Retinal Tears: Symptoms, Treatment, and Recovery Tips

Retinal tear with fluid ingress?

Hello, Doctor.
I recently noticed a brief flash of light at the upper edge of my left eye while working, which lasted less than a second and occurred occasionally for about one to two hours.
After visiting an ophthalmology clinic, I was diagnosed with a retinal tear and localized fluid leakage.
I received partial laser treatment and was then referred to a hospital's ophthalmology department.
On the same day, they mentioned that they managed to apply some treatment, and after five days, I returned for a follow-up to receive additional laser treatment.
The doctor indicated that my condition is currently stable.
I have informed my company about the issue and requested a two-week leave.

I would like to ask the doctor the following questions:
1.
Although I have undergone laser treatment to create a barrier, will the fluid within the retina be absorbed and metabolized over time? How long does this typically take? If the fluid decreases, can I receive additional laser treatment?
2.
I have researched that recovery to a stable state after laser treatment generally takes about 2 to 4 weeks, but my company only allows for a two-week leave.
If I need to return to work in the third week, aside from avoiding running, jumping, and lifting heavy objects, should I also avoid activities such as driving for deliveries or working in areas with laser equipment?

Long, 30~39 year old female. Ask Date: 2019/06/02

Dr. Gao Pilin reply Ophthalmology

Hello,
1.
Although laser treatment has been performed as a preventive measure, will the fluid within the retina be absorbed and metabolized? How long does this typically take? If the fluid accumulation decreases, can additional laser treatment be administered?
Answer: If no additional fluid is introduced, it will gradually be absorbed, but the time frame is uncertain.
If the fluid accumulation decreases, additional laser treatment can be performed, and it may yield better results.
2.
I have researched that recovery to a stable condition after laser treatment typically takes about 2 to 4 weeks, but my company only allows for a two-week leave.
If I need to return to work in the third week, aside from avoiding running, jumping, and lifting heavy objects, should I also avoid activities like driving for deliveries or working in environments with lasers?
Answer: It is advisable to avoid running, jumping, lifting heavy objects, and any activities that involve head movement to prevent eye injury.
Driving is generally acceptable, but when delivering, avoid lifting excessively heavy items.
Working in environments with lasers should not be a concern as long as protective eyewear is worn.
Taiwan E-Hospital, Puzi Hospital, Ophthalmology Department: Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.

Dr.
Gao Pilin

Reply Date: 2019/06/02

More Info

Hello! It sounds like you are dealing with a challenging situation regarding your retinal tear and the subsequent treatment. I’ll do my best to address your concerns based on the information provided and general medical knowledge regarding retinal tears.

Understanding Retinal Tears
Retinal tears occur when the retina, the light-sensitive layer at the back of the eye, is pulled away from its normal position. This can lead to serious complications, including retinal detachment, which can result in permanent vision loss if not treated promptly. Symptoms of retinal tears may include flashes of light, floaters, or a shadow or curtain over your vision.

Treatment and Recovery
1. Laser Treatment: You mentioned that you received laser treatment to create a barrier around the tear. This is a common and effective treatment that helps to seal the tear and prevent fluid from accumulating behind the retina. The laser creates small burns that promote adhesion between the retina and the underlying tissue.

2. Fluid Absorption: Regarding your question about the fluid that has accumulated, it is possible for the body to absorb this fluid over time. The duration for absorption can vary based on individual circumstances, but it typically takes a few weeks to a couple of months. If the fluid does reduce significantly, your ophthalmologist may consider additional laser treatment to further secure the retina.

3. Returning to Work: You are correct that the recovery period after laser treatment can range from 2 to 4 weeks. During this time, it is crucial to avoid activities that could increase intraocular pressure or strain the eye, such as heavy lifting, vigorous exercise, or any activities that could lead to trauma to the eye. Driving, especially if it involves high-stress situations or requires quick reactions, should be approached with caution. If you feel any discomfort or visual disturbances while driving, it would be wise to avoid it until you have fully recovered.

4. Follow-Up Care: Regular follow-up appointments with your ophthalmologist are essential to monitor the healing process. They will assess the stability of the retina and determine if further treatment is necessary. If you notice any new symptoms, such as increased flashes of light, floaters, or changes in your vision, you should contact your doctor immediately.

Additional Considerations
- Lifestyle Adjustments: During your recovery, prioritize rest and avoid straining your eyes. This includes limiting screen time and ensuring you take regular breaks if you must work on a computer. The 20-20-20 rule is beneficial: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Diet and Eye Health: Maintaining a healthy diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support overall eye health. Foods like leafy greens, fish, and nuts are excellent choices.

- Mental Health: Dealing with eye issues can be stressful. It’s essential to manage anxiety and stress during this period. Consider relaxation techniques such as deep breathing, meditation, or gentle yoga, which can help improve your overall well-being.

In conclusion, while you have taken significant steps toward addressing your retinal tear, it is crucial to continue following your doctor's advice and attend all follow-up appointments. Your eye health is paramount, and being proactive about your recovery will help ensure the best possible outcome. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Take care!

Similar Q&A

Understanding Retinal Tears: Symptoms, Diagnosis, and Treatment Options

At the beginning of June, I went to a regional hospital to have my retina examined. The doctor told me that my retina was fine. However, a few days ago, when I looked up and shook my head, I saw reflective circles with my eyes closed, and shaking my head also produced similar vis...

Dr. He Jianxian reply Ophthalmology
Hello: If there is indeed a tear, I still recommend laser treatment as it is safer. Generally, there is no need for rest after the laser procedure, and there should not be any discomfort. Wishing you good health.

Understanding Retinal Tears: Symptoms, Treatment, and Recovery Insights

Hello Dr. Wang, I was diagnosed with two retinal breaks in my right eye by four different ophthalmologists from two major hospitals at the end of May and June. The doctors recommended laser treatment to seal the breaks. Therefore, I underwent laser treatment at Chang Gung Memoria...

Dr. Wang Yuwei reply Ophthalmology
The eye is a spherical structure, and the substance inside it is called the vitreous body, which is surrounded by the retina. Retinal tears are usually accompanied by traction or pulling from the vitreous body, which is why you may see flashes of light. After laser treatment, the...

Understanding Retinal Disorders: Symptoms and Causes Explained

Hello, Doctor. Thank you for taking the time to respond. I have some questions I would like to ask you: 1. What are the symptoms of retinal detachment, and what are its causes? 2. What are the symptoms of retinal tears, and what are their causes? The information I found online...

Dr. Gao Pilin reply Ophthalmology
Hello cc1999: 1. You can refer to this link for a detailed explanation: https://bit.ly/2RMwdzZ 2. Regarding retinal tears: https://bit.ly/3yKSluZ Why do retinal tears occur? The primary reason is the degeneration of the vitreous body within the eye, which leads to thinning o...

Understanding Retinal Thinning: Symptoms, Risks, and Treatment Options

Last week, I had a retinal examination at the ophthalmologist. The doctor told me that my retina is not torn, but it is thinning. Currently, my myopia is -7.00 and -6.00 diopters, and I was advised to follow up in six months. At night, when I lie in bed, about five minutes after ...

Dr. Gao Pilin reply Ophthalmology
Hello Rick: The flashes at the corners of your eyes may be caused by the vitreous pulling on the retina. The thinning of the peripheral retina should be assessed for severity, and if necessary, the doctor may recommend laser treatment. If you do not overstrain your eyes, there is...