Post-Retinal Laser Surgery: Exercise and Screen Time Guidelines - Ophthalmology

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Post-Retinal Laser Surgery


Hello, Doctor.
I would like to ask you a few questions:
1.
It has been over three months since my retinal laser surgery.
I usually do push-ups and sit-ups, about 50 repetitions each.
I would like to know if this could affect or worsen my retinal tear.

2.
Currently, I use electronic devices for 30 minutes and then take a 10-minute break.
Is this rest period sufficient, or should I increase it?
Thank you for your assistance.

Kai, 20~29 year old female. Ask Date: 2023/03/20

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Performing push-ups and sit-ups is a form of high-intensity exercise, and its impact on retinal tears depends on individual circumstances.
If your tear has completely healed and there are no other retinal issues, such exercises are generally considered safe.
However, if your physician has provided other recommendations, such as avoiding high-intensity exercise, you should follow their advice.
2.
Taking a 10-minute break after 30 minutes of work is a common suggestion, but individual needs can vary.
If you feel that this break time has adequately rested your eyes, there is no need to extend it.
However, if you still experience eye fatigue, you might consider increasing your break time or adjusting the intensity of your work.

Reply Date: 2023/03/20

More Info


After undergoing retinal laser surgery, it is crucial to approach exercise and screen time with caution to ensure optimal recovery and prevent complications. Here are some guidelines and considerations based on your questions:
1. Impact of Push-Ups and Sit-Ups on Retinal Health: Engaging in push-ups and sit-ups, especially at a high intensity, can potentially affect your retinal health, particularly if you have a history of retinal issues such as retinal tears or detachments. While these exercises primarily target the core and upper body, they can increase intraocular pressure (IOP) temporarily, which may not be advisable for individuals with a history of retinal problems. If your retinal tear has healed completely and your ophthalmologist has cleared you for physical activity, moderate exercise may be permissible. However, it is essential to listen to your body and stop if you experience any discomfort or visual disturbances. Always consult your eye care provider for personalized advice based on your specific condition.

2. Screen Time and Eye Strain: The 30 minutes of screen time followed by a 10-minute break is a widely recommended practice known as the 20-20-20 rule, which suggests that for every 20 minutes of screen use, you should look at something 20 feet away for at least 20 seconds. This helps reduce eye strain and fatigue. If you find that your eyes still feel fatigued after this routine, you might consider extending your break time or reducing the duration of your screen time. Additionally, ensure that your workspace is well-lit and that you maintain an appropriate distance from the screen to minimize strain.

Additional Considerations:
- Gradual Return to Exercise: After retinal laser surgery, it is generally recommended to gradually return to physical activities. Start with low-impact exercises such as walking or gentle stretching before progressing to more intense workouts. Monitor how your eyes respond during and after these activities.


- Avoiding High-Impact Activities: For at least the first few months post-surgery, it is advisable to avoid high-impact activities or exercises that involve heavy lifting, jumping, or straining. These activities can increase the risk of complications, including elevated IOP or stress on the retina.

- Regular Follow-ups: Keep up with your follow-up appointments with your ophthalmologist. They can provide ongoing assessments of your eye health and advise you on when it is safe to resume more vigorous activities.

- Hydration and Nutrition: Maintaining good hydration and a balanced diet rich in antioxidants can support overall eye health and recovery. Foods high in omega-3 fatty acids, lutein, and vitamins C and E are particularly beneficial for eye health.

In summary, while it is essential to stay active, it is equally important to prioritize your eye health following retinal laser surgery. Always consult your healthcare provider for tailored advice and to ensure that your exercise regimen aligns with your recovery progress.

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