Retinal Issues: Laser Treatment and Myopia Concerns - Ophthalmology

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Retinal issues?


Hello Doctor, I have myopia with a prescription of -6.00 in my left eye and -7.00 in my right eye, and I also experience flashes of light.
The degree of myopia is uncertain.
This year, during a dilated eye exam, it was found that certain areas of my retina are thinner.
I plan to undergo laser treatment to stabilize it.
However, if my myopia increases after the laser treatment and my eyeball elongates, will there be a risk of tearing in the areas of the retina that were treated with the laser? Thank you for your response.

Chen, 10~19 year old female. Ask Date: 2016/08/13

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Chen: After the laser treatment, the retina is adhered more tightly, which reduces the risk of tearing.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open from Monday to Friday, 8:00 AM to 12:00 PM, and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Best regards, Gao Pilin.

Reply Date: 2016/08/13

More Info


When considering laser treatment for retinal issues, particularly in the context of myopia, it is crucial to understand both the benefits and potential risks involved. Your situation, with myopia of -6.00 in the left eye and -7.00 in the right eye, along with the presence of flashes and thinner areas in the retina, indicates that you are at a higher risk for retinal complications.
Laser treatments, such as laser photocoagulation, are often used to stabilize the retina in cases where there are areas of thinning or degeneration. The laser works by creating small burns in the retina, which can help to seal off areas that are at risk of tearing or detaching. However, there are several factors to consider:
1. Risk of Myopia Progression: Myopia, or nearsightedness, is characterized by an elongation of the eyeball. If your myopia continues to progress after laser treatment, the elongation of the eye can indeed place additional stress on the areas of the retina that have been treated. This could potentially lead to complications, including retinal tears or detachments. It is important to monitor your myopia closely, especially after any surgical intervention.

2. Retinal Health Monitoring: After undergoing laser treatment, regular follow-up appointments with your ophthalmologist are essential. These visits will allow your doctor to monitor the health of your retina and assess any changes in your myopia. If you notice any new symptoms, such as increased flashes of light, floaters, or changes in vision, you should seek immediate medical attention.

3. Laser Treatment Efficacy: While laser treatment can be effective in stabilizing the retina, it does not correct myopia itself. Therefore, if your myopia continues to worsen, you may still need corrective lenses or consider other options, such as refractive surgery (e.g., LASIK or PRK) in the future. However, it is important to discuss with your eye care provider whether you are a suitable candidate for such procedures, especially considering your retinal health.

4. Potential Complications: As with any surgical procedure, there are risks associated with laser treatment. These can include inflammation, scarring, and, in rare cases, worsening of vision. Your ophthalmologist will weigh these risks against the potential benefits based on your specific condition.

5. Lifestyle Considerations: Managing myopia often involves lifestyle changes, such as reducing screen time, ensuring proper lighting while reading, and taking regular breaks during prolonged near work. These measures can help reduce eye strain and may slow the progression of myopia.

In conclusion, while laser treatment can be a valuable tool in managing retinal issues associated with myopia, it is essential to have a thorough discussion with your ophthalmologist about the risks and benefits specific to your case. Regular monitoring and proactive management of your myopia are crucial to maintaining your retinal health and overall vision. If you have any concerns or experience changes in your vision, do not hesitate to reach out to your eye care provider for guidance.

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