Post-Laser Surgery Symptoms: Blurriness and Floaters - Ophthalmology

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Post-retinal laser surgery


Three days ago, I underwent laser treatment for a retinal tear.
Initially, my vision was relatively clear, but a day later, my eyesight began to blur, and I started seeing a foggy appearance along with black thread-like spots.
My vision remains unclear, and I would like to ask the doctor if this is a normal phenomenon.
(The day after the procedure, due to the increase in black thread-like spots, I had a follow-up appointment, and the doctor said it was still considered normal.
However, after returning home, I began to experience a foggy appearance and blurred vision, and it has now been three days.)

Xiū Sī, 30~39 year old female. Ask Date: 2022/06/18

Dr. Gao Pilin reply Ophthalmology


Hello, Shuji: Due to changes in your condition and during the examination, it is recommended that you undergo further testing.

Reply Date: 2022/06/18

More Info


After undergoing laser surgery for a retinal tear, experiencing symptoms such as blurriness and floaters can be concerning. It’s important to understand that while some post-operative symptoms can be normal, others may require further evaluation.
In your case, the initial clarity of vision followed by a sudden onset of blurriness and the appearance of black floaters (often described as "black threads" or "spots") can be attributed to a few factors related to the healing process after laser treatment.
1. Healing Process: After laser surgery, the eye undergoes a healing process. The laser treatment itself can cause temporary inflammation or changes in the vitreous gel, which fills the eye. This can lead to visual disturbances such as blurriness and floaters. The vitreous may pull away from the retina during this process, which can also contribute to the sensation of floaters.

2. Floaters: The black strands you are seeing are likely floaters, which are small clumps of gel or cells that float in the vitreous humor. They can become more noticeable after surgery due to changes in the vitreous gel. While floaters are common and often harmless, an increase in their number, especially after retinal surgery, should be monitored closely.

3. Blurriness: The foggy vision you are experiencing could be due to several reasons, including swelling of the retina or the presence of inflammation in the eye. It is not uncommon for patients to experience some degree of blurred vision after retinal laser surgery, especially in the first few days as the eye heals.

4. Follow-Up Care: Since you mentioned that you returned to your doctor due to the increase in floaters and were told that it was "normal," it’s crucial to continue following up as advised. If the blurriness persists or worsens, or if you notice new symptoms such as flashes of light or a significant increase in floaters, you should seek immediate medical attention. These could be signs of complications that need to be addressed.

5. Timeframe for Recovery: Recovery from laser surgery can vary from person to person. While some patients may notice improvement in their vision within a few days, others may take longer. It’s essential to be patient and allow your eyes time to heal, but also to remain vigilant about any changes in your symptoms.

6. What to Do Next: In the meantime, ensure you are following any post-operative care instructions provided by your surgeon. This may include using prescribed eye drops, avoiding strenuous activities, and protecting your eyes from bright lights. If you are experiencing discomfort or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation.

In summary, while some blurriness and floaters can be expected after laser surgery for a retinal tear, it is essential to monitor your symptoms closely. If you have any concerns or if your vision does not improve, please consult your eye care professional for further assessment. Your vision health is paramount, and timely intervention can make a significant difference in your recovery.

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