Retinal Laser Treatment: Concerns and Recovery Insights - Ophthalmology

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Retinal laser treatment issues?


Hello, Doctor He.
I experienced retinal detachment this year in both eyes.
I later underwent laser treatment, which has shown good recovery.
However, I have two questions:
1.
I have persistent photophobia and discomfort in my left eye, while my right eye does not have these issues.
Will this improve?
2.
During a recent examination at another hospital, the doctor mentioned that the retinal laser treatment I received was not dense enough (with gaps) and that it should be contiguous to prevent fluid leakage.
They suggested I undergo additional treatment, which is quite concerning.
What is the correct approach for retinal laser treatment? Should I go for the additional treatment?
Thank you for your guidance.

bu zhi ru he shi hao, 40~49 year old female. Ask Date: 2018/06/07

Dr. He Jianxian reply Ophthalmology


1.
The soreness and light sensitivity should not be related to the laser treatment; other causes should be investigated.

2.
Essentially, that ophthalmologist did not make an incorrect statement; you may consider getting a booster shot.

Reply Date: 2018/06/07

More Info


Hello, thank you for reaching out with your concerns regarding your recent retinal laser treatment following retinal detachment in both eyes. It's understandable to have questions about your recovery and the effectiveness of the treatment you've received. Let’s address your concerns one by one.

1. Light Sensitivity and Eye Discomfort: It's not uncommon for patients who have undergone retinal laser treatment to experience light sensitivity (photophobia) and discomfort in the affected eye. This can be due to several factors, including inflammation, changes in the retina, or even the healing process itself. The left eye's persistent symptoms may improve over time as your eye continues to heal. However, if the discomfort is significant or worsening, it is essential to follow up with your ophthalmologist. They may recommend anti-inflammatory drops or other treatments to alleviate these symptoms. It’s crucial to monitor these symptoms closely, as they can sometimes indicate complications that need to be addressed.

2. Density of Laser Treatment: Regarding the concern about the density of the laser treatment, it’s important to understand that the effectiveness of laser photocoagulation in preventing further retinal detachment can depend on how well the laser spots overlap. The purpose of the laser is to create scar tissue that helps seal the retina to the underlying tissue and prevent fluid from accumulating under the retina. If the laser spots are too spaced out, there may be areas where fluid can still seep through, potentially leading to further complications.
The recommendation from the second doctor to have additional laser treatment to create a more continuous barrier is not uncommon. However, whether you should proceed with this additional treatment depends on several factors, including the current state of your retina, the presence of any new symptoms, and the professional judgment of your eye care team. It’s essential to have a thorough discussion with your ophthalmologist about the risks and benefits of additional laser treatment. They can provide you with a clearer understanding of your specific situation and whether the additional treatment is necessary.

In summary, while light sensitivity and discomfort can be part of the healing process, they should be monitored closely. If they persist or worsen, further evaluation is warranted. Regarding the laser treatment, ensuring that the treatment is adequately dense is crucial for preventing future complications. It’s advisable to consult with your eye care provider about the necessity of additional treatments based on your individual circumstances.

As you navigate this recovery process, remember that open communication with your healthcare providers is key. Don’t hesitate to ask questions and express your concerns during your follow-up appointments. Your vision and comfort are paramount, and your doctors are there to help you achieve the best possible outcome. Wishing you a smooth recovery and improved comfort in your eyes.

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