Can vitrectomy for floaters cause wavy vision post surgery?

Question

Hi doctor,

I had vitrectomy for floaters six months ago. Because of that, I now have distorted and wavy vision. I have a long history of eye problems. I was born with congenital cataracts. This is all in my right eye. The left eye is legally blind. I have attached my optical coherence tomography (OCT) and eye pictures. Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I have seen your optical coherence tomography (OCT) image (attachment removed to protect the patient's identity), which is suggestive of discontinuation of the main layer which is responsible for vision. There is epiretinal membrane seen overlying your retina which sometimes cause distortion. In your case, it is very fine, and does not need any treatment for it. Since you have one eye functional and post vitrectomised, I would suggest keeping a close watch on this symptom, if it increases consult a doctor physically and repeat OCT again after two months. I would suggest you follow the following treatment plan -Home Amsler chart. Eye drop Acular LS (ketorolac tromethamine ophthalmic solution) three times a day for two months. Eye drop Systane ultra [Polyethylene Glycol (0.4 % w/v) and Propylene Glycol (0.3 % w/v)] three times a day. Consult your specialist doctor, discuss with them and take medicines with their consent. Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have seen your further optical coherence tomography (OCT) reports (attachment removed to protect patient's identity), and based on that, I diagnose it as a myopic refractive error. I would suggest you have OCT angiography. I want to see the macula area and the area between the optic nerve and macula. Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

I have seen (attachment removed to protect patient's identity) your optical coherence tomography (OCT) angiography results, which are fine; this must be old. They are fine. Vitrectomy was done only for floaters. In the high-definition OCT, you have shared, I am not happy with the continuity of the photoreceptor layer, which is responsible for waviness. These drops sometimes help decrease distortion and provide a soothing effect to the eye. Please continue to use these drops for one month. The contour of your eye is myopic and seems you would have in past high numbers. If you see your OCT, there is a bump seen, for which I wanted to see angiography, which is fine. Thank you.

Answer 4

Hello,

Welcome back to icliniq.com.

Optical coherence tomography (OCT) reports (attachment removed to protect the patient's identity) show continuous retina layers. No disintegration was seen pre-surgery. I would suggest putting those drops as suggested. I do not feel any further intervention is needed, as the outcome will not change. Thank you.

Answer 5

Hello,

Welcome back to icliniq.com.

I have seen your optical coherence tomography (OCT) reports (attachment removed to protect patient's identity), and I could not see any fluid or choroidal no vascular membrane. Even in your angiography, there is no leakage seen. That is why I have suggested OCT angiography which is a three-dimensional view of the retina, What you have sent me is standard angiography. Moreover, your distortion is quite an old complaint, by that time the changes would have been seen in OCT. I still suggest you same as what I have advised. Thank you.