Visual Afterimages and Color Sensitivity After Retina Laser Surgery - Ophthalmology

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Visual afterimages, complementary colors, photophobia?


Hello, I have undergone retinal laser treatment (for a retinal tear) and I am currently having regular check-ups.
My last examination, including a fundus examination, was normal.
However, I am now experiencing complementary colors when looking at things.
For example, when I pause a video, there is a red timeline, and when I turn my head to look elsewhere, I see a green or blue timeline.
Additionally, if I look at a red bedsheet and then glance at something nearby, it appears green.
Or, if I focus on one spot while there is a red object nearby, other areas seem to turn green.
The doctors have said this is normal or possibly due to fatigue, but I didn't experience this before.
Moreover, I now feel particularly sensitive to light (especially at night).
When driving, the headlights of oncoming cars leave long afterimages.
No matter what I look at, there seems to be an afterimage.
Is there any treatment for this?

mi, 20~29 year old female. Ask Date: 2024/01/29

Dr. Gao Pilin reply Ophthalmology


Hello: Visual persistence is divided into positive afterimages and negative afterimages.
It refers to the phenomenon where visual perception remains for a period of time after the light stimulus on the retina has ceased.
Positive afterimages are identical to the original image, while negative afterimages are the complementary colors of the original image.
Positive afterimages occur due to ongoing neural excitation that has not yet completed, while negative afterimages result from excessive fatigue of the excitation, thus reflecting the opposite of the positive afterimage.
The colors presented in negative afterimages are the complementary colors of the original colors.
This is a normal physiological phenomenon; visual persistence indicates that the visual system retains residual images for a period after receiving external stimuli.
Under normal circumstances, the duration of visual persistence is approximately 0.2 seconds.
The main reasons for prolonged visual persistence include: 1.
Age factors: As individuals age, the functionality of the visual system gradually declines, leading to an extension of visual persistence duration.
2.
Lighting conditions: Visual persistence lasts shorter in bright lighting conditions compared to dark environments.
3.
Fatigue: When the eyes are fatigued, the duration of visual persistence is extended.
4.
Drug effects: Certain medications can affect the visual system, resulting in prolonged visual persistence.
5.
Diseases: Certain conditions, such as glaucoma and age-related macular degeneration, can lead to extended visual persistence.
Individuals who spend long periods using computers or mobile devices are prone to eye fatigue, which can result in prolonged visual persistence; therefore, it is important to avoid prolonged close-up visual tasks.

Reply Date: 2024/01/29

More Info


After undergoing retinal laser surgery, experiencing visual phenomena such as afterimages and color sensitivity can be concerning. It’s important to understand that these symptoms can occur due to various reasons, and while they may be alarming, they are often part of the healing process or a response to changes in the visual system.


Understanding Afterimages and Color Sensitivity
1. Afterimages: Afterimages occur when you look at a bright object and then shift your gaze to a neutral background. The photoreceptors in your retina become temporarily desensitized to the colors of the object you were just viewing. For example, if you stare at a red object, when you look away, you may see a green afterimage. This phenomenon is a result of the way our visual system processes color and light, and it can be more pronounced after any surgical procedure that affects the retina or the eye's overall function.

2. Color Sensitivity: Increased sensitivity to light and color can be a common side effect following retinal surgery. The retina may take time to adjust after the procedure, and any changes in the way light is processed can lead to heightened sensitivity to certain wavelengths of light. This can manifest as seeing colors differently or experiencing halos around lights, especially at night.

3. Visual Disturbances: The perception of trails or streaks of light, especially when looking at bright objects or lights at night, is often referred to as "light streaking" or "halos." This can be exacerbated by factors such as fatigue, dry eyes, or changes in the eye's optics following surgery.

Possible Causes of Your Symptoms
- Surgical Effects: The laser surgery may have altered the way your retina processes visual information. The healing process can lead to temporary changes in how you perceive colors and light.


- Fatigue and Eye Strain: If you are experiencing increased fatigue, especially after prolonged screen time or visual tasks, this can contribute to your symptoms. Eye strain can make your eyes more sensitive to light and color, leading to the afterimages and sensitivity you describe.

- Underlying Conditions: While your recent checks have indicated normal results, it’s essential to monitor for any changes. Conditions like retinal detachment or other complications can sometimes develop after surgery, so ongoing communication with your eye care provider is crucial.


Recommendations
1. Follow-Up with Your Eye Doctor: Since you are experiencing these symptoms post-surgery, it’s vital to keep your eye doctor informed. They can perform a thorough examination to rule out any complications and provide reassurance.

2. Manage Light Exposure: Consider wearing sunglasses in bright conditions or when driving at night to reduce glare and sensitivity. This can help alleviate some discomfort and improve your visual experience.

3. Rest Your Eyes: Ensure you are taking regular breaks from screens and giving your eyes time to rest. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Hydration and Eye Drops: If you are experiencing dryness, using artificial tears can help keep your eyes lubricated and comfortable.

5. Monitor Symptoms: Keep a log of when your symptoms occur and any potential triggers. This information can be helpful for your doctor in understanding your condition better.


Conclusion
While experiencing afterimages and color sensitivity after retinal laser surgery can be unsettling, these symptoms are often temporary and may resolve as your eyes heal. However, it’s essential to maintain open communication with your healthcare provider and report any changes in your vision. With proper care and monitoring, you can manage these symptoms effectively and ensure your visual health remains a priority.

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