Retinal Laser Treatment: Preventive Measures and Symptoms Explained - Ophthalmology

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Retinal Laser Treatment 2


Hello, Doctor Gao.
I would like to further inquire about educational information regarding retinal laser treatment.

1.
As mentioned in the previous question, I do not quite understand why preventive laser treatment is necessary if there is a possibility of a retinal tear occurring later that would require additional laser treatment.
It feels like it would mean undergoing an extra procedure, especially since I have my fundus checked approximately every four months.
2.
I have read that if the floaters are not caused by vitreous degeneration, they may be able to self-absorb and fade.
How can one distinguish whether the floaters are caused by a retinal tear or by vitreous changes?
I apologize for my anxiety regarding eye health.
Thank you, Doctor, for taking the time to respond despite your busy schedule.

Niming, 20~29 year old female. Ask Date: 2020/12/31

Dr. Gao Pilin reply Ophthalmology


Hello: Laser treatment is applied to the surrounding area that may be at risk of rupture.
If a rupture occurs in the center, having laser treatment around it can reduce the likelihood of retinal detachment.
Therefore, once a rupture has occurred, it is important to assess whether additional laser treatment is necessary.
The most common cause of floaters not related to vitreous degeneration is bleeding; minor bleeding can be absorbed and will improve over time.
An examination can help determine the specific cause.
In Taiwan, the ophthalmology department at Puzi Hospital is open 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.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/12/31

More Info


Understanding retinal laser treatment is crucial for anyone concerned about their eye health, especially if they have been diagnosed with conditions that may lead to retinal tears or detachments. Here’s a comprehensive overview based on your questions.


1. The Rationale Behind Preventive Laser Treatment
Preventive laser treatment, often referred to as laser photocoagulation, is employed to address areas of the retina that are at risk of developing tears or detachments. The primary goal of this procedure is to create a barrier around the weak areas of the retina, effectively sealing them and preventing further complications.

You may wonder why preventive treatment is necessary if there is a possibility of needing additional laser treatment later on. The answer lies in the nature of retinal health. When a retinal tear occurs, it can lead to a retinal detachment, which is a serious condition that can result in permanent vision loss if not treated promptly. By performing preventive laser treatment, eye care professionals aim to reduce the risk of these severe outcomes. While it may seem like an extra step, it is a proactive measure that can save your vision in the long run.

Regular eye examinations, as you mentioned (every four months), are essential. They allow your eye doctor to monitor the condition of your retina closely and determine if additional treatments are necessary. If a tear or detachment is detected early, timely intervention can significantly improve the prognosis.


2. Distinguishing Between Types of Floaters
Floaters, or "flying spots," can be caused by various factors, including vitreous degeneration or retinal tears. Understanding the origin of your floaters is important for determining the appropriate course of action.

- Vitreous Degeneration: This is a common age-related change where the gel-like substance in the eye (the vitreous) begins to liquefy and pull away from the retina. Floaters resulting from this process are typically harmless and may gradually fade over time. They are often described as small dots, cobwebs, or strands that move with your eye movements.

- Retinal Tears: If floaters are accompanied by flashes of light or a sudden increase in the number of floaters, this may indicate a more serious issue, such as a retinal tear. In this case, the vitreous gel may be pulling on the retina, creating tension that can lead to a tear. Floaters associated with retinal tears may appear more pronounced and can be a sign that immediate medical attention is required.

To differentiate between the two, it’s essential to pay attention to any accompanying symptoms. If you notice a sudden change in your vision, such as an increase in floaters, flashes of light, or a shadow in your peripheral vision, you should seek immediate evaluation by an eye care professional.


Conclusion
Your concerns about eye health are valid, and it’s important to stay informed and proactive. Preventive laser treatment is a valuable tool in maintaining retinal health and preventing serious complications. Regular check-ups and being aware of changes in your vision can help you and your eye care provider manage your eye health effectively.

If you have further questions or experience any new symptoms, do not hesitate to reach out to your eye care provider. They can provide personalized advice and treatment options tailored to your specific needs. Remember, taking care of your eyes is an ongoing process, and staying informed is a key part of that journey.

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