Can Rubbing Your Eyes Ruin Laser Retinal Repair?

Rubbing the eyes issue?

Hello, doctor! I have undergone laser retinal repair surgery, and I know that rubbing my eyes is not good for them, but occasionally when they are too itchy, I can't help but rub them a little.
Could this potentially cause the area that was repaired by the laser to tear again due to the pulling?

Niming, 20~29 year old female. Ask Date: 2016/09/07

Dr. Cai Wenyuan reply Ophthalmology

The chances are slim, but it's still advisable to avoid rubbing your eyes.

Reply Date: 2016/09/07

More Info

Rubbing your eyes after undergoing laser retinal repair can indeed pose risks to the integrity of the repair. When you rub your eyes, you apply pressure and friction to the delicate structures of the eye, which can potentially disrupt the healing process. This is particularly concerning if you have had laser surgery, as the laser creates a specific pattern of changes in the retinal tissue that need time to heal properly.

After laser retinal repair, the treated area is often sensitive and may still be in the process of healing. Rubbing your eyes can lead to several complications, including:
1. Displacement of the Repair: The laser treatment works by creating a bond between the retina and the underlying tissue. Rubbing can exert enough force to disrupt this bond, potentially leading to a re-detachment of the retina or a failure of the repair.

2. Increased Inflammation: Rubbing your eyes can introduce additional irritation and inflammation, which can exacerbate any existing discomfort and slow down the healing process.

3. Risk of Infection: The hands can carry bacteria, and rubbing your eyes can introduce these pathogens into the eye, increasing the risk of infection, which can complicate recovery.

4. Corneal Damage: If you rub your eyes vigorously, you may also risk damaging the corneal surface, leading to further complications such as corneal abrasions or scarring.

Given these potential risks, it is crucial to avoid rubbing your eyes, especially after any surgical procedure. If you experience itching or discomfort, it is advisable to consult your eye care professional rather than resorting to rubbing. They may recommend appropriate treatments, such as lubricating eye drops or antihistamines, to alleviate itching without compromising your eye health.

If you find that your eyes are frequently itchy or uncomfortable, it may be indicative of an underlying condition such as dry eye syndrome or allergies. In such cases, addressing the root cause of the discomfort can help reduce the urge to rub your eyes. Here are some strategies to consider:
- Use Artificial Tears: Regularly using preservative-free artificial tears can help keep your eyes lubricated and reduce dryness, which may alleviate the itching sensation.

- Cold Compresses: Applying a cold compress over your closed eyelids can soothe irritation and reduce the urge to rub your eyes.

- Avoid Allergens: If allergies are the cause of your discomfort, try to identify and avoid triggers. Over-the-counter antihistamines may also provide relief.

- Consult Your Eye Doctor: If the itching persists, it’s essential to follow up with your eye care provider. They can assess your condition and recommend appropriate treatments or adjustments to your post-operative care plan.

In summary, while it may be tempting to rub your eyes, especially if they feel itchy or uncomfortable after laser retinal repair, doing so can jeopardize the success of your surgery. Instead, seek alternative methods to manage discomfort and always consult with your eye care professional for guidance tailored to your specific situation.

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