Retinal Issues: Vitreous Opacity and Surgery Options

Retinal issues?

Hello, doctor.
I apologize for asking you two questions.
1.
Is the symptom of retinal laser treatment affecting the vitreous body the same as vitreous opacities or liquefaction? 2.
I may undergo surgery to remove floaters.
Would you recommend this? Is minimally invasive vitrectomy an option? Thank you very much, doctor.

Mr. Jiang, 20~29 year old female. Ask Date: 2017/03/31

Dr. Cai Wenyuan reply Ophthalmology

Hello, please consult a medical center for your health concerns.
Wishing you safety and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/31

More Info

Hello! Thank you for your questions regarding retinal issues, particularly vitreous opacity and the options for surgery. Let's break down your inquiries.

1. Understanding Symptoms Related to Laser Treatment: When you mention that retinal laser treatment affects the vitreous body, it’s important to clarify that while laser treatment is primarily aimed at the retina, it can indeed have secondary effects on the vitreous. The vitreous humor is a gel-like substance that fills the eye and helps maintain its shape. If the laser treatment causes changes in the retina, it can lead to alterations in the vitreous, such as liquefaction or opacification. This means that the vitreous can become less transparent, leading to symptoms like floaters or "flying spots" in your vision, which is commonly referred to as "floaters" or "vitreous opacities." These symptoms can be bothersome, especially if they interfere with your daily activities or vision.

2. Considering Surgery for Vitreous Opacity: If you are contemplating surgery to remove vitreous opacities (commonly referred to as "floaters"), it’s essential to weigh the benefits and risks. The procedure typically involves a vitrectomy, where the vitreous gel is removed and replaced with a saline solution or gas. This surgery can be effective in alleviating bothersome floaters, but it is not without risks. Potential complications include retinal detachment, cataract formation, and bleeding within the eye.
Micro-invasive vitrectomy techniques have been developed, which may reduce recovery time and complications compared to traditional vitrectomy. However, the decision to proceed with surgery should be made after a thorough discussion with your ophthalmologist, who can evaluate your specific situation, including the severity of your symptoms and the overall health of your retina and vitreous.
In summary, while laser treatment can lead to changes in the vitreous, it is crucial to consult with your eye care professional to determine the best course of action for your symptoms. If you are considering surgery, ensure that you have a comprehensive understanding of the potential outcomes and risks involved. Your ophthalmologist can provide personalized advice based on your eye health and visual needs.
If you have any further questions or concerns, please feel free to ask. Your vision is important, and it’s essential to make informed decisions regarding your eye health.

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