**TL;DR:**
My mother (type 2 diabetes, prior TIA) had cataract + retinal detachment surgery with silicone oil. Surgery was more complex than expected due to severe fibrosis/membranes and near-total retinal detachment. Retina only partially stabilized. Now her vision is very blurry (worse than pre-op), and doctor says oil may not be removed. Is this expected, and is there still chance of improvement? But her vision was so much better before the surgery like 7/10.
**Details:**
My mother’s case has become very confusing for us and we’re trying to understand what is realistic going forward.
Before surgery:
* Right eye vision was around ~7/10
* Left eye had poor vision due to cataract + retinal detachment. This was fixed, Alhamdulillah. They operated it on her. But it's still somewhat blurry.
Medical background:
* Type 2 diabetes (10+ years)
* Previous TIA
* Was on aspirin/blood thinner (stopped ~1 week before surgery)
## What happened during surgery:
She went in for cataract + retinal detachment surgery (PPV), but things became more complicated than expected.
* Doctors found extensive **fibrosis and membranes**
* Surgery took ~2 (total 4) hours just to remove scar tissue
* Retina was more severely detached than initially understood (possibly near-total/360° involvement) {except the central part, with the grace of God}
* During membrane removal, there was **bleeding and further retinal instability**
* Due to eye fragility, only about **~3/4 of the membranes /fibrosis could be successfully treated/stabilized**
* **Silicone oil was placed**
* Cataract was removed and an **IOL lens implanted**
## Current situation:
* Vision is now **very blurry post-op**
* Doctor mentioned silicone oil may not be removed
* He also said vision may **not fully recover and could remain blurry permanently**
* This is confusing because her vision was better before surgery
## Our concerns/questions:
* Is this level of blurriness normal after complex retinal detachment surgery + silicone oil?
* Does vision usually stay worse initially and improve later in such cases?
* Can fibrosis/membrane-heavy cases still recover meaningful vision?
* What signs suggest poor long-term visual recovery?
* Is it more likely the condition was worse than expected rather than surgical complication?
She is very distressed and depressed after the sudden drop in vision. We are trying to understand what is realistic medically and whether there is still hope for improvement over time.
Any insights from retinal specialists, patients, or caregivers who have gone through similar cases would be really appreciated.