Recovery after retinal detachment surgery: gas, positioning and flying

The retina has been reattached and sealed, and the eye now needs time, and often a particular head position, to hold it in place while the scar forms. The figures below come from Hull and Norfolk and Norwich leaflets, which are specific to vitrectomy and related repairs.

Your surgeon will tell you which type of bubble was used and what to do, because the instructions differ between gas, oil and a buckle.

The eye may be sore, red and swollen for a week or two. Hull says drops are needed for four to six weeks. If you have a bubble, the surgeon may ask you to hold your head in a specific position, sometimes face-down, because the bubble rises and presses on the area that needs support. Positioning requirements vary by bubble type, and some last for days or weeks.

Keep to the schedule as closely as you can. Short breaks to eat, drink and use the toilet are usually allowed; ask what the rules are for your case.

You cannot drive while there is gas in the eye, because the bubble is mobile and interferes with depth and hazard perception. After the gas has gone, Hull says driving may resume within several days if you have good vision in your other eye, but your surgeon decides. Your insurer expects you to follow medical advice.

Flying and high altitude are prohibited until the gas has completely absorbed, because pressure changes can expand the bubble and damage the eye. Hull gives up to eight weeks. Tell anyone planning another anaesthetic that you have gas in your eye.

• Wear any gas wristband or carry the card you are given.

• Avoid mountain roads and cable cars as well as flights.

• Plan time off work according to your job and positioning instructions.

Gentle walking is usually fine, but heavy lifting, straining and contact sport are best avoided until your surgeon clears them. The positioning period may limit how long you can walk about. Ask specifically about swimming, which is often restricted for several weeks.

Expect eye clinic reviews in the first days and weeks, then at intervals. If silicone oil was used, a second operation to remove it is planned months later, as Hull describes. Cataract surgery may be needed later because cataract forms more quickly after vitrectomy for most people with a natural lens.

• Increasing pain, loss of vision, increasing redness or discharge: contact the hospital immediately.

• New floaters, flashes or a shadow across vision: urgent assessment, NHS 111 or eye casualty.

• Persistent vomiting or severe headache with eye pain.