Retinal Holes: Frequency of Follow-Up After Laser Treatment - Ophthalmology

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Retinal tear issues?


Hello Doctor, I was diagnosed with a retinal tear two years ago and underwent laser treatment.
Earlier this year, I noticed that the symptoms of floaters and flashes had worsened, so I went for a re-evaluation at another hospital.
The doctor informed me that the tear in my left eye is quite large, and I underwent another laser procedure for repair.
Additionally, I was informed that there is evidence of retinal degeneration in the peripheral retina.
I would like to ask the doctor how often I should have follow-up examinations after the laser repair of the tear.
The current doctor has suggested that I return for check-ups every month.
Is my condition considered severe, requiring such frequent visits? I look forward to your response.
Thank you, Doctor.

Spencer, 20~29 year old female. Ask Date: 2018/04/18

Dr. Cai Wenyuan reply Ophthalmology


Hello: The frequency of follow-up visits is determined by the patient's condition and does not adhere to a specific schedule.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/04/18

More Info


Hello! Thank you for your question regarding the follow-up frequency after laser treatment for retinal holes. It’s understandable to have concerns about your eye health, especially after experiencing symptoms like black spots (floaters) and flashes of light, which can be alarming.

After undergoing laser treatment for retinal holes, the recommended frequency of follow-up visits can vary based on several factors, including the severity of the condition, the presence of any additional retinal issues, and the overall health of your eyes. In your case, since you mentioned that your left eye has a significant retinal hole and signs of peripheral retinal degeneration, it is not uncommon for your doctor to recommend more frequent follow-ups, such as once a month.

The rationale behind this frequent monitoring is to ensure that the laser treatment is effective and that no new complications arise. Retinal holes and tears can lead to more serious conditions, such as retinal detachment, which can result in permanent vision loss if not treated promptly. By having regular check-ups, your ophthalmologist can closely monitor the status of your retina and intervene quickly if any new issues develop.

In general, after laser treatment for retinal holes, the follow-up schedule may look like this:
1. Initial Follow-Up: Typically, a follow-up appointment is scheduled within a few weeks after the laser procedure to assess the healing process and ensure that the laser has successfully sealed the retinal hole.

2. Subsequent Follow-Ups: Depending on the findings during the initial follow-up, the frequency may be adjusted. For patients with significant retinal issues or those who have experienced symptoms like yours, monthly visits may be warranted. If the retina appears stable and there are no new symptoms, the doctor may extend the interval between visits to every three to six months.

3. Long-Term Monitoring: Even after the initial concerns have been addressed, long-term monitoring is essential, especially for individuals with a history of retinal problems. Regular eye exams can help catch any new issues early.

Regarding your concern about whether your situation is more severe, it’s essential to trust your ophthalmologist's judgment. They have the expertise to evaluate the condition of your retina and determine the appropriate follow-up schedule based on your specific circumstances. If you feel uncertain about the frequency of visits, it’s always a good idea to discuss your concerns directly with your doctor. They can provide clarity on why they recommend a particular follow-up schedule and what signs to watch for that may necessitate an earlier visit.

In addition to regular check-ups, here are some general tips for maintaining eye health after retinal treatment:
- Monitor Symptoms: Keep an eye on any changes in your vision, such as new floaters, flashes of light, or a curtain-like shadow over your vision. If you notice any of these symptoms, contact your doctor immediately.

- Protect Your Eyes: Wear sunglasses to protect your eyes from UV light, and avoid activities that could put strain on your eyes, such as excessive screen time without breaks.

- Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (like leafy greens and fish), stay hydrated, and manage any underlying health conditions, such as diabetes or hypertension, which can affect eye health.

- Follow Medical Advice: Adhere to any prescribed treatments or medications and attend all scheduled follow-up appointments.

In conclusion, while it may seem excessive to have monthly follow-ups, they are crucial for monitoring your retinal health, especially given your history of retinal holes and degeneration. Always feel free to communicate openly with your healthcare provider about your concerns and any changes in your symptoms. Your proactive approach to your eye health is commendable, and I wish you the best in your recovery and ongoing care!

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