Post-Injection Symptoms After Macular Hemorrhage Treatment - Ophthalmology

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Intravitreal injection for macular hemorrhage?


Hello Doctor: My elder relative was recently diagnosed with macular hemorrhage (with a blood clot).
They received an injection yesterday and are scheduled for surgery to drain it in a few days.
However, today their vision seems blurrier than before the injection, and they can noticeably feel fluid moving in their eye.
This was not mentioned during the education session, so I would like to ask if this is normal.
Thank you for your response.

Liu Xiaojie, 30~39 year old female. Ask Date: 2020/11/25

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Liu: After the injection, you may experience "seeing floating black dots or line-like bodies," or temporary blurred vision.
These phenomena will gradually improve.
For reference, please visit: https://bit.ly/39lhGlb.
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 necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/11/25

More Info


After receiving treatment for macular hemorrhage, it is not uncommon for patients to experience a range of post-injection symptoms, including blurred vision and the sensation of fluid movement within the eye. These symptoms can be concerning, especially if they were not discussed during the pre-treatment education. However, it is essential to understand that some degree of visual disturbance can be a normal part of the healing process following an injection.

When a patient undergoes an injection for macular hemorrhage, typically involving anti-VEGF (vascular endothelial growth factor) agents, the goal is to reduce the swelling and bleeding in the macula, which is crucial for maintaining central vision. The injection itself can cause temporary changes in vision due to several factors:
1. Inflammation and Fluid Dynamics: After the injection, the eye may experience localized inflammation, which can lead to temporary changes in vision. The sensation of fluid moving within the eye could be attributed to the body’s natural response to the injection, as the eye adjusts to the new fluid dynamics. This sensation may feel like a sloshing or shifting of fluid, which can be disconcerting but is often a temporary condition.

2. Visual Disturbances: Blurred vision is a common side effect following an injection. This can occur due to the presence of blood or fluid in the macula, which may take time to resolve. The visual system may also need time to adapt to the changes in the eye's internal environment post-injection.
3. Healing Process: The healing process can vary significantly from person to person. While some may experience rapid improvement, others may notice prolonged symptoms. It is essential to monitor these changes and report any significant worsening of symptoms to the healthcare provider.

4. Follow-Up Care: It is crucial to have follow-up appointments scheduled after such treatments. These visits allow the ophthalmologist to assess the eye's condition, monitor for any complications, and determine if additional interventions are necessary. If the vision does not improve or worsens, further evaluation may be needed to rule out complications such as retinal detachment or persistent hemorrhage.

5. Patient Education: It is vital for healthcare providers to thoroughly educate patients about potential post-treatment symptoms. Understanding what to expect can alleviate anxiety and help patients make informed decisions about their care. If symptoms like blurred vision or fluid sensation persist or worsen, patients should not hesitate to reach out to their healthcare provider for guidance.

In summary, while experiencing blurred vision and the sensation of fluid movement after an injection for macular hemorrhage can be concerning, these symptoms are often part of the normal healing process. However, it is essential to maintain open communication with the healthcare provider and attend follow-up appointments to ensure proper recovery and address any complications that may arise. If symptoms persist or worsen, seeking immediate medical advice is crucial for the best possible outcome.

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