Increase in Floaters After Laser Treatment: What You Need to Know - Ophthalmology

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Increased floaters after laser treatment?


Hello Doctor: On October 19, I went to the clinic for an examination because I was seeing flashes of light in my eyes.
The doctor said the retina at the 9 o'clock position was thinner and performed laser treatment to repair it, advising me to return for further examination if I experienced more flashes or floaters.
Two days later, I noticed an increase in floaters and returned for another check-up.
The doctor confirmed that the area treated with laser was fine.
Four days later, I noticed even more floaters, which were small dots and lines.
Upon my next visit, the doctor found blood spots at the 3 o'clock and 6 o'clock positions and treated those as well, but my floaters did not decrease; there are still many (both dot-like and line-like).
Additionally, the line-shaped floaters have clumped together, resembling a jellyfish, and I can see them clearly indoors.
Today, I went to the medical school for another examination, and they also said everything was fine.
However, when I woke up today, I felt some fogginess in my right eye, and I am very worried and scared.
Please help me with some advice, Doctor.

Fang Lijuan, 50~59 year old female. Ask Date: 2020/10/29

Dr. He Jianxian reply Ophthalmology


Hello Li-Juan: If you suddenly notice an increase in floaters or experience flashes of light, it is advisable to schedule a follow-up dilated eye examination.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

Reply Date: 2020/10/29

More Info


It sounds like you are experiencing a challenging situation following your recent laser treatment for your eye condition. The increase in floaters after laser treatment can be concerning, and it's understandable that you are feeling anxious about your vision. Let’s break down your situation and address your concerns.

Firstly, it's important to understand that floaters are common and can occur for various reasons, including changes in the vitreous gel inside the eye. After laser treatment, especially if the retina was treated, some patients may notice an increase in floaters. This can happen as the laser treatment can sometimes cause changes in the vitreous, leading to more floaters being perceived. The fact that your doctor has checked the areas treated with laser and found no issues is a positive sign, as it indicates that the treatment itself did not cause any immediate complications.

Regarding your specific concerns:
1. Increase in Floaters: The increase in floaters you are experiencing, particularly after the laser treatment, is not uncommon. The laser treatment can sometimes lead to changes in the vitreous gel, which may cause more floaters to become noticeable. These floaters can appear as small dots, lines, or even cobweb-like structures. While they can be bothersome, they are often harmless. However, if you notice a sudden increase in floaters, flashes of light, or any changes in your vision, it is crucial to seek immediate medical attention, as these could be signs of a more serious condition.

2. Visual Disturbances: The feeling of fogginess in your right eye upon waking could be due to several factors, including dryness, changes in the vitreous, or even residual effects from the laser treatment. It's essential to communicate this new symptom to your eye care provider, as they may want to perform a thorough examination to rule out any complications.

3. Follow-Up Care: Since you have already had multiple follow-ups and your doctors have indicated that the treated areas are stable, it is essential to continue monitoring your symptoms. If the floaters persist or worsen, or if you experience any new symptoms, do not hesitate to return to your eye doctor for further evaluation. They may consider additional imaging or tests to ensure that everything is as it should be.

4. Management of Floaters: Unfortunately, there is no specific treatment for floaters unless they significantly impair vision. In some cases, if floaters are particularly bothersome, a procedure called vitrectomy can be performed to remove the vitreous gel and the associated floaters. However, this procedure carries risks and is typically reserved for severe cases.

5. Reassurance and Monitoring: It’s important to remain calm and continue to monitor your symptoms. Many people live with floaters without any significant issues. Keeping a close relationship with your eye care provider will help ensure that any changes in your condition are promptly addressed.

In summary, while the increase in floaters after laser treatment can be concerning, it is often a benign condition. Continue to follow up with your eye care provider, report any new symptoms, and maintain regular check-ups to ensure your eye health remains stable. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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