Post-Laser Complications: Retinal Thinning and Vision Changes - Ophthalmology

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Issues After Laser Treatment for Thinning Retina


Hello doctor, during the examination of my retina, the doctor informed me that my left retina is thinner and suggested that I undergo preventive retinal laser treatment before proceeding with my myopia laser surgery.
After the laser treatment, I noticed that two days later, at the edge of my vision in the area where the laser was applied, there appeared to be a wavy distortion, somewhat resembling the effect of looking through crystal.
Occasionally, I also experience a sensation of pressure and pain in my eyeball, along with a feeling of something foreign in the area of the laser treatment.
Prior to the laser treatment, my vision was normal, and these symptoms only appeared afterward.
It has now been seven days post-surgery, and there has been no improvement.
I would like to know what these symptoms indicate, how long it might take to recover, whether my vision will remain like this, and if you recommend seeking a second opinion at another clinic.
Additionally, since the initial examination of my retina was for the purpose of myopia laser surgery, does this current situation mean that I can no longer proceed with the surgery?

Nini, 20~29 year old female. Ask Date: 2022/11/27

Dr. Gao Pilin reply Ophthalmology


Hello: The water ripple effect is likely due to the movement of the vitreous body after laser treatment, and it may improve after some time.
Laser treatment typically does not have significant side effects, and any pain should subside after a while.
If the situation does not improve, please consult your physician for further evaluation.
As for preventive retinal laser treatment before laser surgery for myopia, it is performed to prevent retinal tears that may occur during myopia laser surgery.
Once the retina stabilizes and is assessed, myopia laser surgery can still be performed.

Reply Date: 2022/11/27

More Info


Post-Laser Complications: Understanding Retinal Thinning and Vision Changes
Hello, and thank you for your inquiry regarding your recent experiences following laser treatment. It’s understandable to have concerns about changes in vision, especially after undergoing procedures that involve the retina and cornea. Let’s break down your situation and address your questions.

Firstly, it’s important to note that retinal thinning can be a significant concern, particularly in individuals with a history of high myopia (nearsightedness). This condition can predispose individuals to retinal tears or detachments, which is why your doctor recommended preventive laser treatment. The laser procedure is intended to create a barrier around areas of thinning, helping to secure the retina and prevent further complications.

The symptoms you are experiencing—such as the appearance of wavy lines or a shimmering effect at the edges of your vision, along with feelings of pressure or discomfort in the eye—can be attributed to several factors. After laser treatment, it is not uncommon for patients to experience temporary visual disturbances as the eye heals. The sensation of an "object" in the eye could be related to inflammation or irritation from the procedure, which may take some time to resolve.

In terms of recovery, the timeline can vary significantly from person to person. Generally, initial healing from laser procedures can take a few days to a couple of weeks, but complete stabilization of vision may take longer. If your symptoms persist beyond a week or worsen, it is crucial to follow up with your eye care provider. They may want to conduct a thorough examination to rule out any complications such as inflammation, infection, or changes in the retina that may require additional intervention.

Regarding your question about whether you can still undergo myopic laser surgery after these symptoms, it largely depends on the current state of your eye health. If the retinal thinning is significant or if there are any complications from the laser treatment, your doctor may advise against proceeding with additional laser surgery until your eyes have fully healed and stabilized. It’s essential to have open communication with your eye care provider about your symptoms and concerns, as they can provide tailored advice based on your specific situation.

In the meantime, here are some recommendations to help manage your symptoms:
1. Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments with your eye doctor. They will monitor your healing process and make necessary adjustments to your treatment plan.

2. Avoid Strain: Limit activities that may strain your eyes, such as prolonged screen time or reading in poor lighting conditions. Give your eyes regular breaks.

3. Use Lubricating Drops: If you experience dryness or discomfort, using preservative-free artificial tears can help alleviate these symptoms.

4. Monitor Symptoms: Keep a record of any changes in your vision or discomfort levels, and report these to your doctor during your visits.

5. Seek Immediate Care if Necessary: If you experience sudden changes in vision, flashes of light, or an increase in floaters, seek immediate medical attention, as these could be signs of a more serious issue.

In conclusion, while it is common to experience some visual disturbances after laser procedures, persistent symptoms warrant further evaluation. Your eye care provider is your best resource for understanding the implications of your symptoms and determining the appropriate next steps for your eye health. Always prioritize your eye health and do not hesitate to seek a second opinion if you feel it is necessary.

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