Post-Retinal Surgery Concerns: When to Worry About Eye Injuries - Ophthalmology

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After retinal surgery, one eye underwent laser treatment while the other eye is normal. A fall was checked and found to be fine, but the next day there was a head bump?


Hello, doctor.
I have floaters in both eyes, and one eye has a tear.
I underwent laser treatment a month ago.
The other eye does not have a tear but also has floaters.
A few days ago, I accidentally fell and was worried about the tear worsening, but my examination yesterday showed normal results.
This morning, I accidentally bumped my head against scaffolding (while wearing a hard hat), and I'm really concerned about the potential consequences.
Since I just had an examination yesterday, I would like to ask what kind of impact could potentially cause another tear.
Should I go for an examination immediately if I bump my head or fall, or does it have to be a significant impact to warrant concern? I don't have a reassuring answer and feel very anxious; I've already had two check-ups this month because of this.

Niming, 20~29 year old female. Ask Date: 2023/10/26

Dr. Gao Pilin reply Ophthalmology


Hello: Floaters are usually caused by changes or structural issues in the gel-like substance within the vitreous body of the eye, and external impacts to the eye typically do not lead to floaters.
The appearance of floaters is often due to the vitreous becoming uneven, creating shadows or thread-like objects that move within the field of vision.
Holes in the eye, such as retinal tears, are usually caused by different factors and are generally unrelated to floaters.
Retinal tears are not typically caused by minor external impacts but may be associated with structural issues of the retina, high myopia, or other risk factors.
Usually, only significant trauma or severe eye conditions can lead to retinal tears.
If there are no abnormalities in the eye, it is usually fine to monitor the situation.
However, if you are very anxious about your eye condition, it is also acceptable to seek further examination.

Reply Date: 2023/10/26

More Info


After undergoing retinal surgery, it is completely understandable to feel anxious about potential complications, especially when you have a history of retinal issues such as a hole and floaters. Your concerns about sustaining further injuries to your eyes, particularly after recent incidents like falling or bumping your head, are valid and warrant careful consideration.

Firstly, it is important to recognize that the eye is a delicate organ, and any trauma can potentially lead to complications, especially after surgery. However, not all impacts will result in significant damage. The severity of the impact, the area of the head that was struck, and your individual eye health all play crucial roles in determining whether further evaluation is necessary.

In general, minor bumps or falls, especially when wearing protective gear like a hard hat, are less likely to cause significant harm to the retina or other structures of the eye. However, if you experience symptoms such as sudden changes in vision, increased floaters, flashes of light, or a curtain-like shadow over your vision, these could be signs of a retinal detachment or other serious issues, and you should seek immediate medical attention.

As for your specific situation, since you have already had a recent examination that showed normal results, it is a positive sign. However, if you continue to feel anxious about your eye health, it may be beneficial to have a follow-up appointment with your ophthalmologist. They can provide reassurance and may suggest a more tailored follow-up schedule based on your specific risks and symptoms.

Regarding what constitutes a concerning impact, here are some guidelines:
1. Significant Force: If you experience a strong impact, such as a fall from a height or a direct hit to the eye area, it is advisable to seek medical evaluation.

2. Symptoms: If you notice any new symptoms following an impact, such as blurred vision, increased floaters, or pain, you should contact your eye care provider immediately.

3. Frequency of Checks: Given your history, it may be prudent to have more frequent check-ups, especially if you are feeling anxious. Discussing your concerns with your ophthalmologist can help establish a monitoring plan that feels right for you.

In terms of managing your anxiety, consider discussing your feelings with your healthcare provider. They may offer resources or strategies to help you cope with the stress associated with your eye condition. Additionally, engaging in relaxation techniques, such as mindfulness or deep-breathing exercises, can help alleviate some of the anxiety you are experiencing.

In conclusion, while it is essential to be vigilant about your eye health following surgery, not every bump or minor incident will lead to complications. Trust your instincts, and do not hesitate to reach out to your healthcare provider if you have concerns. Regular follow-ups and open communication with your ophthalmologist will help ensure that you receive the best care and support during your recovery.

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