What are the risks of removing stitches too early after eye surgery?How to deal with it?

Mondo Health Updated on 2024-01-31

Ms. Xia is a patient with ultra-high myopia of almost 1,500 degrees and retinal detachment in her left eye. Before the operation, the visual acuity of the right eye was only 002, the correction is also only 005, the left eye only has the light perception in front of the eyes, and it is basically giving up**. In April of this year, I performed a complex retinal detachment and ultra-high myopia eye surgery on her left eye, and her vision was restored after three months of silicone oil removal2. She was very happy.

On September 22 of this year, I performed surgery on her right eye for ultra-high myopia, and her vision was restored to 0 after the operation2. Because of a stitch, she always felt a foreign body sensation and tears. When I came for a follow-up two weeks after the operation, I hesitated in front of her and her family: I didn't remove the stitches, and I felt uncomfortable watching herIf the stitches are removed, the wound has not completely healed, and I am worried that the choroid and retina will detach from the wound due to water leakage. But I just couldn't bear to look at her uncomfortable, so I removed the stitches for her.

About three days after the stitches were removed, my fears were fulfilled: she said that her right eye suddenly became invisible. When I checked it, the intraocular pressure was low, my vision dropped to the anterior index, and according to the results of the fundus examination, I found a detachment of the retina and choroid, but the cause of the retinal detachment is still unclear (exudative or rhegmatogenous?).It is recommended to have a non-surgical ** week first. During this week, I fully understood that she was very stressed on her own. Originally, her eyes had recovered, not only did she spend money, but she suffered a crime, and she couldn't imagine that she couldn't see it again when she removed a needle and thread, and her relatives and friends around her encouraged her to come to the hospital**. But she and her lover are very reasonable people, and they also know that the reason why I removed the stitches was purely so that she would not feel uncomfortable. In the end, they ignored the instigation of the people next to them and completely followed my advice. After a week of observation, I performed retinal detachment reduction and gas injection surgery for her, and I found a small retinal tear on the top, which basically confirmed that the root suture removal was not directly related. Today is a month after the operation, and the vision of the right eye has returned to 02. In particular, the vision of the left eye has recovered to an excess of 04. Retinal reduction of both fundus. She and I were very happy.

Although most of the eye surgeries are minimally invasive, most of the surgeries I do do not require stitches, but there are a few cases where stitches are still required, such as hard and complex cataract surgery, retinal detachment reduction surgery in the case of inflatation, etc. Occasionally, there is a possibility of low intraocular pressure, intraocular infection, and choroidal and retinal detachment. If you encounter such a problem, it is good for the patient and his family to understand, but if they don't understand, it will become a good intention to do bad things, the gains outweigh the losses, and the effort is thankless!Because I myself have encountered such a situation where good intentions are not reciprocated, in order to avoid such a situation, I now try not to remove the stitches within a month, if the patient is uncomfortable, one is to comfort the patient;The second is that eye drops such as sodium hyaluronate can be used to alleviate uncomfortable symptoms. From Ms. Xia, we can see that including my own medical experience of more than 20 years, it is not terrible to have problems after surgery, as long as we doctors and patients are of the same heart, most of the complications related to surgery will recover betterThe terrible thing is that he didn't listen to the doctor's objective explanation, but took **, claims and other nonsense methods, which ruined his mood. Because a good mood can sometimes play a decisive role in the recovery of an illness, for the sake of your eye health, let's work together to overcome the disease.

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