Post-Retinal Laser Surgery Care: Key Questions and Guidelines - Ophthalmology

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Post-operative Care After Retinal Laser Surgery


Hello Doctor, I recently underwent laser treatment for a small retinal tear a few days ago, and I have a follow-up appointment in two weeks.
The doctor advised me to be cautious with vigorous exercise.

Q1: I would like to ask if exercises like push-ups and sit-ups, which engage the upper body, as well as running, are considered vigorous activities? If there are no issues during the follow-up, can I continue doing these?
Q2: Regarding lifting heavy objects, is it true that I should avoid lifting anything heavy in the future, or is it acceptable to lift heavy items slowly rather than applying sudden force?
Q3: Is there a higher risk of developing another retinal tear in the eye that has previously experienced a tear and was treated with laser compared to an eye that has never had a tear?
Q4: I have a history of floaters and typically have a retinal examination once a year.
This time, I experienced a tear without any warning signs (such as a sudden increase in floaters).
I happened to have time, so I scheduled the exam two months earlier.
If there are no issues during the follow-up in two weeks, should I change my future retinal examinations to every six months or even every three months, or is it sufficient to continue with once a year? Thank you, Doctor.

Mr. Zhang, 20~29 year old female. Ask Date: 2020/07/23

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Zhang:
1.
Please refrain from any activities for now and wait for the doctor's examination before proceeding.

2.
Avoid moving slowly as well.

3.
The occurrence of a retinal tear indicates that the peripheral retina is relatively fragile; having experienced it once increases the likelihood of it happening elsewhere compared to those who have never had such an incident.

4.
The interval for follow-up visits should be determined based on the current condition of the retina, so it is best to have the attending physician assess it.

Puzih Hospital Ophthalmology Department in Taiwan:
Monday, Tuesday, Thursday, Friday: 8:00 AM – 12:00 PM
Wednesday: 2:00 PM – 4:30 PM
Please note that 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.

Gao Pilin

Reply Date: 2020/07/23

More Info


Post-retinal laser surgery care is crucial for ensuring optimal recovery and minimizing the risk of complications. Here are some key considerations and answers to your questions based on the information provided.

Q1: Can I continue doing push-ups and sit-ups, and is running considered vigorous exercise?
After retinal laser surgery, it's essential to be cautious with physical activities, especially those that involve significant upper body strength or cardiovascular exertion. Push-ups and sit-ups engage the core and upper body muscles, which can increase intraocular pressure temporarily. While your doctor may have cleared you for these activities, it is advisable to listen to your body and avoid any movements that cause discomfort or strain. Running, especially at a high intensity, can also elevate intraocular pressure. If you feel any discomfort or visual disturbances while performing these exercises, it would be wise to stop and consult your physician.

Q2: Is it safe to lift heavy objects, and what about the manner of lifting?
Lifting heavy objects should generally be avoided for a period after retinal surgery. The concern is that sudden or heavy lifting can increase intraocular pressure, potentially leading to complications. If you must lift something, it is safer to do so gradually and with proper technique—bending at the knees rather than the waist, and using your legs to lift rather than straining your back or upper body. Always prioritize safety and avoid any lifting that feels strenuous.

Q3: Does having had a retinal tear make my eye more susceptible to future tears?
Yes, having a history of retinal tears can increase the risk of future occurrences. The structural integrity of the retina may be compromised after a tear, and individuals with a history of retinal issues are often monitored more closely. It is crucial to maintain regular eye examinations and report any new symptoms, such as sudden increases in floaters or flashes of light, to your eye care provider promptly.

Q4: How often should I have eye examinations after experiencing a retinal tear?
Given your history of retinal issues and the presence of floaters, regular monitoring is essential. If your follow-up appointment in two weeks shows no complications, you might consider maintaining a schedule of annual eye exams. However, if you have concerns or experience any new symptoms, more frequent examinations (every six months or even quarterly) may be warranted. It's always best to discuss your specific situation with your ophthalmologist, who can provide personalized recommendations based on your eye health history.

In summary, post-surgery care involves being mindful of physical activities, understanding the risks associated with previous retinal issues, and adhering to a regular schedule of eye examinations. Always consult your eye care provider for personalized advice and follow their recommendations closely to ensure the best possible outcome for your eye health.

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