Retinal tear
Hello Doctor, I have retinal holes in both eyes and have undergone laser treatment for them.
However, after the treatment on my right eye (where the original hole seemed a bit large), I developed a small hole next to it within a month during my follow-up visit, so it was treated again.
In my left eye, a grid-like distortion was found (the first issue was a small hole in the upper part of the left eye), and the doctor also recommended laser treatment.
I would like to ask why I, not being highly myopic (both eyes are around -4.00 diopters), am so prone to developing these holes?
I have a few other questions: I tend to use electronic devices for extended periods.
Does this mean that continued use could increase my risk of retinal detachment? Or as long as I use them in moderation and take breaks, I shouldn't worry? What is the likelihood of retinal detachment, and does it increase the risk of blindness?
Additionally, after this surgery, I feel that my eyes are more sensitive to light, dry, and fatigued, and I often experience difficulty focusing.
Are these side effects of the laser surgery? Will multiple laser treatments potentially harm my eyes further?
Lastly, I still notice floaters after the procedure, and they are quite prominent.
Is this normal? I also see small light spots; could this be due to my sensitivity, or might there be other issues with my eyes? Thank you for your patience in reading this, and I appreciate your response!
Niming, 20~29 year old female. Ask Date: 2020/04/20
Dr. Gao Pilin reply Ophthalmology
Hello: The cause of lattice degeneration of the retina is unknown, and it commonly occurs in myopic individuals, not necessarily only in those with high myopia.
The use of digital devices (3C) does not cause retinal detachment unless there are existing holes or lesions in the retina.
However, it is important for the eyes to rest and not to overuse digital devices.
The impact of retinal detachment depends on its location; if it is near the macula, the effect on vision is more significant, while peripheral detachments may have less impact, but it is important to prevent further expansion.
After laser treatment, experiencing discomfort, floaters, and light spots is normal and should improve with recovery.
If laser treatment is necessary, it indicates that not proceeding could lead to more severe complications, such as retinal detachment.
However, laser treatment is a destructive procedure that is sometimes unavoidable.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2020/04/20
More Info
Understanding retinal tears and their implications is crucial, especially for individuals who have undergone laser treatments for such conditions. Retinal tears can occur due to various factors, including age-related changes, trauma, and even high myopia, although you mentioned that your myopia is moderate (around 400 degrees). It’s important to note that retinal tears can happen in individuals without high myopia as well, and factors such as the structure of the eye, genetic predisposition, and even lifestyle choices can play a significant role.
The fact that you have experienced multiple retinal tears, particularly after laser treatments, raises some concerns. Laser photocoagulation is typically effective in sealing retinal tears and preventing further complications like retinal detachment. However, the presence of new tears suggests that there may be underlying issues that need to be addressed. It’s essential to maintain regular follow-ups with your ophthalmologist to monitor the condition of your retinas closely.
Regarding your concern about the use of digital devices (3C products), prolonged screen time can contribute to eye strain, which may exacerbate symptoms like dryness, fatigue, and light sensitivity. While there is no direct evidence linking screen time to an increased risk of retinal tears or detachment, it is advisable to practice the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce eye strain and fatigue.
As for your concerns about the likelihood of retinal detachment, it is true that having a history of retinal tears can increase the risk. However, the overall risk of detachment also depends on other factors, including the presence of lattice degeneration, family history, and other ocular conditions. It’s crucial to discuss these risks with your ophthalmologist, who can provide personalized advice based on your specific situation.
Post-surgery symptoms such as light sensitivity, dryness, and fatigue are common and can be attributed to several factors, including the healing process and the effects of the laser treatment itself. These symptoms may improve over time, but if they persist or worsen, it’s important to communicate this to your doctor. They may recommend artificial tears or other treatments to alleviate dryness and discomfort.
Regarding the perception of floaters and flashes of light, these can be normal after retinal surgery, especially if there has been a history of retinal tears. Floaters are typically caused by changes in the vitreous gel within the eye and can be more noticeable after surgical interventions. However, if you notice a sudden increase in floaters or flashes, or if you experience a shadow or curtain over your vision, it’s critical to seek immediate medical attention, as these could be signs of a retinal detachment.
In summary, while your situation is concerning, it’s essential to maintain open communication with your healthcare provider. Regular check-ups, adherence to prescribed treatments, and lifestyle modifications can significantly contribute to managing your eye health. If you have further questions or concerns, don’t hesitate to reach out to your ophthalmologist for tailored advice and support.
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