Post-Laser Surgery Concerns: Eye Strain and Recovery Tips - Ophthalmology

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Postoperative Issues After Retinal Tear Laser Surgery


Hello Dr.
Tsai,
1.
Three weeks after my right eye laser surgery, I feel a lot of strain in my eye.
My eye socket hurts from overuse, and I have been tearing up continuously.
The muscles feel tight and unresponsive.
When my eyes are particularly strained, I occasionally see a small patch of white light in the upper left corner for about a second when I close my eyes, and it also appears when I blink.
Is this a normal phenomenon after the surgery?
2.
I read that doctors recommend avoiding bending over or looking down, but I have been bending over to wash my hair every day since the surgery.
Should I still avoid this?
3.
How long after the surgery can I start doing brisk walking on a treadmill? Thank you!

Kitty, 40~49 year old female. Ask Date: 2017/10/11

Dr. Cai Wenyuan reply Ophthalmology


Hello, it may depend on the size and type of the retinal tear, and you may want to consult with the surgeon.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/11

More Info


Post-Laser Surgery Concerns: Eye Strain and Recovery Tips
Hello! Thank you for reaching out with your concerns following your recent laser eye surgery. It's completely normal to have questions about your recovery, especially when it comes to eye strain and the appropriate activities to engage in during the healing process. Let’s address your concerns one by one.

1. Eye Strain and Visual Symptoms: It's not uncommon to experience eye strain, discomfort, or even visual disturbances such as seeing flashes of light after laser surgery. These symptoms can be attributed to several factors, including the healing process of the cornea, changes in tear production, and the adjustment of your eyes to the new vision. The sensation of tightness or discomfort in the eye muscles can also occur as your eyes work harder to focus. If you notice a persistent or worsening symptom, such as significant pain, increased tearing, or visual disturbances that do not resolve, it’s crucial to consult your ophthalmologist. They can assess whether these symptoms are part of the normal healing process or if they indicate a complication.

2. Bending and Low-Head Positions: Post-operative instructions often include avoiding bending over or low-head positions to prevent strain on the eyes and to allow the cornea to heal properly. While you have been bending over to wash your hair, it’s advisable to minimize such activities, especially in the initial weeks following surgery. If you can, try to adapt your routine to avoid bending at the waist. Instead, consider using a handheld showerhead or adjusting your posture to keep your head elevated while washing your hair. This will help reduce the risk of any strain on your eyes during the critical healing phase.

3. Resuming Exercise: As for returning to physical activity, including using a treadmill for brisk walking, it’s generally recommended to wait at least a couple of weeks post-surgery before engaging in any vigorous exercise. However, the exact timeline can vary based on your individual healing process and the specific recommendations of your surgeon. Most surgeons will advise you to avoid high-impact activities or anything that could risk eye injury for at least two weeks. After that, you can gradually ease back into your routine, but always listen to your body. If you experience discomfort or strain while exercising, it’s best to stop and consult your doctor.

In addition to these points, here are some general tips for eye care following laser surgery:
- Stay Hydrated: Ensure you are drinking plenty of water to help maintain good tear production and keep your eyes moist.

- Use Prescribed Eye Drops: Follow your doctor’s instructions regarding the use of lubricating eye drops or any prescribed medications. These can help alleviate dryness and discomfort.

- Limit Screen Time: Try to reduce your screen time, especially in the first few weeks post-surgery. If you must use screens, take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Wear Sunglasses: Protect your eyes from bright lights and UV rays by wearing sunglasses when outdoors.

- Follow-Up Appointments: Keep all scheduled follow-up appointments with your ophthalmologist to monitor your recovery and address any concerns.

In conclusion, while some discomfort and visual disturbances can be part of the healing process after laser surgery, it’s essential to monitor your symptoms closely. If anything feels off or if you have persistent issues, don’t hesitate to reach out to your eye care professional. They are there to help ensure your recovery is as smooth and successful as possible. Wishing you a speedy recovery and improved vision!

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