Retinal Tears: Symptoms and When to Seek Help - Ophthalmology

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Retinal degeneration


Hello Doctor, I had a dilated eye exam at the hospital the day before yesterday and discovered a retinal tear at the edge of my right eye.
The laser treatment has already been completed, and the doctor scheduled a follow-up appointment in two weeks.
I have been keeping my eyes rested and avoiding strain while being mindful of my eye usage.
However, after the laser treatment, I notice white flickering spots that look like stars when I look at the blue sky or white walls, but they disappear when I close my eyes or look elsewhere.
Is this a normal phenomenon? Should I go for an earlier follow-up, or should I wait for the doctor’s review in two weeks?

QZ, 20~29 year old female. Ask Date: 2020/10/30

Dr. Gao Pilin reply Ophthalmology


Hello QZ: This is likely a postoperative phenomenon.
If there are no other changes, you should be able to wait until your follow-up appointment.
However, if you experience large dark spots, visual field loss, or changes in vision, you should return for an earlier consultation.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 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 assist you.
Gao Pilin

Reply Date: 2020/10/30

More Info


It sounds like you are experiencing some concerning symptoms following your recent laser treatment for a retinal tear. First and foremost, it's important to understand that after a procedure like laser photocoagulation, some visual disturbances can occur as part of the healing process. The appearance of white spots or flashes of light, often described as "floaters" or "photopsia," can be common after such treatments. These symptoms may be due to the irritation of the retina or the healing process itself.

However, it is crucial to monitor these symptoms closely. While some degree of visual disturbance can be expected, there are certain signs that warrant immediate medical attention. You should seek help if you experience any of the following:
1. Increased Flashes or Floaters: If the number of flashes or floaters increases significantly or if you notice new ones that weren't present before.

2. Loss of Vision: Any sudden loss of vision, whether partial or complete, should be treated as an emergency.

3. Curtain or Shadow Effect: If you notice a shadow or curtain effect over your vision, this could indicate a more serious issue.

4. Severe Eye Pain: While some discomfort is normal, severe pain is not and should be evaluated immediately.

Given that you are seeing these white spots after your laser treatment, it is advisable to err on the side of caution. If these symptoms persist, worsen, or if you develop any of the warning signs mentioned above, you should contact your eye doctor sooner than your scheduled follow-up appointment.
In the meantime, continue to rest your eyes and avoid straining them. Follow any post-operative care instructions provided by your doctor, such as avoiding bright lights or excessive screen time. Keeping your follow-up appointment is essential, as your doctor will want to assess the healing of your retina and ensure that no further complications have developed.

It's also beneficial to maintain open communication with your healthcare provider. If you have any concerns or questions about your symptoms, do not hesitate to reach out to them. They can provide reassurance and guidance tailored to your specific situation.

In summary, while some visual disturbances can be normal after laser treatment for a retinal tear, it is essential to monitor your symptoms closely. If you notice any significant changes or concerning signs, seek medical attention promptly. Your eye health is paramount, and timely intervention can help prevent potential complications.

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