Post-Retinal Laser Treatment: Is Purple Light Normal? - Ophthalmology

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Retinal laser treatment


Hello doctor, three days ago I underwent retinal laser treatment, and yesterday I noticed that when I look at light with my peripheral vision in dim lighting, I see a purple light.
Is this a normal phenomenon? I have diabetic retinopathy and also experience floaters.
Although the purple light does not interfere with my daily life, I am concerned that it may indicate a worsening of my condition.
I am scheduled to have laser treatment on my other eye at the end of March.
Should I seek a doctor's evaluation sooner, or wait until my next laser treatment to discuss this with the doctor?

Liu, 20~29 year old female. Ask Date: 2019/02/28

Dr. Cai Wenyuan reply Ophthalmology


Hello, please observe and see if the symptoms persist before seeking medical attention.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/02/28

More Info


Hello! Thank you for reaching out with your concerns regarding your recent retinal laser treatment and the experience of seeing purple light in dim conditions. It’s understandable to feel anxious about any changes in your vision, especially after undergoing a procedure related to retinal health.

Firstly, the phenomenon of seeing purple light or any unusual visual disturbances after retinal laser treatment can occur, but it is essential to understand the context in which this happens. After laser treatment, especially for conditions like diabetic retinopathy, patients may experience various visual symptoms as the eye heals. These symptoms can include flashes of light, changes in color perception, or even the presence of floaters. The appearance of purple light, particularly in low-light conditions, could be attributed to several factors, including:
1. Post-Procedure Healing: After laser treatment, the retina and surrounding tissues undergo a healing process. During this time, the retina may be more sensitive to light, and visual disturbances can occur as the tissues adjust.

2. Changes in Retinal Sensitivity: Laser treatment can alter the way light is processed by the retina. This can lead to temporary changes in color perception or the appearance of unusual colors, such as purple, especially in dim lighting.

3. Diabetic Retinopathy: Since you have a history of diabetic retinopathy, it’s important to consider that the underlying condition itself can cause visual disturbances. The retina may have areas of damage or changes that could contribute to your experience of seeing purple light.

Given that you have diabetes and are undergoing treatment for retinal issues, it is crucial to monitor any new or worsening symptoms closely. While the purple light you are experiencing may not be a direct indication of worsening disease, it is always better to err on the side of caution when it comes to your eye health.

Regarding your upcoming laser treatment for the other eye, it would be advisable to consult with your ophthalmologist before proceeding. You should inform them about the purple light phenomenon and any other visual changes you have noticed. Your doctor can perform a thorough examination to ensure that there are no complications or concerns that need to be addressed prior to the next procedure. They may also provide insights into whether this symptom is typical or if it warrants further investigation.

In summary, while seeing purple light after retinal laser treatment can occur, it is essential to communicate this symptom to your eye care provider. They can offer the best guidance on whether to proceed with the upcoming treatment or if further evaluation is necessary. Your eye health is paramount, especially with a history of diabetic retinopathy, and proactive communication with your healthcare provider is key to ensuring the best outcomes for your vision.

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