Post-Laser Treatment for Retinal Tears: Common Concerns and Insights - Ophthalmology

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Post-retinal tear laser treatment


Hello, Doctor.
I apologize for the interruption.
I have a few questions to ask: A friend of mine, who previously underwent laser surgery for myopia of -9.50, had a laser procedure for a retinal tear.
Recently, on October 2nd, they had another laser surgery for a retinal tear in the left eye and completed a follow-up on November 2nd.
After a dilated eye exam, the results showed that the tear site has scabbed over, and the doctor mentioned that other structures appear normal.
However, the following issues were noted:
1.
The symptoms of floaters have increased compared to before, and at certain angles, there is a perception of blurriness.
What could be the reason for this?
2.
The left eye, which underwent laser treatment, seems to perceive things as brighter, while the right eye appears to see things as slightly yellow and darker.
Is this normal?
3.
In the future, if they fly, could the pressure at high altitude cause another retinal tear?
4.
Can a routine dilated fundus examination determine the degree of degeneration of the retina, lens, and vitreous body?
5.
Can taking lutein help improve or alleviate the symptoms of floaters?
Thank you for your answers, and best wishes for your well-being.

Tou E, 40~49 year old female. Ask Date: 2017/11/03

Dr. He Jianxian reply Ophthalmology


1.
Floaters are not easily improved, and one must learn to coexist with them.

2.
Laser treatment does not change color perception; any differences in color vision may have existed prior to the laser procedure.

3.
The likelihood of developing a retinal tear while flying is quite low.

4.
The degree of degeneration can be assessed under dilated pupil conditions.

5.
Taking lutein does not improve floaters; this is for your reference.

Reply Date: 2017/11/03

More Info


After undergoing laser treatment for retinal tears, it's common for patients to have various concerns regarding their vision and eye health. Let's address your questions one by one, providing insights based on medical knowledge and common practices in ophthalmology.

1. Increased Floaters and Blurriness: The increase in floaters (often described as "flying spots") and the sensation of blurriness at certain angles can be attributed to several factors. After laser treatment, the vitreous gel in the eye may undergo changes, leading to more noticeable floaters. Additionally, the healing process of the retina can cause temporary visual disturbances. If the floaters are accompanied by flashes of light or a sudden increase in their number, it’s crucial to consult your ophthalmologist, as these could indicate further issues.

2. Differences in Brightness and Color Perception: It’s not unusual for patients to experience variations in brightness and color perception between their eyes after laser surgery. This can be due to several reasons, including differences in the healing process, the effects of the laser on the retinal pigment epithelium, or even changes in the lens of the eye. If the difference in perception is significant or bothersome, it would be wise to discuss this with your eye doctor, who may recommend further evaluation.

3. Flying and Pressure Changes: Generally, flying does not pose a significant risk for individuals who have had laser treatment for retinal tears, provided that the retina has healed properly. However, if you experience any new symptoms such as flashes of light or a sudden increase in floaters during or after a flight, it’s advisable to seek medical attention promptly. Always consult your ophthalmologist before flying, especially after recent eye surgeries.

4. Dilated Eye Exams and Retinal Health: A dilated eye exam is an effective way to assess the health of the retina, lens, and vitreous body. During this examination, your eye doctor can look for signs of degeneration, such as retinal thinning or changes in the vitreous gel. However, the degree of degeneration may not always be fully assessed in a single visit, and ongoing monitoring may be necessary, especially if you have a history of retinal issues.

5. Lutein and Floaters: While lutein is known for its benefits in supporting overall eye health and may help in reducing the risk of age-related macular degeneration, there is limited evidence to suggest that it can directly improve or reduce floaters. Floaters are typically a result of changes in the vitreous gel and are not usually influenced by dietary supplements. However, maintaining a healthy diet rich in antioxidants, including lutein, can contribute to overall eye health.

In summary, while some changes in vision after laser treatment for retinal tears can be normal, it’s essential to maintain open communication with your eye care provider. Regular follow-ups and thorough examinations will help ensure that any potential complications are addressed promptly. If you have any concerns or experience new symptoms, do not hesitate to reach out to your ophthalmologist for guidance. Your eye health is paramount, and proactive management is key to maintaining good vision.

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