Post-Laser Surgery: Retinal Detachment Recovery - Ophthalmology

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After laser surgery for retinal detachment?


Since discovering a retinal detachment in my right eye last September, I underwent laser surgery on the same day to encircle the detachment and prevent it from worsening.
I had follow-up appointments until June of this year, and the doctor indicated that the condition had not deteriorated.
Currently, I am working abroad, and during a check-up today, the doctor performed a dilated eye exam and stated that my retina appears normal and there are no issues.
The doctor mentioned that an increase in flashes or the appearance of a dark curtain, or even loss of vision, would indicate deterioration.
However, since the laser treatment in Taiwan, I have continued to experience flashes of light that resemble shooting stars (appearing for a few seconds and then disappearing).
Is this normal? Thank you for your response, doctor.

Sindy, 20~29 year old female. Ask Date: 2016/09/22

Dr. Gao Pilin reply Ophthalmology


Hello Sindy: Seeing flashes of light may be related to the vitreous pulling on the retina.
The degeneration of the vitreous can cause traction on the retina, which sometimes results in lightning-like flashes of light.
If the flashes increase or if you experience a curtain-like shadow or loss of vision, it indicates worsening conditions, and you should seek medical attention immediately.
Otherwise, if a dilated fundus examination shows a normal retina, there is no need to worry excessively.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses are for reference only; it is essential to visit a medical facility if necessary.
I hope to have the opportunity to assist you.
Dr.
Gao Pilin

Reply Date: 2016/09/22

More Info


Post-Laser Surgery: Understanding Retinal Detachment Recovery
It sounds like you have been through a significant journey regarding your eye health, particularly with the retinal detachment and subsequent laser surgery. It's great to hear that your recent check-up indicated that your retina appears normal and that there has been no deterioration in your condition since the initial laser treatment.
To address your concern about the "shooting star" lights you are experiencing, it is important to understand that this phenomenon, known as "photopsia," can occur after retinal surgery. Photopsia refers to the perception of flashes of light in the visual field, which can be caused by various factors, including the stimulation of the retina or the vitreous gel that fills the eye. After a retinal detachment and subsequent surgery, it is not uncommon for patients to experience these flashes, especially if there has been any manipulation of the vitreous during the procedure.
In your case, since your doctor has indicated that your retina is stable and there are no signs of new detachment or complications, the flashes you are experiencing may be a benign consequence of the surgery. However, it is crucial to remain vigilant. If you notice an increase in the frequency or intensity of these flashes, or if you begin to see new floaters, dark spots, or a curtain-like shadow over your vision, you should seek immediate medical attention. These could be signs of a new retinal issue that requires prompt evaluation.

Regarding your recovery process, it is essential to follow your ophthalmologist's recommendations closely. Regular follow-ups are crucial in monitoring the health of your retina and ensuring that any potential issues are addressed early. Since you are currently working abroad, make sure to find a reputable eye care professional in your area who can continue your follow-up care.

In terms of lifestyle adjustments to support your eye health post-surgery, consider the following:
1. Protect Your Eyes: Wear sunglasses to protect your eyes from UV rays, which can be harmful, especially after surgery.

2. Nutrition: A balanced diet rich in antioxidants (such as vitamins C and E, lutein, and zeaxanthin) can support eye health. Foods like leafy greens, fish, nuts, and fruits are beneficial.

3. Avoid Strain: Limit activities that put excessive strain on your eyes, such as prolonged screen time without breaks. The 20-20-20 rule can be helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Monitor Symptoms: Keep a close watch on any changes in your vision. If you experience any new symptoms, contact your eye care provider immediately.

5. Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments to monitor your recovery and address any concerns promptly.

In conclusion, while the flashes of light you are experiencing may be a normal part of your recovery, it is essential to stay vigilant and maintain regular communication with your eye care provider. Your proactive approach to monitoring your symptoms and seeking medical advice is crucial for maintaining your eye health after retinal detachment surgery. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider.

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