Post-Retinal Laser Surgery: Is Eye Pain Normal After Two Days? - Ophthalmology

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Two days after retinal laser surgery, there is a sharp pain in the laser-treated area after applying eye drops?


Due to retinal degeneration and thinning, after undergoing retinal laser surgery, on the second day post-operation, while using the eye drops provided by the hospital on the day of the surgery, my eye flinched, causing a slight white of the eye to show.
It took two attempts to apply the drops, and I felt some pulling around the area where the laser was applied, but my vision is otherwise normal.
Should I seek medical attention, or is this just a normal post-operative muscle soreness?

Joe, 20~29 year old female. Ask Date: 2024/04/03

Dr. Gao Pilin reply Ophthalmology


Hello: Eye pain after retinal laser surgery is a common symptom, usually caused by irritation during the procedure.
Slightly rolling your eyes while applying eye drops should not lead to pain.
Generally, eye pain after retinal laser surgery will resolve on its own within a few days.
If you still experience pain after 2 days, you can try the following methods for relief: * Apply a cold compress or ice towel to your eyes for 10-15 minutes at a time, several times a day.
* Use artificial tears or preservative-free eye drops to lubricate your eyes.
* Avoid rubbing your eyes or blinking forcefully.
If the pain does not improve after trying these methods, or if you experience any of the following symptoms, you should seek medical attention immediately: * Decreased or blurred vision * Redness or swelling of the eyes * Appearance of floaters or shadows * Severe pain

Reply Date: 2024/04/03

More Info


After undergoing retinal laser surgery, experiencing some discomfort or pain in the eye is not uncommon, especially within the first few days post-operation. The eye is a sensitive organ, and any surgical intervention can lead to temporary changes in sensation, including pain, pressure, or a feeling of discomfort.
In your case, since you mentioned that the pain is localized around the area where the laser was applied, it could indeed be a result of muscle strain or irritation from the procedure itself. The eye muscles may react to the surgery, leading to sensations of pulling or aching, especially if you had to maneuver your eye to apply the prescribed eye drops. This is often a normal response as the eye adjusts to the changes made during the surgery.

However, it is essential to monitor the situation closely. Here are some key points to consider:
1. Pain Management: If the pain is mild and manageable, it may not be a cause for concern. Over-the-counter pain relievers, as advised by your healthcare provider, can help alleviate discomfort. However, if the pain intensifies or becomes unbearable, it is crucial to seek medical attention.

2. Vision Changes: You mentioned that your vision remains normal, which is a positive sign. Any sudden changes in vision, such as blurriness, flashes of light, or an increase in floaters, should prompt immediate consultation with your eye doctor.

3. Signs of Infection or Complications: Keep an eye out for symptoms that could indicate complications, such as increased redness, swelling, discharge, or a significant decrease in vision. If any of these symptoms occur, it is essential to contact your healthcare provider promptly.

4. Follow-Up Appointments: Ensure that you attend all scheduled follow-up appointments with your ophthalmologist. These visits are crucial for monitoring the healing process and addressing any concerns that may arise.

5. Eye Drops Usage: When applying eye drops, try to ensure that you are in a comfortable position and that your eye is relaxed. If you find it difficult to apply the drops without discomfort, consider asking your doctor for tips on how to do this more comfortably.

6. Rest and Recovery: Allow your eyes to rest, especially after surgery. Avoid straining your eyes with prolonged screen time or reading until you feel more comfortable.

In summary, while some discomfort after retinal laser surgery can be normal, it is essential to remain vigilant for any signs of complications. If you have any doubts or if the pain persists or worsens, do not hesitate to reach out to your eye care professional for further evaluation. They can provide personalized advice based on your specific situation and ensure that your recovery is on track.

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