Retinal Flashes: Post-Surgery Concerns and Eye Fatigue - Ophthalmology

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Retinal flashes


Hello, Doctor! I recently underwent laser retinal repair, and I am scheduled for a follow-up appointment in three weeks to check if the wound has stabilized.
After the surgery, I noticed that whenever I open my eyes wide or just wake up, I see flashes of light.
After consulting with many people, it seems that this is related to retinal traction.
If, during the follow-up appointment in three weeks, the doctor confirms that the wound is stable and no new holes have been found, can I assume that I no longer need to worry? Additionally, I would like to ask if eye fatigue can also increase the likelihood of experiencing these flashes of light.

Niming, 20~29 year old female. Ask Date: 2017/06/01

Dr. Cai Wenyuan reply Ophthalmology


Hello, if the doctor says the wound is stable and no further holes have been found, can I stop worrying? Yes.
Does eye fatigue also increase the likelihood of experiencing flashes of light? You could say that.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/06/01

More Info


After undergoing laser retinal repair, experiencing flashes of light can understandably cause concern. It's important to understand the nature of these flashes and their potential implications, especially in the context of your recent surgery.
Firstly, if your doctor confirms that the surgical site is stable and there are no new retinal tears or holes during your follow-up appointment, this is generally a positive sign. It suggests that the initial repair was successful and that your retina is healing properly. In many cases, flashes of light, known as photopsia, can occur due to the vitreous gel in the eye pulling away from the retina, a process that can happen naturally as we age or as a result of surgery. This phenomenon is often benign, especially if there are no accompanying symptoms such as significant vision loss or new floaters.

However, it is crucial to remain vigilant. If the flashes increase in frequency or intensity, or if you experience new symptoms, such as a sudden increase in floaters or a shadow in your vision, you should seek immediate medical attention. These could be signs of retinal detachment or other complications that require prompt intervention.

Regarding your second question about eye fatigue and its relation to flashes of light, yes, eye fatigue can indeed contribute to the perception of flashes. When your eyes are tired, they may not function optimally, which can lead to visual disturbances, including increased sensitivity to light and the perception of flashes. Prolonged screen time, reading, or any activity that requires intense focus can strain the eyes, leading to discomfort and visual anomalies.
To mitigate eye fatigue, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps reduce strain on the eye muscles and can alleviate some of the discomfort associated with prolonged visual tasks. Additionally, ensure that your workspace is well-lit and that you take regular breaks to rest your eyes.

In summary, while the occurrence of flashes post-surgery can be concerning, if your follow-up shows no new issues, it is likely a benign phenomenon related to the healing process or vitreous changes. However, maintaining awareness of your symptoms and practicing good eye care habits can help manage any discomfort and reduce the likelihood of fatigue-related visual disturbances. Always prioritize regular check-ups with your eye care professional to monitor your eye health, especially after surgery.

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