Can Heavy Lifting Worsen Floaters After Retinal Laser Treatment? - Ophthalmology

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Can people with floaters lift heavy objects?


Dr.
Gao has a work-related lifestyle that sometimes requires lifting heavy objects.
Last September, he underwent laser treatment for a retinal tear, with both eyes having a prescription of -6.00 diopters, and follow-up examinations showed normal results.
Recently, he inadvertently lifted a heavy object weighing around 40-50 kg.
Currently, he is experiencing a recurrence of floaters that were previously obscured, described as transparent and resembling amoebas (not the malignant type of floaters like those seen in inkblot patterns).
There are no flashes or visual field defects.
He had a follow-up appointment on November 7, which indicated normal findings.
Is it necessary for him to return to the clinic for further monitoring? Thank you.

Awei, 30~39 year old female. Ask Date: 2022/12/02

Dr. Gao Pilin reply Ophthalmology


Hello: If there has been a perforation in the past, special attention is required.
If this phenomenon occurs, it is best to have it checked.

Reply Date: 2022/12/02

More Info


After undergoing retinal laser treatment, many patients may experience concerns regarding the impact of heavy lifting on their eye health, particularly regarding the appearance of floaters. Floaters are small specks or strands that drift through your field of vision, often caused by changes in the vitreous gel that fills the eye. While they are usually harmless, their sudden increase can be alarming.

In your case, it seems that after lifting heavy objects (40-50 kg), you noticed the re-emergence of floaters that had previously been obscured. It’s important to understand that while heavy lifting can increase intraocular pressure temporarily, it is not typically associated with the worsening of floaters or the development of new floaters. However, if there is an underlying condition, such as retinal tears or detachment, heavy lifting could potentially exacerbate those issues.

1. Impact of Heavy Lifting: Generally, heavy lifting is not directly linked to the worsening of floaters. However, if you have a history of retinal issues, such as retinal tears or detachments, it is advisable to be cautious. Straining or heavy lifting can increase the risk of complications in individuals with pre-existing eye conditions. If you have been cleared by your ophthalmologist and have no other symptoms (like flashes of light or significant vision changes), occasional heavy lifting may not pose a significant risk.

2. Monitoring Symptoms: Since you mentioned that you have not experienced flashes of light or visual field defects, this is a positive sign. However, the reappearance of floaters, especially if they change in shape or number, warrants attention. It is crucial to monitor your symptoms closely. If you notice any new symptoms, such as flashes of light, a sudden increase in floaters, or any changes in your vision, you should seek immediate medical attention.

3. Follow-Up Appointments: Given that you have a history of retinal issues and have recently experienced changes in your floaters, it would be prudent to schedule a follow-up appointment with your ophthalmologist. They can perform a thorough examination to ensure that there are no underlying issues that need to be addressed. Regular monitoring is essential, especially after any significant changes in your eye health or after engaging in activities that could potentially strain the eyes.

4. Preventive Measures: To minimize the risk of complications, consider avoiding heavy lifting or strenuous activities until you have been evaluated by your eye care professional. If your job requires heavy lifting, discuss this with your doctor to determine safe practices that can help protect your eye health.

5. Understanding Floaters: It’s also important to understand that floaters can be a normal part of the aging process or due to changes in the vitreous gel. If they are not accompanied by other symptoms, they are usually not a cause for concern. However, if you have any doubts or if the floaters become bothersome, don’t hesitate to reach out to your healthcare provider.

In conclusion, while heavy lifting is not typically a direct cause of worsening floaters, it is essential to remain vigilant about your eye health, especially following retinal treatments. Regular check-ups and open communication with your ophthalmologist will help ensure that any potential issues are addressed promptly. If you have any concerns or notice changes in your symptoms, it is always best to err on the side of caution and seek professional advice.

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