After an intravitreal injection in the macula, how long should one wait before flying and wearing contact lenses?
Hello Doctor: Yesterday, on January 9th, I suddenly noticed a shadow in the center of my right eye, slightly to the left (approximately above the fovea).
Since I have a history of bleeding in the macula of my right eye, I suspect it might be another macular hemorrhage.
I previously received EYLEA injections for treatment, and I have a flight booked for January 18th.
I would like to know how long after an intravitreal injection I can fly? How many days after the injection can I wear contact lenses and soak in a hot spring? Additionally, besides macular hemorrhage, what other conditions could cause a shadow in my vision? (I have experienced brief episodes of shadows appearing and then disappearing in the past.) I have scheduled a follow-up appointment, but I wanted to consult with you first.
Thank you for your response!
WENDY, 30~39 year old female. Ask Date: 2024/01/08
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your description, the sudden appearance of a shadow in the center of your right eye, slightly to the left, could be indicative of various ocular issues.
Macular hemorrhage is one possible cause, especially since you have experienced this before and have been treated with EYLEA.
However, other potential causes may include retinal problems, vitreous hemorrhage, and more.
Regarding your plans to travel abroad, the timeline for when you can fly, wear contact lenses, and soak in hot springs after an intravitreal injection depends on multiple factors, including the type of substance injected, the condition of the injection site, and your personal medical history.
Generally, after an intravitreal injection, flying usually requires following your physician's instructions and may necessitate a monitoring period of several days to weeks to ensure there are no discomfort or complications.
Similarly, wearing contact lenses and soaking in hot springs should also be based on your doctor's recommendations, as these activities may impact your eye health.
You have already scheduled a follow-up appointment for your physician to assess your eye condition and provide the most appropriate treatment advice.
Wishing you a speedy recovery and safe travels.
Reply Date: 2024/01/08
More Info
Traveling after eye injections, particularly for conditions like macular degeneration or retinal issues, requires careful consideration of both the timing and the potential complications that may arise. Given your recent experience with an injection of EYLEA and the appearance of a shadow in your vision, it’s crucial to prioritize your eye health while planning your travel.
When Can You Fly After Eye Injections?
Typically, after an intravitreal injection, most ophthalmologists recommend waiting at least 24 to 48 hours before flying. This recommendation is primarily due to the risk of potential complications such as infection or increased intraocular pressure, which could be exacerbated by the changes in cabin pressure during a flight. However, individual circumstances can vary significantly based on your specific eye condition, the type of injection received, and your overall health.
Since you mentioned a history of macular hemorrhage and the recent appearance of a shadow in your vision, it is essential to consult with your ophthalmologist. They can provide personalized advice based on a thorough examination of your eye condition. If your doctor assesses that your eye is stable and there are no signs of complications, you may be cleared to travel.
Wearing Contact Lenses and Soaking in Hot Springs
As for wearing contact lenses, it is generally advisable to wait at least a few days after an eye injection before resuming the use of contact lenses. This waiting period allows your eye to heal and reduces the risk of irritation or infection. If you experience any discomfort or changes in your vision, it is best to postpone using contacts until you have consulted with your eye care provider.
Regarding soaking in hot springs, it is typically recommended to avoid exposing your eyes to hot water or potentially contaminated water sources for at least a week after an injection. Hot springs can harbor bacteria, and the heat can exacerbate any inflammation or irritation in your eyes. Again, your ophthalmologist will provide the best guidance based on your specific situation.
Other Causes of Visual Shadows
In addition to macular hemorrhage, there are several other potential causes for the shadow you are experiencing in your vision. These can include:
1. Retinal Detachment: This is a serious condition where the retina separates from the underlying tissue, leading to vision changes.
2. Vitreous Hemorrhage: Bleeding into the vitreous gel can cause shadows or floaters in your vision.
3. Macular Edema: Swelling in the macula can distort vision and create shadows.
4. Retinal Tears: These can occur due to various factors, including trauma or degenerative changes, leading to visual disturbances.
5. Cataracts: Clouding of the lens can also cause shadows or blurred vision.
Given your history of transient visual disturbances, it is crucial to monitor your symptoms closely. If the shadow persists or worsens, or if you experience other symptoms such as flashes of light or a sudden increase in floaters, seek immediate medical attention.
Conclusion
In summary, while flying after an eye injection is generally permissible after a short waiting period, personal health factors and the specific nature of your eye condition should guide your decision. Always prioritize consulting with your ophthalmologist for tailored advice and follow their recommendations regarding contact lens use and activities like soaking in hot springs. Your eye health is paramount, and ensuring that you are in the best possible condition before traveling will help you enjoy your trip without complications. Safe travels!
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