Will Floaters Improve After Retinal Tear Repair? - Ophthalmology

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Retinal laser treatment for floaters?


I experienced sudden onset of floaters after squatting and then standing up.
After an examination, it was found that I had a retinal tear.
The doctor immediately treated the tear, but it has been 12 hours and the floaters are still present.
Will the floaters improve after the treatment?

003, 50~59 year old female. Ask Date: 2020/05/26

Dr. Gao Pilin reply Ophthalmology


Hello: The floaters may not necessarily disappear after the hole is repaired.
This is because floaters can be caused by vitreous opacities, as well as residual retinal tissue at the site of the hole.
However, if the floaters are due to bleeding from blood vessels related to the hole, they may gradually diminish.
In Taiwan, at Puzi Hospital's ophthalmology department: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday 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 necessary.
We hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/05/26

More Info


Floaters, or "flying spots," are a common visual phenomenon that many people experience, especially as they age. They are usually caused by changes in the vitreous gel that fills the eye, which can become more liquid and less gel-like over time. When the vitreous pulls away from the retina, it can create shadows on the retina, resulting in the perception of floaters.
In your case, you mentioned that you experienced floaters after a retinal tear, which was subsequently repaired by your doctor. It's important to understand that while the repair of a retinal tear is crucial to prevent further complications, such as retinal detachment, the presence of floaters may not immediately resolve after the procedure.
After a retinal tear repair, floaters can persist for several reasons:
1. Vitreous Changes: The vitreous gel may still be undergoing changes after the repair. Even if the tear is fixed, the vitreous can continue to detach from the retina, which may lead to ongoing floaters.

2. Inflammation: The surgical procedure itself can cause some inflammation within the eye, which may temporarily increase the perception of floaters.

3. Healing Process: The eye needs time to heal after surgery. During this healing period, floaters may be more noticeable, but they could diminish as the eye recovers.

4. Individual Variation: Each person's experience with floaters is unique. Some individuals may notice a reduction in floaters over time, while others may continue to see them.

In many cases, floaters can become less bothersome over time as the brain learns to ignore them. However, if the floaters are particularly bothersome or if you notice a sudden increase in their number, it is essential to follow up with your ophthalmologist. They can assess your eye's condition and determine if any further intervention is necessary.

Regarding your concern about whether the floaters will improve after the retinal tear repair, the answer is that they may improve, but it is not guaranteed. Many patients report that floaters become less noticeable over time, while others may continue to see them. If the floaters are a significant concern, your doctor may discuss options such as vitrectomy, a surgical procedure that removes the vitreous gel and can reduce floaters, but this is typically reserved for severe cases due to the risks involved.

In summary, while the repair of a retinal tear is essential for preserving vision and preventing further complications, the presence of floaters may persist for some time. It's crucial to maintain open communication with your ophthalmologist and report any changes in your vision, as they can provide personalized advice and reassurance based on your specific situation.

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