain-like thing falling in front of the eye.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hello doctor,
Thanks for replying.
How about eye pain? Does retinal detachment come with any pain?
Please help.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Retinal detachment does not cause any pain.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
We visited the doctor, and everything was fine. I just have one final query. What are the chances of my husband's having retinal detachment again in the future. On his left eye, he had the partial sclera buckle and laser treatment to prevent future tears. He also had laser treatment on his right eye. What are the chances that he’ll experience retinal detachment again? Here is some pictures of his left and right eye. These images where taken yesterday.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
As of now both his retinas are well lasered. There is no hole or tear. Just take precautions. No heavy weightlifting or strenuous work ever.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
My husband recently got into a fight and was unsure whether his eye was hit. We went to the hospital, but the doctors there were quite rude and did not seem to care. I had some concerns about some of his scans which I attached below. Please could you look at them and give us your expert opinion. These are all of his left eye.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
I saw your scans (attachment removed to protect the patient’s identity). All is fine. It is a healed retinotomy there (red circle). The previous RD would have happened from that place and is well sealed now. retina is well lasered. Nothing to worry.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
No do not worry. Doctor would have done an indentation to examine retina. It does not cause any harm.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Patient's Query
Hi doctor,
These are the last pictures. My husband just worried about this final area that we noticed. Is this a tear? Thank you again
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
That is a sealed atrophic retinal hole. Nothing to worry.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
I have just one final question. Is this a retinal tear?
HelloNo that is an atrophic retinal hole.
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Ophthalmology (Eye Care)
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