Hello, doctor?
1.
I had retinal detachment in my right eye and underwent surgery on June 15, being discharged on June 20 (scleral buckle and cryotherapy).
2.
After the retinal laser surgery, I experienced flashes of light.
3.
Will the flashes eventually go away? 4.
Is a second surgery unnecessary?
Shan Guang, 40~49 year old female. Ask Date: 2023/06/26
Dr. He Jianxian reply Ophthalmology
Hello, Mr.
Flash: If the retina is well attached after surgery and there is no subsequent external traction, the sensation of flashes should gradually diminish.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.
Reply Date: 2023/06/26
More Info
Retinal detachment is a serious condition that requires prompt medical attention. It occurs when the retina, the light-sensitive layer at the back of the eye, separates from its underlying supportive tissue. This can lead to vision loss if not treated quickly. Your experience of having undergone surgery for retinal detachment and the subsequent flashing lights in your vision is not uncommon.
After surgery for retinal detachment, it is typical for patients to experience various visual phenomena, including flashes of light. These flashes can occur due to several reasons:
1. Vitreous Detachment: After surgery, the vitreous gel that fills the eye may continue to shrink and pull away from the retina. This process can stimulate the retina and cause flashes of light, which are often described as "lightning streaks" or "flashes."
2. Healing Process: The retina and surrounding tissues undergo a healing process after surgery. During this time, it is not unusual for patients to experience visual disturbances, including flashes. As the eye heals, these symptoms may gradually diminish.
3. Scar Tissue Formation: After surgery, scar tissue may form on the retina or the vitreous. This can also lead to sensations of flashing lights as the retina is stimulated.
Regarding your specific questions:
1. Will the flashes disappear?: In many cases, the flashes of light will decrease over time as the eye heals and the vitreous stabilizes. However, the duration and intensity of these flashes can vary from person to person. It is essential to monitor the situation and report any significant changes to your eye care provider.
2. Is a second surgery necessary?: The need for a second surgery depends on various factors, including the extent of the initial detachment, the success of the first surgery, and any new symptoms that may arise. If the flashes are accompanied by a sudden increase in floaters, a shadow in your vision, or a significant decrease in visual acuity, you should seek immediate medical attention. These could be signs of a new retinal issue that may require intervention.
3. Follow-Up Care: Regular follow-up appointments with your ophthalmologist are crucial after retinal detachment surgery. They will monitor your healing progress and address any concerns you may have. It is essential to adhere to their recommendations regarding activity restrictions and any prescribed medications.
4. Managing Anxiety: It is understandable to feel anxious about your vision and the possibility of further complications. Engaging in relaxation techniques, seeking support from friends or family, and discussing your concerns with your healthcare provider can help manage anxiety during this recovery period.
In summary, while flashing lights after retinal detachment surgery can be concerning, they are often a part of the healing process. Regular follow-up with your eye care provider is essential to ensure that your recovery is on track and to address any new symptoms that may arise. If you have any doubts or experience significant changes in your vision, do not hesitate to reach out to your ophthalmologist for guidance.
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