Retinal Laser Treatment: What to Expect After Surgery - Ophthalmology

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Retinal tear, after laser photocoagulation..?


Excuse me, Director: The doctor said that after the laser treatment on my right eye, the area around the tear will form a scab and will fall off on its own.
What should I expect to see after the scabbing process? Does the fact that it falls off on its own mean that it could mix back into the vitreous body? I sometimes feel a slight blur in my right eye; is that normal? Typically, should it take about two weeks to heal, but it has been about a month and a half since my laser treatment.
The frequency and area of the flashes have decreased, but they still occur when I enter a dark room.
Does this indicate that the treatment was successful?

Nai Lu, 50~59 year old female. Ask Date: 2020/10/16

Dr. He Jianxian reply Ophthalmology


Hello, Milk Green: After laser treatment, the treated area may form a scab, but the area with the perforation may not necessarily scab over.
Additionally, the scab will not fall off, and the flash will not disappear immediately after the laser procedure.
Director He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2020/10/16

More Info


After undergoing retinal laser treatment, it is essential to understand the healing process and what to expect in terms of recovery and visual changes. Your concerns about the healing of the treated area, the appearance of scabs, and the sensations you are experiencing are valid and common among patients who have undergone such procedures.


What Happens After Retinal Laser Treatment?
1. Healing Process: After laser treatment, the area where the laser was applied may develop a scab or crust as part of the healing process. This scab is a natural response to the laser's effect on the retinal tissue. It typically consists of dead cells and debris from the treated area. Over time, this scab will naturally detach as the underlying tissue heals.
2. Visual Changes: During the healing phase, it is not uncommon for patients to experience fluctuations in their vision. You mentioned that your right eye sometimes feels "foggy." This sensation can be attributed to several factors, including the presence of the scab, inflammation, or changes in the vitreous gel that fills the eye. As the scab forms and eventually falls off, you may notice changes in your vision, which can include temporary blurriness or distortions.

3. Flashes and Floaters: The fact that you are experiencing flashes of light, especially in low-light conditions, is also a common occurrence after retinal laser treatment. These flashes can be due to the vitreous gel pulling on the retina or changes in the retinal structure post-treatment. The reduction in the frequency and intensity of these flashes over time is a positive sign that your eye is healing.

4. Duration of Recovery: While many patients notice significant improvements within a couple of weeks, complete healing can take longer, sometimes several months. The timeline for recovery can vary based on individual circumstances, including the extent of the treatment and the overall health of your retina. If you have been experiencing symptoms for about a month and a half, it is reasonable to expect gradual improvement, but it is essential to maintain regular follow-ups with your ophthalmologist.

5. Success of the Procedure: The success of the laser treatment can be assessed by the reduction in symptoms such as flashes and floaters, as well as improvements in visual clarity. If the area has stabilized and the symptoms are decreasing, it is likely that the procedure was successful. However, ongoing monitoring is crucial to ensure that no new issues arise.


When to Seek Further Evaluation
If you continue to experience significant visual disturbances, such as persistent fogginess, increased frequency of flashes, or any new symptoms, it is essential to contact your ophthalmologist. They may want to perform a thorough examination to ensure that the retina is healing properly and that no complications, such as retinal detachment or other issues, are developing.


Conclusion
In summary, after retinal laser treatment, it is normal to experience some visual changes as the eye heals. The presence of scabs, temporary fogginess, and flashes of light are common symptoms during this recovery phase. It is crucial to maintain open communication with your eye care provider and attend follow-up appointments to monitor your progress. If you have any concerns or if your symptoms worsen, do not hesitate to reach out for further evaluation. Your eye health is paramount, and timely intervention can help ensure the best possible outcome.

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