Managing Eye Allergies, Myopia, and Post-Retinal Laser Surgery Care - Ophthalmology

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Eye allergies, myopia, and retinal laser surgery?


Hello, doctor.
I have approximately 400 to 500 degrees of myopia in both eyes, and almost all family members on both sides have myopia as well.
Since childhood, I have frequently experienced eye allergies during seasonal changes (I remember being diagnosed with allergic conjunctivitis).
I have also been rubbing my eyes since I was young, and even now, my eyes often feel very itchy.
Sometimes, I wake up in the middle of the night because of the itchiness and instinctively rub my eyes.
I have noticed that on a few occasions, I rubbed my eyes so much that I woke up, and although the tears on my hands were clear, they had a metallic taste.
After visiting a nearby ophthalmologist, I was told it was just allergies and was prescribed antihistamine eye drops.
Recently, I have been trying to consciously avoid rubbing my eyes, but I am really afraid that if my eyes become very itchy while I am sleeping, I will instinctively rub them and cause harm.
Are there any tests or treatments that could help improve my condition?
Additionally, during a recent eye examination, a tear was found in the retina of my right eye, and I underwent retinal laser surgery at that time.
I am majoring in Information Engineering at university (I just started this September), and I am worried that having to look at screens for long periods will worsen my retinal condition.
Should I consider changing my major to avoid a program that requires extensive screen time? Also, due to my part-time job, I may need to lift heavy objects.
After retinal laser surgery, is it only necessary to avoid lifting for one month, or is it best to avoid it indefinitely? Thank you, doctor!

Danxin Yanjing de Tongxue, 10~19 year old female. Ask Date: 2023/06/09

Dr. Liang Ce reply Ophthalmology


Recommendations: 1.
Discuss the above situation further with your attending physician.
2.
Alternatively, consult with another ophthalmology clinic.
Thank you.
Wishing you good health!

Reply Date: 2023/06/09

More Info


Managing eye allergies, myopia, and post-retinal laser surgery care involves a multifaceted approach that addresses both immediate concerns and long-term eye health. Given your history of allergic conjunctivitis and recent retinal laser surgery, it’s crucial to develop a comprehensive strategy to manage your symptoms and protect your vision.


Eye Allergies and Their Management
Allergic conjunctivitis is a common condition characterized by itchy, red, and watery eyes, often exacerbated by seasonal changes. Here are some strategies to manage your eye allergies effectively:
1. Avoid Allergens: Identify and minimize exposure to allergens such as pollen, dust mites, pet dander, and mold. Keeping windows closed during high pollen seasons and using air purifiers can help.

2. Medications: Antihistamine eye drops, such as the one prescribed (likely an antihistamine like Olopatadine), can alleviate symptoms. Additionally, oral antihistamines may also be beneficial. If symptoms persist, consider consulting an allergist for further evaluation and potential allergy testing.

3. Cold Compresses: Applying a cold compress to your eyes can reduce itching and swelling. This can be particularly soothing during allergy season.

4. Avoid Rubbing Your Eyes: As you mentioned, rubbing your eyes can exacerbate irritation and lead to further complications. To mitigate this, consider using artificial tears to wash away allergens and soothe your eyes.

5. Sleep Hygiene: If you find yourself waking up with itchy eyes, ensure your sleeping environment is free from allergens. Regularly wash your bedding and consider using hypoallergenic pillow covers.


Myopia Management
With a myopia degree of 400-500, it’s essential to monitor your vision closely, especially as you transition into a university setting that requires prolonged screen time. Here are some recommendations:
1. Regular Eye Exams: Schedule regular check-ups with your eye care professional to monitor your myopia and overall eye health. This is especially important given your recent retinal surgery.

2. Screen Time Management: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain associated with prolonged screen use.

3. Proper Lighting: Ensure your study area is well-lit to reduce glare and strain on your eyes while using screens.

4. Consider Vision Correction Options: Discuss with your eye doctor about options such as contact lenses or glasses specifically designed for screen use, which may help alleviate discomfort.


Post-Retinal Laser Surgery Care
After undergoing retinal laser surgery, it’s crucial to follow specific guidelines to ensure proper healing and avoid complications:
1. Activity Restrictions: Generally, after retinal laser surgery, patients are advised to avoid heavy lifting and strenuous activities for at least one month. This is to prevent any strain on the eye that could disrupt the healing process.

2. Monitor Symptoms: Keep an eye on any changes in your vision or discomfort. If you experience increased pain, flashes of light, or a sudden increase in floaters, contact your eye doctor immediately.

3. Follow-Up Appointments: Attend all scheduled follow-up appointments to ensure your retina is healing properly and to address any concerns.

4. Long-Term Eye Health: Discuss with your doctor about any long-term restrictions related to your field of study, especially if it involves prolonged screen time or heavy lifting. They may provide personalized advice based on your specific situation.


Conclusion
In summary, managing your eye allergies, myopia, and post-retinal laser surgery care requires a proactive approach. By implementing strategies to minimize allergens, adhering to eye care recommendations, and maintaining regular communication with your eye care provider, you can effectively manage your symptoms and protect your vision. If you have any concerns about your studies in information engineering or the impact of screen time on your eye health, it’s best to discuss these with your eye doctor for tailored advice.

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