Peripheral Retinal Degeneration and Laser Treatment Risks - Ophthalmology

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Peripheral retinal degeneration


Hello, Doctor Gao.
I recently had an examination that revealed thinning of the peripheral retina with a small hole, and I need to undergo laser treatment to reduce the risk of retinal detachment by 1-2%.
Since the area is very peripheral, the doctor needs to stand and look down to see it with the equipment.

1) I am curious about how the laser treatment will be performed in this situation.

2) What are the risks associated with laser treatment in such a peripheral location? The laser equipment looks similar to standard examination tools, so I am curious about how this situation will be managed.

3) After the laser treatment, can I return to work the next day? (As a programmer, I need to spend a lot of time looking at screens.) My consulting physician is usually not very patient in answering my questions, so I didn't dare to ask him during my last visit.
I would appreciate your clarification on these matters.
Thank you, Doctor Gao!

Shandi, 20~29 year old female. Ask Date: 2020/11/20

Dr. Gao Pilin reply Ophthalmology


Hello Sandy,
1.
A different lens is used to view the peripheral retina.

2.
Generally, there are not many risks involved.
Before the laser procedure, you will be asked to sign a consent form, which will discuss the postoperative risks and side effects with you.

3.
It is possible to proceed without discomfort, and it will not affect your work.

The Ophthalmology Department at Puzi Hospital in Taiwan is available:
Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM
Wednesday from 2:00 PM to 4:30 PM
Please note that online responses can only serve as a reference; it is necessary to visit a medical facility for treatment.
I hope to have the opportunity to serve you.
Best regards,
Gao Pilin

Reply Date: 2020/11/20

More Info


Hello! Thank you for your questions regarding peripheral retinal degeneration and the associated risks of laser treatment. It’s understandable to have concerns, especially when it comes to your vision and the procedures involved. Let’s break down your questions one by one.

1) How is the laser applied in peripheral retinal degeneration?
Laser treatment for peripheral retinal degeneration typically involves a procedure called laser photocoagulation. During this procedure, the ophthalmologist uses a specialized laser to create small burns in the retina. This is done to seal any holes or tears and to create a barrier around the affected area to prevent fluid from entering and causing a retinal detachment. The laser is usually applied in a grid pattern around the area of concern. The procedure is performed in a controlled environment, and the doctor will use a lens to visualize the peripheral retina, which may require them to position themselves differently to get a better view.
2) What are the risks associated with laser treatment in peripheral areas?
While laser treatment is generally considered safe, there are some risks involved, particularly when treating peripheral areas of the retina. These risks can include:
- Temporary visual disturbances: Patients may experience blurred vision or a temporary decrease in visual acuity immediately after the procedure.

- Pain or discomfort: Some patients report mild discomfort during the procedure, which is usually manageable.

- Potential for retinal detachment: Although the purpose of the laser is to prevent detachment, there is a small risk that the procedure itself could inadvertently lead to a retinal tear or detachment, especially if there are pre-existing weaknesses in the retina.

- Changes in peripheral vision: There may be some changes in peripheral vision, but this is usually minimal and not noticeable to the patient.

- Intraocular pressure changes: The procedure can sometimes lead to transient increases in intraocular pressure, which should be monitored.

3) Can I return to work immediately after the laser treatment?
After laser treatment, many patients can resume normal activities relatively quickly, but it’s essential to listen to your body and follow your doctor’s advice. Since you are a programmer and spend a lot of time in front of screens, you may want to consider the following:
- Rest your eyes: It’s advisable to take breaks from screen time, especially in the first 24 hours after the procedure. This can help reduce eye strain and allow your eyes to adjust after the treatment.

- Monitor your symptoms: If you experience significant discomfort, blurred vision, or any unusual symptoms, it’s best to avoid strenuous activities, including prolonged screen time, until you have consulted with your doctor.

- Follow-up care: Make sure to attend any follow-up appointments as scheduled. Your doctor will monitor your recovery and can provide personalized advice based on your specific situation.

In conclusion, while laser treatment for peripheral retinal degeneration is a common and generally safe procedure, it’s important to be aware of the potential risks and to follow your doctor’s recommendations for post-treatment care. If you have any lingering questions or concerns, don’t hesitate to reach out to your healthcare provider for clarification. Your vision is incredibly important, and it’s worth ensuring that you have all the information you need to feel comfortable with your treatment plan.

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