Managing Visual Disturbances After Retinal Laser Surgery: What to Avoid - Ophthalmology

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There are light flashes in the eyes?


Hello, doctor.
About two years ago, I underwent laser retinal repair in both eyes.
Since then, I have frequently experienced visual disturbances, such as seeing light shadows moving up and down, especially when blood rushes to my head.
Could you please advise me on what activities I should avoid, aside from shaking my head or rapidly moving my eyes? For example, are there certain exercises or weightlifting that I should refrain from?

Rukkel, 20~29 year old female. Ask Date: 2018/05/15

Dr. Cai Wenyuan reply Ophthalmology


Hello, it depends on the condition of the retina.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/15

More Info


After undergoing retinal laser surgery, it is not uncommon for patients to experience various visual disturbances, including the perception of moving shadows or light flashes. These symptoms can be disconcerting and may lead to questions about what activities should be avoided to ensure proper healing and minimize discomfort.

First and foremost, it is essential to understand that visual disturbances following retinal surgery can be attributed to several factors, including changes in the vitreous gel, retinal healing, or even the presence of residual fluid. These disturbances may manifest as light flashes, floaters, or the sensation of movement in the visual field. While some of these symptoms may diminish over time, others may persist, necessitating careful management.


Activities to Avoid
1. High-Impact Sports and Heavy Lifting: Engaging in high-impact sports or activities that involve heavy lifting, such as weightlifting or powerlifting, should be avoided. These activities can increase intraocular pressure and put additional strain on the retina, potentially leading to complications.

2. Contact Sports: Sports that involve physical contact, such as boxing, football, or basketball, should be avoided. The risk of trauma to the eye can exacerbate existing conditions or lead to new injuries.

3. Excessive Eye Strain: Activities that require prolonged focus, such as reading, using a computer, or staring at screens for extended periods, can contribute to eye strain. It is advisable to take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Sudden Head Movements: Rapid head movements or jerking motions can exacerbate the perception of visual disturbances. It is advisable to move your head slowly and deliberately to minimize discomfort.

5. Diving and High-Altitude Activities: Activities that involve significant changes in pressure, such as scuba diving or high-altitude climbing, should be avoided until cleared by your ophthalmologist. These activities can affect the eye's internal pressure and may complicate recovery.

6. Rubbing or Pressing on the Eyes: Avoid rubbing your eyes, as this can cause additional irritation or damage to the healing retina. If you experience discomfort, consult your doctor for appropriate remedies.


Additional Recommendations
- Follow-Up Appointments: Regular follow-up appointments with your ophthalmologist are crucial. They can monitor your healing process and provide guidance on when it is safe to resume specific activities.

- Use of Protective Eyewear: If you engage in activities that could potentially harm your eyes, consider wearing protective eyewear to safeguard against accidental injury.

- Stay Hydrated and Maintain a Healthy Diet: Proper hydration and nutrition can support overall eye health. Foods rich in antioxidants, omega-3 fatty acids, and vitamins A, C, and E can be beneficial.

- Manage Stress: Stress can exacerbate visual disturbances. Engaging in relaxation techniques such as meditation, yoga, or deep-breathing exercises can help manage stress levels.


Conclusion
In summary, after retinal laser surgery, it is essential to avoid activities that could strain the eyes or increase the risk of injury. High-impact sports, heavy lifting, and excessive eye strain should be avoided, while regular follow-ups with your ophthalmologist are crucial for monitoring your recovery. If you continue to experience visual disturbances, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your eye health is paramount, and taking these precautions can help ensure a smoother recovery process.

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