Post-Laser Treatment Symptoms for Retinal Issues - Ophthalmology

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Retinal issues?


Hello Doctor: I went for a retinal examination yesterday and found a small hole.
I underwent laser surgery in the outpatient clinic, but after returning home, I noticed a light spot when I close my eyes or am in a dark place.
It doesn't flash and gradually disappears as I get used to the darkness.
Is this normal? Or could there have been an error during the laser procedure? I didn't have this issue before the laser treatment.
If I return for a dilated examination right away, could it harm my eyes? Thank you, Doctor.

66, 20~29 year old female. Ask Date: 2017/05/20

Dr. Cai Wenyuan reply Ophthalmology


Hello, it should not be related to the lightning strike.
It is recommended to follow up with your doctor as advised.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/20

More Info


Hello! It sounds like you recently underwent laser treatment for a small retinal hole, and you're experiencing some new visual symptoms afterward. Let's break down your concerns and provide some clarity on the situation.

Firstly, experiencing a light spot or a "float" in your vision after laser treatment can be relatively common. This phenomenon may occur due to several reasons, including the healing process of the retina and the effects of the laser itself. After laser surgery, the retina may take some time to stabilize, and during this period, you might notice visual disturbances such as light spots, flashes, or floaters. These symptoms can be particularly noticeable in low-light conditions or when your eyes are closed, as the contrast between the light and dark can make these phenomena more apparent.

It's important to note that while these symptoms can be normal, they should not be ignored. If the light spot persists, worsens, or is accompanied by other symptoms such as increased floaters, flashes of light, or a shadow in your peripheral vision, it is crucial to follow up with your eye care professional. They can perform a thorough examination to ensure that there are no complications arising from the laser treatment.

Regarding your concern about whether returning for a dilated eye exam (using dilation drops) could harm your eyes, it's generally safe to have your eyes dilated after laser treatment, especially if it's done under the guidance of your ophthalmologist. Dilation allows for a better view of the retina and can help in assessing any changes or complications. However, if you are feeling anxious about it, you should communicate this with your doctor. They can provide reassurance and explain the benefits of the examination in monitoring your recovery.

In terms of healing, the retina can take time to recover fully after laser treatment. The laser creates a controlled injury to the retina to seal the hole and prevent further complications, such as retinal detachment. This process can lead to temporary visual disturbances as the tissue heals. Most patients find that these symptoms diminish over time as the retina stabilizes.

In addition to monitoring your symptoms, there are a few things you can do to support your recovery:
1. Rest Your Eyes: Avoid straining your eyes, especially with prolonged screen time or reading. Give your eyes regular breaks to reduce fatigue.

2. Follow Up: Keep all follow-up appointments with your ophthalmologist. They will monitor your healing process and can address any concerns you may have.

3. Report Changes: If you notice any new symptoms or changes in your vision, report them to your doctor immediately. Early intervention can be crucial in preventing complications.

4. Protect Your Eyes: Use sunglasses when outdoors to protect your eyes from bright light and UV exposure, which can be uncomfortable after laser treatment.

In conclusion, while experiencing a light spot after laser treatment can be normal, it's essential to stay vigilant and communicate with your healthcare provider about any concerns. They are best equipped to guide you through your recovery and ensure that your eyes heal properly. If you have any further questions or if your symptoms change, don't hesitate to reach out to your eye care professional. Your vision is important, and proactive care is key to maintaining it.

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