Peripheral Retinal Laser Treatment and Its Implications - Ophthalmology

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Retinal military service issues


Hello, doctor.
The physician mentioned that I have areas of thinning in my eye and need to undergo "laser treatment for peripheral retinal tears and degeneration (FRP)." I would like to know if this is similar to retinal detachment surgery.
Also, does this laser treatment for peripheral retinal tears and degeneration meet the criteria for immunity? Thank you!

Wei, 10~19 year old female. Ask Date: 2024/03/23

Dr. Chen Anping reply Ophthalmology


Hello: According to the classification standards for physical conditions, the exemptions for military service due to retinal diseases are as follows: 1.
Retinitis pigmentosa in both eyes (night blindness) 2.
Post-operative status after retinal detachment surgery in one eye.
The final determination of your physical condition will be made by the military service office of the city or county government where you are registered.
Note: 1.
This surgery refers to scleral buckling, cryotherapy, vitrectomy, or pars plana vitrectomy.
2.
Those who have undergone surgical treatment must provide a diagnostic certificate and surgical records.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2024/03/23

More Info


Peripheral retinal laser treatment, often referred to as laser photocoagulation, is a procedure designed to address issues such as retinal tears or degenerations, particularly in the peripheral regions of the retina. This treatment is distinct from retinal detachment surgery, which is a more invasive procedure aimed at reattaching the retina after it has already detached.
In your case, the recommendation for laser treatment is likely due to the identification of areas in your peripheral retina that are thin or at risk of developing tears. The laser works by creating small burns in the retina, which help to seal the retina to the underlying tissue, thereby preventing further complications such as retinal detachment. This is particularly important because peripheral retinal tears can lead to fluid accumulation and subsequent detachment if not addressed promptly.

Regarding your question about whether this procedure meets "immunity standards," it seems there may be some confusion in terminology. If you are referring to whether the procedure is safe and effective, it is generally considered a standard practice in ophthalmology for managing peripheral retinal issues. The procedure is minimally invasive and typically performed on an outpatient basis, meaning you can go home the same day.
However, like any medical procedure, peripheral retinal laser treatment does carry some risks and potential complications. These can include:
1. Discomfort or Pain: Patients may experience mild discomfort during the procedure due to the laser's heat. This is usually temporary.

2. Visual Disturbances: After the procedure, some patients may notice temporary changes in their vision, such as blurriness or a decrease in visual acuity. These effects are often short-lived.

3. Retinal Detachment: Although the purpose of the laser treatment is to prevent retinal detachment, there is a small risk that the procedure itself could lead to this complication, particularly if there are pre-existing vulnerabilities in the retina.

4. Hemorrhage: In rare cases, the laser can cause bleeding in the retina, which may affect vision.

5. Cataract Formation: While this is more commonly associated with other types of eye surgery, any procedure involving the eye can potentially accelerate cataract formation, especially in older patients.

It's important to discuss these risks with your ophthalmologist, who can provide you with a personalized assessment based on your specific condition and overall eye health. They can also clarify any concerns you may have regarding the procedure's implications for your vision and eye health in the long term.

In conclusion, peripheral retinal laser treatment is a proactive measure to safeguard your vision by addressing potential issues before they escalate into more serious conditions like retinal detachment. While it is not the same as retinal detachment surgery, it is a critical step in maintaining retinal health. Always ensure you have a thorough discussion with your eye care provider to understand the procedure, its benefits, and any associated risks. This will help you make an informed decision about your eye health and treatment options.

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