Temporary Dry Eye After Retinal Laser Surgery - Ophthalmology

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Post-retinal surgery


Hello, Doctor.
I have undergone retinal laser surgery for retinal tears in both eyes.
After the surgery, I often feel that my eyes are particularly sensitive, frequently experiencing dryness, a gritty sensation, and a stinging "foreign body sensation." Although this is not a constant condition, it occurs occasionally, and I did not have these symptoms before the retinal laser treatment.
I have not engaged in any strenuous activities post-surgery.
I would like to know if I might be experiencing "temporary dry eye syndrome." I have researched that about 60% of patients after laser surgery experience "temporary dry eye syndrome." Is there a chance that I could also develop dry eye syndrome after retinal tear laser surgery? If so, how can I improve this condition? (It has been two weeks since one eye surgery and just over a week for the other eye, and I have not seen any improvement.
I am currently preparing for a major exam that requires extensive use of my eyes, but I occasionally remind myself to take breaks.)

K, 10~19 year old female. Ask Date: 2021/08/17

Dr. Gao Pilin reply Ophthalmology


Hello K: Fundus laser treatment and myopia laser surgery are completely different procedures, so they do not cause dry eye syndrome like myopia laser surgery can.
It is possible that discomfort arises from the laser contact with the cornea during the procedure.
This should improve after some time.
Alternatively, there may be other causes of discomfort, such as conjunctivitis.
Information found online should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
Gao Pilin

Reply Date: 2021/08/17

More Info


After undergoing retinal laser surgery, it is not uncommon for patients to experience temporary dry eye symptoms. This condition can manifest as sensitivity, dryness, a gritty sensation, or a feeling of having something in the eye. These symptoms can be particularly distressing, especially if they were not present before the surgery.
The phenomenon of temporary dry eye after any ocular surgery, including retinal laser procedures, is well-documented. The surgery can disrupt the normal tear film and the ocular surface, leading to a decrease in tear production or an increase in tear evaporation. This is often exacerbated by factors such as prolonged screen time, which is common when preparing for exams like the Scholastic Aptitude Test (SAT) or other academic assessments.

Research indicates that approximately 60% of patients may experience some form of dry eye symptoms following laser surgery. This is due to the surgical manipulation of the eye, which can affect the nerves responsible for tear production. In your case, the symptoms you are experiencing—dryness, a sensation of grittiness, and occasional stinging—are consistent with what many patients report after similar procedures.

To manage and alleviate these symptoms, there are several strategies you can employ:
1. Artificial Tears: Over-the-counter artificial tears can provide immediate relief from dryness. Look for preservative-free options, as these are gentler on the eyes and can be used more frequently.

2. Frequent Breaks: Since you are preparing for exams that require extensive reading or screen time, it is crucial to follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce eye strain and allows your eyes to rest.

3. Humidifiers: Using a humidifier in your study area can help maintain moisture in the air, which can be beneficial for your eyes, especially in dry environments.

4. Avoiding Irritants: Try to minimize exposure to smoke, wind, and air conditioning, as these can exacerbate dry eye symptoms.

5. Consult Your Doctor: If your symptoms persist or worsen, it is essential to follow up with your ophthalmologist. They may recommend prescription eye drops or other treatments tailored to your specific needs.

6. Hydration: Ensure you are drinking enough water throughout the day, as systemic hydration can also impact tear production.

7. Warm Compresses: Applying a warm compress to your eyes can help stimulate tear production and provide relief from discomfort.

It is important to note that while temporary dry eye symptoms are common after retinal laser surgery, they typically improve over time as the eye heals. However, if you notice that your symptoms are not improving or are significantly impacting your daily activities, it is crucial to seek further evaluation from your eye care provider. They can assess your condition and determine if there are any underlying issues that need to be addressed.

In summary, experiencing temporary dry eye symptoms after retinal laser surgery is a recognized occurrence. By implementing the strategies mentioned above and maintaining open communication with your healthcare provider, you can effectively manage these symptoms and support your recovery.

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