Post-Retinal Laser Surgery: Exercise Risks and Myopia Concerns - Ophthalmology

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Could you please ask the doctor some questions regarding issues after retinal laser repair surgery?


Will engaging in sports (like basketball) after retinal laser repair cause the hole to enlarge? Is it possible for the repaired area to rupture due to other reasons? Also, is it possible for myopia to increase at my age? I've heard that it stabilizes in the twenties and won't change afterward!

JACK, 20~29 year old female. Ask Date: 2016/04/18

Dr. Wang Zhangji reply Ophthalmology


Intense exercise may increase the risk of retinal tears.
Myopia still has the potential to worsen.

Reply Date: 2016/04/18

More Info


Post-retinal laser surgery, particularly for conditions like retinal tears or detachments, raises important considerations regarding exercise and the progression of myopia (nearsightedness). After undergoing retinal laser surgery, patients often have concerns about the safety of engaging in physical activities, especially high-impact sports like basketball, and whether their myopia can continue to worsen as they age.


Exercise Risks Post-Surgery
Engaging in vigorous activities, particularly those that involve rapid movements or significant changes in gravitational forces, can pose risks after retinal surgery. Activities such as basketball, which involve jumping, sudden stops, and lateral movements, may increase the risk of complications. Specifically, there is a concern that such activities could lead to increased intraocular pressure or strain on the retina, potentially causing the repaired area to reopen or new tears to develop.
While the laser surgery aims to stabilize the retina, it does not guarantee that the retina will remain intact under all circumstances. Therefore, it is generally advised to avoid high-impact sports for a certain period post-surgery, as recommended by your ophthalmologist. The exact duration of this restriction can vary based on individual circumstances, including the extent of the surgery and the overall health of the retina.


Risks of Re-tearing
The risk of a previously repaired area tearing again depends on several factors, including the nature of the original problem, the success of the laser treatment, and the overall health of the retina. While laser surgery is effective in preventing further detachment, it does not eliminate the risk of new tears or complications arising from other factors, such as trauma or significant changes in eye pressure. Regular follow-up appointments with your eye care provider are crucial to monitor the health of your retina and address any emerging issues promptly.


Myopia Progression
Regarding myopia, it is a common misconception that nearsightedness stabilizes in the mid-20s. While many individuals experience a slowdown in the progression of myopia during this time, it is not universally true. Factors such as genetics, environmental influences, and overall eye health can contribute to continued changes in refractive error even into later adulthood.
In some cases, individuals may experience an increase in myopia due to changes in the eye's structure or due to conditions such as cataracts or other age-related changes. Therefore, it is essential to have regular eye examinations, especially if you notice changes in your vision. Your eye care provider can offer guidance on managing myopia and may recommend corrective lenses or other interventions if necessary.


Conclusion
In summary, after retinal laser surgery, it is crucial to approach exercise with caution, particularly with high-impact activities. Always consult your ophthalmologist about when it is safe to resume such activities. Additionally, while myopia may stabilize for many in their 20s, it can continue to progress due to various factors. Regular eye check-ups are essential for monitoring your eye health and addressing any concerns that may arise. If you have any specific worries or symptoms, do not hesitate to reach out to your eye care professional for personalized advice and care.

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