Circular Shadows in Vision After Retinal Surgery - Ophthalmology

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There are shadows in the eye?


Hello, I have undergone retinal laser repair in both eyes, but I have noticed a circular shadow in the lower part of my right eye when I blink.
However, when I had my retina checked, the doctor said everything looked normal.
What could this issue be?

Kk, 30~39 year old female. Ask Date: 2020/08/03

Dr. Gao Pilin reply Ophthalmology


Hello Kk: Based on your description, the dark spots you are seeing are likely due to floaters, and the examination results are normal, so there is no need to worry.
In Taiwan, the ophthalmology department at Puzi Hospital 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.
Please note that online responses are for reference only, and it is necessary to visit a medical facility for proper evaluation.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/08/03

More Info


Experiencing circular shadows or black spots in your vision after retinal surgery can be concerning, especially when you have undergone procedures like retinal repair or laser treatment. While it is reassuring that your ophthalmologist has confirmed that your retina appears normal, it is still important to understand the potential causes of these visual disturbances.

One possible explanation for the circular shadows you are observing could be related to the phenomenon known as "floaters." Floaters are tiny clumps of gel or cells that float in the vitreous humor, the clear gel-like substance that fills the eye. After retinal surgery, changes in the vitreous can occur, leading to the formation of new floaters. These floaters can cast shadows on the retina, which may appear as circular shapes, especially when you blink or move your eyes.

Another possibility is related to the healing process after surgery. The eye undergoes significant changes during and after surgical procedures, and the visual system may take time to stabilize. The presence of shadows could be a temporary effect of the eye adjusting to the changes in the vitreous and retinal structure. As the eye heals, these symptoms may diminish or resolve entirely.

Additionally, the circular shadows could be a result of the interaction between the light entering your eye and the surgical site. If there are any residual effects from the surgery, such as slight irregularities in the retinal surface or the vitreous gel, they could potentially create visual artifacts like shadows or distortions.

It's also worth considering that the perception of shadows can sometimes be influenced by the lighting conditions. For instance, bright lights or glare can exacerbate the visibility of shadows or floaters. If you notice that the shadows are more pronounced in certain lighting conditions, it may be helpful to adjust your environment to see if that alleviates the issue.

While your ophthalmologist has indicated that your retina is normal, it is essential to maintain open communication with your healthcare provider. If the circular shadows persist, worsen, or are accompanied by other symptoms such as flashes of light, sudden changes in vision, or increased floaters, you should seek further evaluation. These could be signs of complications that may require additional attention.

In summary, circular shadows in your vision after retinal surgery can be attributed to several factors, including floaters, the healing process, and lighting conditions. While it is reassuring that your retina is normal, it is crucial to monitor your symptoms and consult with your ophthalmologist if there are any changes or concerns. Regular follow-ups are essential to ensure that your recovery is progressing well and to address any new developments in your vision.

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