PostOp Eyes

When can I fly after retinal detachment surgery?

General information about typical recovery, not medical advice. Every eye and every surgery is different, and your surgeon's instructions override anything on this page. Read our full disclaimer.

Short answer

If gas was used, not until your surgeon confirms the bubble is completely gone. If no gas was used, ask your surgeon, because the restriction is a gas rule.

AAO is direct: with an air or gas bubble, you cannot fly in an airplane, travel to high altitudes, or scuba dive. AAO explains that changes in air pressure during flight make the bubble expand, dramatically increasing eye pressure, which can cause severe pain, permanent vision loss, or even blindness.

StatPearls says the same for retinal detachment patients: when intraocular gas is present, patients should avoid air travel, because it can cause expansion of the gas bubble and an extreme rise of intraocular pressure with possible permanent optic nerve injury and vision loss.

This applies to pneumatic retinopexy just as much as to vitrectomy. Pneumatic retinopexy is a gas procedure by definition, and ASRS describes it as injecting a gas bubble into the eye. An office procedure is still a gas bubble.

How long the ban lasts depends on the gas. StatPearls: air about 5 to 7 days, SF6 about 1 to 2 weeks, C3F8 about 6 to 8 weeks. AAO's EyeNet review: about two weeks for nonexpansile SF6, three for C2F6, eight for C3F8. Ask which gas you got.

Do not book on those numbers. AAO says your ophthalmologist will confirm when the gas bubble has completely dissolved and travel restrictions can be lifted. The same caution applies to mountain drives and high-altitude destinations. A scleral buckle on its own, with no gas, does not carry the altitude problem, but confirm with your surgeon since many buckles are combined with gas.

WhenTypical guidance
Any time gas remains in the eyeNo flying, no high altitude, no scuba diving. AAO and StatPearls both state this clearly.
After pneumatic retinopexyGas is always used, so the restriction always applies until the bubble is gone.
SF6 bubbleStatPearls: about 1 to 2 weeks. AAO EyeNet: about two weeks for nonexpansile SF6.
C3F8 bubbleStatPearls and AAO EyeNet: about 6 to 8 weeks.
Scleral buckle with no gasNo altitude restriction from a buckle alone, but confirm with your surgeon that no gas was placed.

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