Post-Laser Eye Surgery: When to Seek Immediate Medical Attention? - Ophthalmology

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Just underwent laser surgery?


Hello, I just had laser surgery and I need to return for a follow-up appointment next Friday (August 6).
The doctor did not specifically mention avoiding heavy lifting, only advising against vigorous exercise.
Therefore, I did lift some slightly heavy items (like 6200ml of water and a watermelon).
Currently, my eyes feel similar to the post-operative condition, with some stinging and slight blurriness, but there are no other significant symptoms.
Should I schedule an earlier follow-up appointment? Under what circumstances should I seek immediate medical attention?

Xuan, 20~29 year old female. Ask Date: 2021/08/01

Dr. Gao Pilin reply Ophthalmology


Hello, Xuan: If there are no specific symptoms, you should be able to return for a follow-up appointment as instructed by your physician.
The cornea takes time to heal, so during this period, you may experience stinging and blurred vision.
If you experience severe discomfort, redness and swelling of the eyes, or a decline in vision, you should return for an examination.
Online responses can only serve as a reference; if necessary, it is important to seek medical care at a healthcare facility.
Gao Pilin

Reply Date: 2021/08/01

More Info


After undergoing laser eye surgery, it is essential to be vigilant about any changes or discomfort you may experience in your eyes. While some degree of discomfort, such as mild pain or blurred vision, can be expected in the immediate aftermath of the procedure, there are specific symptoms that warrant immediate medical attention.

When to Seek Immediate Medical Attention:
1. Severe Pain: If you experience intense or worsening pain in your eye that is not relieved by over-the-counter pain medications, this could indicate a complication that needs urgent evaluation.

2. Sudden Vision Changes: Any sudden changes in your vision, such as a significant decrease in clarity, double vision, or the appearance of new floaters or flashes of light, should prompt an immediate visit to your eye doctor. These symptoms could suggest issues such as retinal detachment or other serious complications.

3. Redness and Swelling: While some redness can be normal after surgery, if you notice increased redness, swelling, or discharge from your eye, it may indicate an infection or other complications that require prompt attention.

4. Light Sensitivity: If you find that your sensitivity to light has increased significantly or if bright lights cause discomfort, this could be a sign of a problem that needs to be assessed.

5. Persistent Blurriness: While some blurriness is common after laser surgery, if it persists beyond a few days or worsens, it is advisable to consult your doctor.
6. Foreign Body Sensation: If you feel like there is something in your eye that does not go away with blinking or rinsing, this could indicate a problem that needs to be addressed.


General Post-Operative Care:
- Avoid Heavy Lifting: As you mentioned, your doctor did not explicitly instruct you to avoid lifting heavy objects, but it is generally advisable to refrain from any strenuous activities, including lifting heavy weights, for at least a week post-surgery. This is to prevent any undue pressure on your eyes that could disrupt the healing process.

- Follow-Up Appointments: It is crucial to attend all scheduled follow-up appointments. These visits allow your doctor to monitor your healing progress and address any concerns you may have.

- Medication Compliance: If you have been prescribed eye drops or medications, ensure you use them as directed. These medications are often critical in preventing infection and managing inflammation.

- Rest Your Eyes: Give your eyes plenty of rest, especially in the first few days after surgery. Avoid screens and bright lights as much as possible to reduce strain.


Conclusion:
Given your current symptoms of mild pain and blurred vision, while these can be normal post-operative experiences, it is always better to err on the side of caution. If you feel uncertain or if your symptoms worsen, it is advisable to contact your eye doctor sooner rather than later. They can provide reassurance, evaluate your symptoms, and ensure that your recovery is on track. Remember, your eye health is paramount, and timely intervention can prevent potential complications.

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