Concerns After Retinal Laser Treatment: Risks and Recovery Explained - Ophthalmology

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Post-retinal laser treatment


Hello, Doctor.
Six years ago, I was advised by a physician to undergo retinal laser treatment for a hole, and I went through with the procedure.
However, I later learned that this doctor had a poor reputation and was known to frequently recommend retinal laser treatments, seemingly for the purpose of profiting from health insurance reimbursements.
After subsequent examinations, I found that my eyes were actually fine and there were no holes, but the laser treatment has already been performed, and there's no going back.
I would like to ask you a few questions regarding the laser treatment I received, which was done on the peripheral retina.

1.
Is it possible that this type of laser treatment could make the retina more susceptible to traction?
2.
Could heavy lifting or impact increase the risk of retinal tears due to having undergone laser treatment?
3.
Does the laser treatment lead to an increase in floaters or affect the eye's circulation and metabolic functions?
4.
Is there a possibility for the laser scars to heal or repair in the future?
5.
Could peripheral laser treatment result in visual field defects or macular folds?
Thank you, Doctor.
I have quite a few questions, and I truly regret having undergone the laser treatment with that physician.
I am very concerned about my eyes.

Fu, 20~29 year old female. Ask Date: 2022/09/07

Dr. He Jianxian reply Ophthalmology


The laser is typically positioned at the peripheral area of the retina, so the abnormal conditions you mentioned are unlikely to occur.
However, if there is scar formation at the site of the laser treatment, it generally does not disappear.
Dr.
Chien-Hsien Ho, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/09/07

More Info


Hello! Thank you for your questions regarding your concerns after undergoing retinal laser treatment. It's understandable to feel anxious about the implications of such procedures, especially when you have doubts about the qualifications of the physician who performed them. Let’s address your concerns one by one.

1. Risk of Retinal Detachment: Laser treatment on the peripheral retina is generally intended to prevent retinal detachment by creating scar tissue that helps to hold the retina in place. However, there is a possibility that the laser can cause changes in the retinal structure that may make it more susceptible to traction or pulling. This is particularly true if there were pre-existing weaknesses in the retina. It’s important to have regular follow-ups with a qualified ophthalmologist to monitor the health of your retina.

2. Heavy Lifting and Trauma: Engaging in activities that involve heavy lifting or potential trauma to the eye can pose risks, especially if there are underlying vulnerabilities in the retina. While laser treatment itself does not inherently increase the risk of retinal tears or detachment, any pre-existing conditions or structural weaknesses may be exacerbated by physical stress. It is advisable to avoid heavy lifting and to protect your eyes from trauma, especially if you have concerns about the integrity of your retina.

3. Increased Floaters and Eye Health: Laser treatment can sometimes lead to an increase in floaters, which are small specks or clouds that drift through your field of vision. This can occur due to changes in the vitreous gel that fills the eye. Additionally, while laser treatment is designed to improve retinal health, it can also affect the eye's circulation and metabolic functions, particularly if there are complications. If you notice a significant increase in floaters or other visual disturbances, it’s crucial to consult with your eye care provider.

4. Healing of Laser Scars: The scars created by laser treatment are generally permanent and do not heal or disappear over time. These scars are intended to stabilize the retina and prevent further issues. However, the surrounding retinal tissue may adapt over time, and the overall health of your retina can improve with proper care and monitoring.

5. Impact on Vision: Peripheral laser treatment can potentially lead to visual field defects, particularly if the laser was applied in areas that are critical for vision. However, the extent of any visual field loss depends on the specific areas treated and the individual’s overall retinal health. Yellowing or wrinkling of the macula (the central part of the retina responsible for sharp vision) is less common but can occur in some cases, especially if there are complications. Regular eye exams are essential to monitor for these changes.

In conclusion, while your concerns are valid, it’s important to remember that many individuals undergo laser treatments without significant long-term issues. Regular follow-ups with a trusted ophthalmologist are crucial for monitoring your eye health and addressing any emerging concerns. If you feel uncertain about your current eye care provider, seeking a second opinion from a reputable specialist may provide you with peace of mind and a clearer understanding of your eye health. Remember, maintaining a healthy lifestyle, protecting your eyes from trauma, and adhering to your follow-up appointments are key to preserving your vision.

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