Retinal issues?
Hello Doctor: My husband previously had a retinal tear in his left eye that was treated with laser surgery.
A month later, while showering and washing his face, he suddenly noticed many floaters in the same eye.
He sought emergency medical attention, but due to bleeding, the laser treatment could not be performed immediately; it was done the next day and was successful.
However, he still sees things as if through frosted glass, and there is a thick black line.
Will his vision improve? Could this be related to the previous bleeding issue? Should we wait for the blood to resolve? Does warm compress help? Will the black line gradually disappear? Thank you for your guidance.
nina, 50~59 year old female. Ask Date: 2016/12/29
Dr. Gao Pilin reply Ophthalmology
Hello Nina: Based on your description, it seems that the issue is caused by residual blood clots.
It should improve once they dissolve and are absorbed.
Heat application is likely ineffective.
A detailed examination is necessary to understand the situation better.
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 can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Best regards, Gao Pilin.
Reply Date: 2016/12/29
More Info
Hello! It sounds like you’re dealing with a complex situation regarding your husband’s eye health, particularly after his recent retinal issues. Let’s break down the concerns regarding floaters, vision clarity, and the potential implications of his previous retinal detachment and subsequent treatments.
First, it’s important to understand that floaters are common and can occur for various reasons, including age-related changes in the vitreous gel of the eye, which can lead to the formation of clumps or strands that cast shadows on the retina. These shadows are perceived as floaters. In your husband’s case, the sudden increase in floaters, especially following a retinal tear and laser treatment, could be attributed to several factors, including the healing process and any residual effects from the bleeding.
When there is bleeding in the eye, it can lead to a temporary decrease in vision clarity. The presence of a "fuzzy" or "frosted glass" appearance, along with a prominent black line, could indicate that there is still some blood in the vitreous cavity or that the vitreous gel is still in the process of reorganizing itself after the laser treatment. Typically, as the blood is reabsorbed by the body, vision can improve, but this process can take time.
In terms of management, it’s crucial to follow the ophthalmologist’s advice. If the doctor has recommended waiting for the blood to clear, this is usually the best course of action. Hot compresses may provide some comfort, but they won’t necessarily speed up the clearing of blood or floaters. It’s also essential to monitor for any changes in symptoms, such as an increase in floaters, flashes of light, or any sudden changes in vision, as these could indicate further complications that would require immediate medical attention.
Regarding the black line you mentioned, this could be a shadow cast by a floater or a result of the vitreous gel pulling away from the retina. In many cases, these symptoms can improve over time as the vitreous continues to change and the eye heals. However, if the black line persists or worsens, it’s important to have a follow-up examination to rule out any new developments.
In conclusion, while it’s understandable to be concerned about your husband’s vision after such significant eye issues, it’s essential to remain in close contact with his ophthalmologist. Regular follow-ups will help ensure that any changes are monitored and addressed promptly. If there are any new symptoms or if the current symptoms worsen, don’t hesitate to seek immediate medical advice. Patience is key, as the healing process can take time, but with proper care, there is a good chance that his vision will improve. Thank you for your question, and I wish your husband a smooth recovery!
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