Eye Symptoms After Laser Treatment for Diabetic Retinopathy - Ophthalmology

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Fundus examination, blurred vision, floaters?


Hello, Doctor He.
I am a diabetes patient.
A few days ago, I had a fundus examination of both eyes, and there was bleeding.
As a result, I underwent laser treatment on my right eye for the first time.
After the procedure, I felt a pressure sensation in my eye, and my vision was somewhat blurry, with the appearance of wavy lines.
A week later, I was scheduled for a second laser treatment on the right eye, hoping for improvement, but there was none.
It has been a month since the second treatment, and my right eye still feels a bit pressured.
When I cover my left eye and look with my right eye, my vision is hazy, and the wavy lines are still present.
I consulted the doctor who performed the laser treatment, and he mentioned that he hasn't encountered a case like mine before.
After conducting an examination, he said everything looked fine.
Doctor He, is this normal? I still need to undergo laser treatment on my left eye.

Bolin, 40~49 year old female. Ask Date: 2021/11/21

Dr. He Jianxian reply Ophthalmology


Theoretically, there should not be such a situation with laser treatment.
I am unable to understand what issue you are experiencing, so I cannot provide an answer.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2021/11/21

More Info


After undergoing laser treatment for diabetic retinopathy, it is not uncommon for patients to experience various visual symptoms, including a sensation of pressure in the eye, blurred vision, and visual distortions such as wavy lines. These symptoms can be concerning, especially for individuals with diabetes who are already at risk for vision complications.

Firstly, it is important to understand that laser treatment for diabetic retinopathy, particularly procedures like panretinal photocoagulation, is designed to reduce the risk of vision loss by targeting areas of the retina that are leaking fluid or have abnormal blood vessel growth. The treatment can cause temporary inflammation and changes in the retina, which may lead to symptoms such as the ones you are experiencing.
The sensation of "pressure" or "fullness" in the eye can be attributed to several factors. After laser treatment, the eye may undergo a healing process that can involve swelling or inflammation. This is a normal response as the body works to repair the treated areas. The presence of wavy lines or visual distortions, often referred to as metamorphopsia, can occur due to changes in the retinal structure or fluid accumulation in the macula, the central part of the retina responsible for sharp vision.

It is also worth noting that the visual symptoms you are experiencing may not necessarily indicate a failure of the treatment. In many cases, these symptoms can improve over time as the eye heals. However, if the symptoms persist or worsen, it is crucial to follow up with your ophthalmologist. They may perform additional tests, such as optical coherence tomography (OCT), to assess the retina's condition and determine if there are any complications, such as macular edema, that need to be addressed.

Regarding your concern about the upcoming second laser treatment for your left eye, it is essential to discuss your current symptoms with your ophthalmologist before proceeding. They can evaluate whether it is appropriate to continue with the planned treatment or if adjustments are needed based on your current eye health status.

In summary, while the symptoms you are experiencing after laser treatment for diabetic retinopathy can be concerning, they are not uncommon. The healing process can lead to temporary visual disturbances. However, it is vital to maintain open communication with your healthcare provider, report any changes in your symptoms, and ensure that any further treatments are conducted with careful consideration of your overall eye health. Regular follow-up appointments are crucial for monitoring your condition and making necessary adjustments to your treatment plan.

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