Flashing Lights and Preventive Laser Treatment for Floaters - Ophthalmology

Share to:

Floaters and flashes after receiving preventive laser treatment?


Hello, doctor.
I have floaters, and recently for the past 1-2 days, I have been seeing flashes and lightning outdoors at night.
After an eye examination at the clinic, the doctor said there were no issues, but mentioned that the retina in my right eye is very thin.
Previously, a doctor at a major hospital also noted that it was thin.
The doctor expressed concern about the risk of a tear and recommended prophylactic laser treatment since I have started seeing flashes, so I went ahead with the preventive laser treatment.

1.
What are the potential side effects of prophylactic laser treatment? For example, could it increase the occurrence of floaters or flashes in the future, although it reduces the risk of retinal tears or holes?
2.
Once a tear occurs, how quickly can it lead to retinal detachment?
3.
After the prophylactic treatment, the doctor said to return for a follow-up in one week.
However, if I continue to experience flashes in the meantime or afterward, will I need to have frequent check-ups?
4.
Is it safe to have regular eye examinations? Will it have any adverse effects on the eyes, such as checking every 1-2 months?

Kai Kai, 20~29 year old female. Ask Date: 2023/08/22

Dr. He Jianxian reply Ophthalmology


Hello Mr.
Kai-Kai: Preventive laser treatment for the retina is aimed at stabilizing the thinned peripheral retina, so even if the retina unfortunately tears in the future, it will not detach.
As for how long it takes for a tear to lead to detachment, this cannot be determined in terms of time; some individuals may not experience detachment at all.
Regarding the frequent dilated eye examinations, theoretically, there should be no issues, so there is no need to worry too much about this.
Director He Jian-Xian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2023/08/22

More Info


Flashing lights in your vision, especially when accompanied by floaters, can be concerning and may indicate underlying issues with the retina or vitreous. Given your history of floaters and the recent development of flashing lights, it’s essential to understand the implications and management options available.

1. Understanding Flashing Lights: The phenomenon of flashing lights, particularly in the context of floaters, is often related to the vitreous gel in the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to traction. This traction can stimulate the retina, causing the perception of flashes of light. In your case, since you have been diagnosed with a thin retina, the risk of retinal tears or detachment is heightened, which is why your doctor recommended preventive laser treatment.

2. Preventive Laser Treatment: The preventive laser treatment you received aims to create a barrier around the retina to reduce the risk of tears or detachment. While this procedure is generally safe, some patients report an increase in floaters or flashes post-treatment. However, these symptoms often stabilize over time. The primary goal of the laser is to minimize the risk of more severe complications, such as retinal detachment, which can lead to significant vision loss if not addressed promptly.

3. Risk of Retinal Detachment: If a retinal tear occurs, the timeline for potential retinal detachment can vary. Some tears can lead to detachment almost immediately, while others may take time. It’s crucial to monitor for symptoms such as a sudden increase in flashes or floaters, a shadow or curtain effect in your vision, or a sudden loss of vision. If any of these symptoms occur, immediate medical attention is necessary.

4. Follow-Up Care: After preventive laser treatment, your doctor will likely schedule follow-up appointments to monitor your condition. If you continue to experience persistent flashes, it’s essential to communicate this to your healthcare provider. Regular eye examinations are crucial, especially for individuals with a history of retinal issues. Generally, having eye exams every 1-2 months post-treatment is reasonable, but your doctor will tailor the frequency based on your specific situation.

5. Impact of Frequent Eye Exams: Regular eye examinations are vital for monitoring retinal health, especially in patients at risk for retinal detachment. These exams typically do not harm the eyes; however, they may cause temporary discomfort, especially if dilation drops are used. The benefits of early detection of potential issues far outweigh the minimal risks associated with frequent examinations.

In conclusion, while flashing lights and floaters can be alarming, understanding their causes and the preventive measures available can help alleviate some concerns. It’s essential to maintain open communication with your eye care provider, adhere to follow-up appointments, and report any new or worsening symptoms promptly. Taking these steps can significantly contribute to preserving your vision and managing any potential risks associated with your eye health.

Similar Q&A

Increase in Floaters After Laser Treatment: What You Need to Know

Hello Doctor: On October 19, I went to the clinic for an examination because I was seeing flashes of light in my eyes. The doctor said the retina at the 9 o'clock position was thinner and performed laser treatment to repair it, advising me to return for further examination i...


Dr. He Jianxian reply Ophthalmology
Hello Li-Juan: If you suddenly notice an increase in floaters or experience flashes of light, it is advisable to schedule a follow-up dilated eye examination. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

[Read More] Increase in Floaters After Laser Treatment: What You Need to Know


Understanding Retinal Issues: Flashes, Floaters, and Astigmatism Solutions

Hello, Doctor. 1. Three weeks ago, I underwent retinal laser photocoagulation. The doctor mentioned that there were no tears, only some traction. After the procedure, I still experienced flashes of light. He advised me to return for check-ups if I continued to see flashes (whic...


Dr. Wang Zhishun reply Ophthalmology
Hello, 1. Laser treatment is aimed at retinal reinforcement, not specifically for floaters (the source of flashes). 2. These all fall within the scope of floaters. 3. Astigmatism correction, like myopia, primarily involves glasses, contact lenses, laser treatments, and so on.

[Read More] Understanding Retinal Issues: Flashes, Floaters, and Astigmatism Solutions


Understanding Floaters: Causes, Symptoms, and Management Tips

Dear Dr. Gao, First of all, I would like to thank you for your previous response to my questions. Thank you. After my retinal repair surgery, I experienced floaters, particularly a prominent one in my left eye that resembles a long line with black dots at both ends. My right eye...


Dr. Gao Pilin reply Ophthalmology
Hello Peter: 1. The symptoms of eye discomfort, redness in the sclera, and a sensation of dryness or irritation may be due to conjunctivitis, fatigue, or insufficient tear production. These issues are likely unrelated to your concerns. 2. It is advisable to use artificial tea...

[Read More] Understanding Floaters: Causes, Symptoms, and Management Tips


Understanding Flashing Lights After Preventive Retinal Laser Treatment

Hello, Dr. Gao. I inquired about a medical opinion yesterday. Two weeks ago, I underwent preventive retinal laser treatment (the area of the tear has scabbed over). Recently, I have been experiencing flashes of light resembling lightning in the upper part of my closed right eye, ...


Dr. Gao Pilin reply Ophthalmology
Hello: Preventive retinal laser treatment is typically aimed at patients with existing holes or tears, with the goal of preventing retinal detachment or further deterioration. The primary objective of laser treatment is to secure the retina to prevent the holes from enlarging or ...

[Read More] Understanding Flashing Lights After Preventive Retinal Laser Treatment


Related FAQ

Floaters

(Ophthalmology)

Eye Flashes

(Ophthalmology)

Blinking

(Ophthalmology)

Laser Pointer

(Ophthalmology)

Retinal Laser Treatment

(Ophthalmology)

Halos Around Lights

(Ophthalmology)

Flashes Of Light When Eyes Are Closed

(Ophthalmology)

Night Blindness

(Ophthalmology)

Blue Light

(Ophthalmology)

Glare

(Ophthalmology)