Floaters and Retinal Issues: A Guide to Laser Treatment

Floaters combined with retinal issues?

Hello, doctor.
I would like to ask about a recent issue I've been experiencing.
I've noticed that when I look at bright or light-colored areas, there are black spots floating around or straight lines moving.
I believe this might be due to floaters, as I have high myopia with prescriptions of -8.25 and -8.50.
I visited a nearby ophthalmology clinic for a dilated eye exam, and the doctor mentioned that there is a small defect in the lower left part of my left retina.
He recommended laser treatment on the spot (the procedure takes about 2-3 minutes) and said it would be covered by health insurance, so I wouldn't have to pay out of pocket.
I asked him if the laser treatment is considered surgery, and he said it is essentially a minor procedure and not classified as surgery; it simply uses laser to repair the defect.
I was a bit apprehensive about the laser treatment and asked if there would be any side effects.
He assured me that there typically wouldn’t be any side effects and that there wouldn’t be a recovery period needed for something related to the "window to the soul." I told him I would go home to discuss it with my family before making a decision, but he strongly advised me to get the repair done sooner rather than later.
Could you please advise whether I should proceed with the laser treatment at the university ophthalmology clinic or if it would be safer to have a further examination at a larger hospital before undergoing the laser treatment?

Rong, 20~29 year old female. Ask Date: 2018/03/02

Dr. Gao Pilin reply Ophthalmology

Hello, if the doctor recommends laser treatment after examination, it is still necessary to repair it to avoid the risk of retinal detachment.
All ophthalmologists should be able to perform this type of laser treatment, so there is no need to worry.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to seek medical care at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2018/03/02

More Info

When it comes to understanding floaters and retinal issues, particularly in the context of your recent experience with a small retinal defect and the recommendation for laser treatment, it's essential to approach this matter with careful consideration and a clear understanding of the procedures involved.

Firstly, floaters are often caused by changes in the vitreous gel that fills the eye, which can lead to the perception of small spots or lines drifting in your field of vision. In your case, given your high myopia (nearsightedness), you are at an increased risk for retinal issues, including tears or detachments. The fact that your eye doctor identified a small defect in your retina is significant, as these defects can potentially lead to more serious complications if left untreated.

The recommendation for laser treatment is a common approach to address small retinal tears or defects. This procedure, often referred to as laser photocoagulation, involves using a laser to create small burns around the area of the tear. This helps to seal the retina to the underlying tissue and can prevent further complications, such as retinal detachment. While your doctor described this as a "small treatment" rather than a surgery, it is still a medical procedure that requires precision and expertise.

Regarding your concerns about potential side effects or complications from the laser treatment, it is important to note that while serious complications are rare, they can occur. Common side effects may include temporary discomfort, changes in vision, or the possibility of new floaters appearing after the procedure. However, the benefits of addressing a retinal defect typically outweigh the risks, especially when considering the potential for more severe issues if the defect is left untreated.

As for whether to proceed with the treatment at your local eye clinic or seek a second opinion at a larger hospital, this decision should be based on several factors. If you feel confident in the expertise of the doctor at the local clinic and trust their assessment, it may be reasonable to proceed with the treatment there. However, if you have any doubts or if the defect is significant, seeking a second opinion from a retinal specialist at a larger hospital could provide additional reassurance. Specialists often have more experience with complex cases and can offer insights that may further inform your decision.

In summary, while the prospect of laser treatment can be daunting, it is a well-established method for addressing retinal defects and can significantly reduce the risk of more severe complications. It is crucial to weigh your options carefully, consider seeking a second opinion if you have any reservations, and ultimately make a decision that feels right for you. Remember, your vision is invaluable, and taking proactive steps to protect it is essential.

Similar Q&A

Understanding Floaters: Causes, Symptoms, and Management Tips

Dear Dr. Gao, First of all, I would like to thank you for your previous response to my questions. Thank you. After my retinal repair surgery, I experienced floaters, particularly a prominent one in my left eye that resembles a long line with black dots at both ends. My right eye...

Dr. Gao Pilin reply Ophthalmology
Hello Peter: 1. The symptoms of eye discomfort, redness in the sclera, and a sensation of dryness or irritation may be due to conjunctivitis, fatigue, or insufficient tear production. These issues are likely unrelated to your concerns. 2. It is advisable to use artificial tea...

Understanding Retinal Lattice Degeneration and Laser Treatment Concerns

Hello Doctor, I discovered floaters in my vision during my senior year of high school. I have a myopia of over 700 degrees. At that time, the doctor mentioned that my retina was thinning, but there was no need for laser treatment. Four years later, I went for a check-up at the cl...

Dr. He Jianxian reply Ophthalmology
When using laser treatment, the energy is highly concentrated, so other tissues are generally not harmed. This is for your reference!

Understanding Retinal Issues: Laser Treatment and Vitreous Changes Explained

Hello, doctor. I originally didn't have any floaters in my eyes, but one day during an examination, I was told that there was a hole and that I needed laser treatment. After the laser procedure, I developed a significant number of floaters, which has caused me a lot of distr...

Dr. Cai Wenyuan reply Ophthalmology
Hello, your speculation is generally rare and may not necessarily be related to the laser treatment, but it is still recommended to have regular follow-up appointments. Wishing you safety and health. Sincerely, Dr. Cai Wenyuan, Director of Ophthalmology, Taoyuan Hospital, Ministr...

Understanding Floaters: Causes, Treatments, and Solutions for Relief

Hello, Doctor. I am a high school student from Changhua. I have been suffering from floaters for a long time, and it has been very bothersome for me. It makes it difficult for me to concentrate on studying, which is really distressing. To be honest, I have visited many hospitals,...

Dr. Hu Yusheng reply Ophthalmology
Dear Mr. Shen, The persistent sensation of floaters in your vision can be quite bothersome. The physician would likely advise you to adapt to it, as the examination revealed that it is caused by simple vitreous degeneration leading to vitreous opacities. Most individuals can ada...