Retinal laser therapy
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, which last for a while before disappearing.
The doctor explained that the flashes are related to the treatment area appearing in the lower part of the eye and manifesting in the upper part.
After my dilated eye exam today, everything appeared normal, but the doctor who performed the laser treatment is different from the one who examined me today.
The explanation was not very clear, so I would like to ask if the laser treatment can cause flashes of light when the eye is closed or if it can lead to thinning of the retina in the treated area.
Is this phenomenon temporary? The doctor took a long time to say that the treated area was not prominent and mentioned that the original tear appeared to be degenerative and not a horseshoe tear.
Does this mean that the preventive laser treatment was unnecessary and could have caused the flashes of light in my closed eye? I apologize for the lengthy message, and thank you for your response, Dr.
Gao.
Hua, 30~39 year old female. Ask Date: 2023/09/07
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 the retina from detaching.
Generally, this treatment is intended to protect the health of the eye rather than cause new issues.
The symptom of seeing flashes with closed eyes may be related to the laser treatment, but it could be temporary.
However, flashes may also be associated with other ocular issues, such as floaters in the vitreous or other retinal problems.
You should consult your ophthalmologist regarding any concerns about the flash symptoms.
The doctor can further evaluate your symptoms and provide appropriate advice and treatment.
Reply Date: 2023/09/07
More Info
After undergoing preventive retinal laser treatment, experiencing flashing lights can be concerning, but it is important to understand the nature of these symptoms and their implications. Flashing lights, or photopsia, can occur due to various reasons, particularly after laser treatment aimed at addressing retinal issues such as tears or detachments.
Understanding Flashing Lights Post-Laser Treatment
1. Mechanism of Flashing Lights: The flashing lights you are experiencing, especially when closing your eyes, can be attributed to the interaction between the vitreous gel and the retina. During laser treatment, the laser creates small burns on the retina, which can lead to changes in the vitreous gel's adherence to the retina. As the vitreous gel pulls away from the retina, it can cause sensations of light flashes. This is often a benign phenomenon, especially if it occurs shortly after the procedure.
2. Duration of Symptoms: The flashing lights you describe are likely temporary. Many patients report that these symptoms diminish over time as the vitreous gel stabilizes and the retina heals from the laser treatment. However, the duration can vary from person to person. It is not uncommon for these flashes to persist for several weeks to months following the procedure, but they should gradually decrease in frequency and intensity.
3. Retinal Changes: Regarding your concern about whether the laser treatment could cause thinning of the retina or exacerbate the flashing lights, it is essential to note that the laser is designed to strengthen the retina by creating scar tissue that helps to seal any tears or weak areas. While the treated area may experience some changes, these are typically intended to prevent further complications rather than cause them. Your doctor’s assessment that the treated area appears stable is reassuring.
4. When to Seek Further Evaluation: While occasional flashes can be normal, you should monitor for any changes in your symptoms. If you notice an increase in the frequency or intensity of the flashes, or if you experience new symptoms such as a sudden increase in floaters, a shadow in your vision, or a curtain-like effect, it is crucial to seek immediate medical attention. These could be signs of a more serious condition, such as retinal detachment.
Recommendations for Managing Symptoms
- Avoid Strain: Limit activities that may strain your eyes, such as prolonged screen time or reading in poor lighting. This can help reduce overall eye fatigue and may alleviate some of the flashing sensations.
- Protect Your Eyes: If you are sensitive to light, wearing sunglasses outdoors can help minimize discomfort and protect your eyes from bright light exposure.
- Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments with your eye care provider. Regular monitoring is essential to assess the health of your retina and to address any concerns promptly.
- Communicate with Your Doctor: If you have lingering questions or concerns about your symptoms, do not hesitate to reach out to your healthcare provider. Clear communication can help alleviate anxiety and ensure you receive the best care.
Conclusion
In summary, the flashing lights you are experiencing after preventive retinal laser treatment are likely a temporary response to the procedure. While they can be unsettling, they are often benign and should improve over time. However, it is essential to remain vigilant and consult your eye care professional if your symptoms change or worsen. Regular follow-ups and open communication with your healthcare provider are key to ensuring your eye health remains stable.
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