Post-Laser Concerns After Retinal Detachment Surgery: What to Expect

Post-operative issues following retinal detachment laser treatment?

Hello Doctor, two weeks ago I experienced some fluid in my left eye due to retinal detachment.
After the laser treatment, I had a follow-up appointment a week later, and the doctor said the laser treatment went well.
I was advised to avoid vigorous exercise for a month.
Today, I noticed that when I blink, there are occasional flashes of light near the inner corner of my left eye, and sometimes I feel a slight sensation of fluid, but it only lasts for that brief moment when I blink.
Since the laser treatment, I have not engaged in any exercise.
Could you please explain what this issue might be? Is this a normal condition during the recovery period after the laser treatment? Thank you, Doctor.

Yeh, 20~29 year old female. Ask Date: 2020/12/15

Dr. Gao Pilin reply Ophthalmology

Hello, the flashes you are experiencing are likely caused by vitreous traction, and the sensation of fluid movement is also due to vitreous liquefaction, which may not necessarily be related to the laser treatment of the retina.
If these phenomena persist, I recommend getting an examination.
In Taiwan, you can visit the ophthalmology department at Puzi Hospital on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on 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 needed.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2020/12/15

More Info

After undergoing retinal detachment surgery, particularly following laser treatment, it is common to have concerns about the recovery process and any unusual symptoms that may arise. Your experience of noticing occasional flashes of light and a fleeting sensation of fluid near the inner corner of your left eye can be concerning, but it is important to understand the context of these symptoms in relation to your recent surgery.

Firstly, the flashes of light you are experiencing, known as photopsia, can occur due to several reasons. After retinal surgery, it is not uncommon for the vitreous gel inside the eye to shift or pull away from the retina, which can lead to these brief flashes of light. This phenomenon is often benign, especially if it is transient and not accompanied by other symptoms such as a significant increase in floaters or a curtain-like shadow over your vision. However, it is crucial to monitor these symptoms closely, as they can sometimes indicate changes in the retina that may require further evaluation.

The sensation of fluid or a "water flow" feeling when you blink could also be related to the healing process. Post-surgery, the eye may still be adjusting, and the surgical site may be sensitive. This sensation could be due to the normal healing of the tissues around the retina and the vitreous. It is essential to ensure that you are following your doctor's post-operative care instructions, including avoiding strenuous activities and protecting your eye from potential trauma.

Regarding your question about whether these symptoms are normal during the recovery period, it is generally expected to experience some fluctuations in vision and occasional odd sensations as the eye heals. However, it is always best to err on the side of caution. If these symptoms persist, worsen, or if you notice any new symptoms such as a significant increase in floaters, a sudden loss of vision, or any curtain-like shadows, you should contact your ophthalmologist immediately for a thorough examination.

In terms of recovery, the timeline can vary significantly from person to person. While many patients begin to notice improvements in their vision within weeks, complete healing can take several months. Your doctor will likely schedule follow-up appointments to monitor your progress and ensure that the retina remains attached and that there are no complications.

It is also essential to maintain open communication with your healthcare provider. If you have any concerns or questions about your symptoms or recovery process, do not hesitate to reach out to your doctor. They can provide personalized advice based on your specific situation and medical history.

In summary, while the symptoms you are experiencing can be part of the normal recovery process after retinal detachment surgery, it is crucial to stay vigilant and report any concerning changes to your ophthalmologist. Regular follow-ups and adherence to post-operative care will help ensure the best possible outcome for your vision.

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