Post-Retinal Laser Treatment: Common Questions and Concerns - Ophthalmology

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Questions After Retinal Laser Treatment


Dear Dr.
Gao,
I apologize for disturbing you during your busy schedule.
I am a person with high myopia, and I have been experiencing flashes in my left eye.
In mid-April, I visited an ophthalmologist who found that both of my retinas are thinner than normal, but there are no tears.
As a precaution, I underwent laser treatment on the left eye first, where the thinning was more significant, followed by the right eye the following week, where the thinning was less pronounced.
The doctor explained that this was a preventive laser treatment to reduce the risk of retinal detachment.
During my follow-up appointment in the third week, the doctor assessed the healing in both eyes and deemed it satisfactory, advising that I could return for a check-up in a year unless there were any special changes.
I have a few questions I would like to ask you.
First, I have seen online that follow-up appointments after retinal laser treatment are typically scheduled at one week, one month, and one year.
Why did my doctor suggest that I only need to return in a year? Is the healing speed of retinal scarring related to factors such as age?
The second question I have is regarding the flashes I continue to experience after the laser treatment.
The doctor mentioned that the flashes would not disappear immediately after the procedure but would gradually decrease.
He also stated that if I do not experience frequent flashes, lightning-like sensations, or an increase in floaters, there is no need for a follow-up examination.
I would like to know if it is normal to occasionally see flashes in my vision without an increase in frequency or intensity, and if it is sufficient to continue monitoring this.
Lastly, I would like to ask if undergoing retinal laser treatment can lead to symptoms such as increased dryness in the eyes.
Thank you, Dr.
Gao.

Niming, 20~29 year old female. Ask Date: 2021/05/25

Dr. Gao Pilin reply Ophthalmology


Hello: The physician will schedule a follow-up appointment based on the specific situation, and it cannot be generalized.
If you occasionally experience flashes of light, you can monitor the changes; if they increase or intensify, a follow-up visit is necessary.
Retinal laser treatment does not cause dryness.
Online answers should only be used as a reference; if needed, it is essential to seek medical care at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2021/05/25

More Info


Post-retinal laser treatment, particularly for conditions like retinal thinning or detachment, can raise several questions and concerns for patients. Your inquiries reflect common post-operative considerations that many patients experience. Let’s address each of your questions in detail.


1. Follow-Up Appointment Timing
The recommendation for follow-up appointments after retinal laser treatment can vary based on individual circumstances, including the specific condition being treated, the extent of the treatment, and the patient's overall eye health. In your case, your doctor has advised a follow-up in one year, which may seem longer than the typical one-week, one-month, and one-year schedule often discussed online. This could be due to the fact that your doctor assessed your recovery as satisfactory and believes that your risk of complications is low at this time.
The healing process of the retina can indeed be influenced by age and other factors. Younger patients may heal faster, while older patients or those with other underlying conditions may require more careful monitoring. It’s essential to trust your physician’s judgment, as they are familiar with your specific case and can provide tailored advice.


2. Occasional Flashing Lights
Experiencing occasional flashes of light after retinal laser treatment can be concerning. However, it’s important to note that some degree of visual disturbances, such as flashes, can be a normal part of the healing process. If the frequency and intensity of these flashes do not increase, and you do not experience new symptoms like an increase in floaters or a curtain-like shadow in your vision, it is generally safe to continue monitoring the situation. Your doctor’s reassurance that you do not need to return unless symptoms worsen is a positive sign, indicating that they believe your condition is stable.


3. Dry Eye Symptoms
Post-laser treatment, some patients may experience dry eyes or discomfort. This can be due to several factors, including the stress of the surgery, changes in tear production, or even the healing process itself. If you find that your eyes feel dry or uncomfortable, it’s advisable to use artificial tears or lubricating eye drops as recommended by your doctor. Maintaining good hydration and taking breaks during prolonged visual tasks can also help alleviate dry eye symptoms.


Additional Considerations
While your concerns are valid, it’s crucial to maintain open communication with your healthcare provider. If you notice any significant changes in your vision, such as an increase in flashes or floaters, or if you experience any new symptoms, do not hesitate to reach out to your doctor for further evaluation.
Moreover, lifestyle factors can also play a role in your recovery. Adequate rest, a balanced diet rich in vitamins A, C, and E, and omega-3 fatty acids can support eye health. Additionally, protecting your eyes from UV light with sunglasses and avoiding high-risk activities (like contact sports) during the initial recovery phase is advisable.

In conclusion, while it’s normal to have concerns after retinal laser treatment, many of the symptoms you describe can be part of the healing process. Trust your doctor’s guidance, and don’t hesitate to seek clarification or further evaluation if your symptoms change or worsen. Your proactive approach to your eye health is commendable, and staying informed will help you navigate your recovery effectively.

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