Retinal Laser Treatment: Risks and Floaters Explained - Ophthalmology

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Retinal laser therapy


Hello, Doctor.
After my eye examination yesterday, it was found that there are thinner areas in my retina that require laser repair.
I would like to ask:
1.
Will this preventive repair cause any side effects to the retina? If that area does rupture, will I need to undergo laser treatment again?
2.
My left eye has a retinal tear that has been repaired, but there is a particularly noticeable floater that I can see even with my eyes closed.
Although the doctor did not mention it specifically during the examination, I would like to know if this dark spot will gradually fade or if it will remain for life.
I apologize for my anxiety; I keep noticing this moving dark spot (it appears darker than other floaters).
3.
I saw that you mentioned you also had floaters around the age of 20.
Under what circumstances do floaters typically fade?

Niming, 20~29 year old female. Ask Date: 2020/12/30

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
Will this preventive repair cause any side effects to the retina? Will it only result in minor peripheral vision defects, or if that area truly ruptures, will it require another laser treatment? Yes, it may require further laser treatment if a rupture occurs.
2.
The left eye has a retinal tear that has been repaired, but there is a particularly noticeable floater.
I can even see it with my eyes closed.
Although the doctor did not specifically mention it during the examination, will this black spot gradually fade, or will it remain for a lifetime? It may accompany you for a long time without disappearing, but it is harmless.
3.
I noticed the doctor mentioned that you also experienced floaters around the age of 20.
Under what circumstances do floaters generally fade? Floaters may fade with the degeneration of the vitreous body; sometimes they diminish, and other times they may increase.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2020/12/30

More Info


Hello! Thank you for your questions regarding retinal laser treatment and floaters. It’s understandable to feel anxious about changes in your vision, especially after a recent diagnosis and treatment. Let’s break down your concerns one by one.

1. Risks of Preventive Laser Treatment: Preventive laser treatment for retinal thinning or tears is generally considered safe and effective. The primary goal of this procedure is to create a barrier that prevents further progression of retinal issues, such as tears or detachments. However, like any medical procedure, there are potential risks. These can include temporary visual disturbances, such as seeing flashes of light or floaters, which may occur as your eye adjusts post-treatment. In rare cases, the laser can cause scarring or changes in the retinal structure that might affect vision. If the treated area were to develop a tear despite the laser treatment, additional laser therapy or even surgical intervention might be necessary. Regular follow-up appointments with your ophthalmologist are crucial to monitor the condition of your retina and address any new concerns promptly.

2. Floaters and Their Persistence: The black dot you are noticing, which is more pronounced than other floaters, is likely a result of the vitreous gel in your eye changing as it ages or due to the recent laser treatment. Floaters can be caused by the clumping of collagen fibers in the vitreous, and while they can be bothersome, they are usually harmless. Over time, many people find that their floaters become less noticeable, but this varies from person to person. Some floaters may remain prominent, especially if they are larger or denser than others. If the floater is particularly bothersome or if you notice any changes in your vision, it’s important to discuss this with your eye doctor. They can provide reassurance and determine if any further evaluation is needed.

3. Factors Affecting Floaters: Floaters can change in visibility due to several factors. As the vitreous continues to liquefy and pull away from the retina (a process known as vitreous detachment), some floaters may become less noticeable. Additionally, changes in lighting conditions can affect how floaters appear; for instance, they may be more visible against bright backgrounds. Staying well-hydrated and maintaining overall eye health can also contribute to how your eyes feel and function. However, it’s important to note that while some floaters may fade or become less bothersome, others may persist indefinitely.

In summary, while preventive laser treatment is generally safe and effective, it’s essential to remain vigilant about any changes in your vision. Regular check-ups with your ophthalmologist will help ensure that any potential issues are addressed early. Regarding floaters, while they can be annoying, many people find that they become less noticeable over time. If you have ongoing concerns or if your symptoms change, don’t hesitate to reach out to your eye care professional for further evaluation and support. Your eye health is paramount, and staying informed is key to managing any conditions effectively.

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