Post-Laser Surgery Concerns: Retinal Health and Symptoms - Ophthalmology

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What to expect after retinal laser surgery?


Hello, Doctor! I suddenly noticed new floaters in my vision on Thursday, and the next day, Friday, I went to the clinic for an examination.
The doctor there dilated my pupils and said that the retina in my left eye was somewhat thin.
During the examination, when I looked down, he mentioned that there was a very small hole in the peripheral retina.
He took some photos, but since I couldn't interpret them, I wasn't sure where the hole was.
I was quite nervous at the time and just nodded along, so I underwent laser treatment.
However, after returning home, I read reviews about that clinic, which indicated that they often diagnose retinal holes and recommend laser treatment, while other hospitals said there were none.
Therefore, I went to the ophthalmology department of a hospital the next day, Saturday, for another retinal examination.
The doctor confirmed that my left retina was thin but, after a thorough examination, stated that there were no holes and seemed not to see any signs of laser treatment, which relieved me somewhat.
However, I am still unclear if I actually received the laser treatment because I feel some pain in the upper part of my left eye when I exert pressure while closing my eyes and moving my eyeball.
So, I would like to ask the doctor: 1.
Should I seek another opinion at a different clinic? 2.
If I did receive laser treatment, should I avoid straining my eye movements? I went for the hospital check-up the day after the laser treatment.
3.
Can the doctor see any evidence of laser treatment during the examination? 4.
Is it normal for new circular floaters to appear, and do I need to be concerned about the sensation of something floating around my eyes when I concentrate? 5.
Since the beginning, when I close my eyes tightly at night, I see light that changes from large to small.
Does this pose any risk to my eyes? Thank you very much for your answers, Doctor!

xuesheng, 10~19 year old female. Ask Date: 2023/12/09

Dr. Chen Anping reply Ophthalmology


Hello: We recommend that you visit the ophthalmology outpatient clinic to address this issue and undergo an examination.
Thank you.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2023/12/09

More Info


After undergoing laser eye surgery, particularly LASIK, it is common for patients to have concerns regarding their recovery and the health of their eyes. Your questions touch on several important aspects of post-operative care and retinal health, so let’s address them systematically.

1. Follow-Up Consultations: It is always advisable to seek a second opinion if you have doubts about your diagnosis or treatment. If you feel uncertain about the findings of the first doctor regarding the retinal tear or the laser treatment, visiting another eye care professional for a thorough examination is a prudent step. Different practitioners may have varying levels of experience and expertise, and a fresh perspective can provide reassurance or clarification.

2. Post-Laser Activity: After laser treatment, it is generally recommended to avoid strenuous activities that could put pressure on the eyes, including forceful eye movements. If you experience pain when moving your eye, it is crucial to communicate this to your eye care provider. They can assess whether this discomfort is a normal part of the healing process or if it indicates a complication.

3. Detection of Laser Treatment: Eye doctors can often see evidence of laser treatment on the retina during a thorough examination. They may use specialized imaging techniques, such as optical coherence tomography (OCT), to visualize the layers of the retina and confirm whether laser treatment has been applied. If you are concerned about whether you received the treatment, ask your doctor directly about the findings from your examination.

4. New Floaters and Visual Disturbances: The appearance of new floaters, especially after surgery, can be concerning. Floaters are typically harmless but can be indicative of changes in the vitreous gel of the eye or retinal issues. It is not uncommon for patients to notice new floaters after surgery, but if they are accompanied by flashes of light or a sudden increase in floaters, it is essential to seek immediate medical attention. The sensation of seeing light when closing your eyes could be related to the healing process or irritation, but it should be evaluated by a professional to rule out any serious conditions.

5. Visual Symptoms During Sleep: Experiencing visual phenomena, such as seeing lights when you close your eyes, can be related to various factors, including the healing process of the retina or even the brain's response to visual stimuli. While this is often benign, if it persists or worsens, it is advisable to discuss it with your eye doctor.

In summary, your concerns about retinal health and the effects of laser surgery are valid and should be taken seriously. It is essential to maintain open communication with your healthcare providers, follow their recommendations for post-operative care, and seek additional opinions if you feel uncertain about your treatment. Regular follow-ups are crucial to monitor your recovery and address any emerging symptoms promptly. Remember, your vision is invaluable, and proactive management of your eye health is key to ensuring the best possible outcomes after surgery.

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