Floaters and Retinal Issues: Laser Treatment Insights - Ophthalmology

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Floaters and Retinal Issues


Hello, Dr.
Gao.
I discovered floaters in both of my eyes in early March.
Later, I found Dr.
Cai Fu-de online, who performs laser treatment for floaters.
I also had a fundus examination with her, but no retinal tears were detected at that time.
I would like to ask Dr.
Gao if laser treatment for floaters can cause retinal tears.

2.
Afterward, I was very worried and went to the Da Ai Clinic for another fundus examination, where they found a retinal tear in my right eye but not in my left.
I then went to the Tri-Service General Hospital, where both eyes were examined and found to have no issues.
Finally, I went to Cathay General Hospital for a check-up, and they said both eyes had retinal tears and needed laser treatment, which I received for the retinal tears.
3.
I would like to ask how long it takes for the vision to stabilize after the laser treatment.

Lin Hsiao-hsiang, 30~39 year old female. Ask Date: 2017/05/04

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Lin: 1.
Generally speaking, it is unlikely.
2.
Retinal tears can sometimes present with floaters.
3.
Stability can typically be reached about 1-2 weeks post-surgery.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday from 1:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2017/05/04

More Info


Hello! It sounds like you're experiencing a complex situation with your eyes, particularly with floaters and retinal issues. Let’s break down your concerns regarding floaters, retinal tears, and the role of laser treatment.

1. Understanding Floaters and Retinal Tears: Floaters are small spots or lines that appear in your field of vision. They are often caused by changes in the vitreous gel that fills the eye, which can occur with age or other factors. While floaters themselves are usually harmless, they can sometimes be associated with more serious conditions, such as retinal tears or detachments. The presence of flashes of light (photopsia) alongside floaters can be a warning sign that you should seek immediate medical attention, as it may indicate that the vitreous is pulling away from the retina, which can lead to a tear.

2. Laser Treatment for Retinal Tears: Laser treatment is a common procedure used to address retinal tears. The laser creates small burns around the tear, which helps to seal the retina to the underlying tissue, preventing fluid from entering and potentially causing a detachment. This procedure is generally considered safe and effective, and it can significantly reduce the risk of vision loss if performed promptly after a tear is detected.

3. Concerns About Laser Treatment and Retinal Tears: You asked if laser treatment for floaters could cause retinal tears. Generally, laser treatment for floaters is not typically associated with causing retinal tears. However, if there is an underlying issue, such as a pre-existing weakness in the retina, the procedure could potentially exacerbate the situation. It’s crucial to have a thorough examination by a qualified ophthalmologist before undergoing any treatment.

4. Recovery Time After Laser Treatment: After undergoing laser treatment for retinal tears, patients often experience minimal downtime. Many people can return to their normal activities within a day or two. However, it’s essential to follow your doctor’s post-operative instructions, which may include avoiding strenuous activities or heavy lifting for a short period. You should also be vigilant for any new symptoms, such as increased floaters, flashes of light, or a shadow in your vision, and report these to your doctor immediately.

5. Regular Monitoring: Given your history of floaters and the recent discovery of retinal tears, regular follow-up appointments with your ophthalmologist are crucial. They will monitor your condition and ensure that any changes are addressed promptly. It’s also a good idea to maintain a healthy lifestyle, including proper nutrition and protecting your eyes from excessive UV exposure, which can help maintain overall eye health.

In summary, while floaters can be concerning, they are often benign. However, the presence of flashes and the discovery of retinal tears necessitate careful monitoring and possibly treatment. Laser treatment is a common and effective method for managing retinal tears, and recovery is typically quick. Always consult with your ophthalmologist for personalized advice and treatment options tailored to your specific situation. Stay proactive about your eye health, and don’t hesitate to seek medical attention if you notice any changes in your vision.

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