Post-Retinal Laser Surgery: When to Seek Help

Q: Post-Retinal Laser Surgery: When to Seek Help

Hello： It is possible to experience some flashes of light during the recovery period after retinal laser surgery. <br>Here are a few key points and recommendations： <br>1. <br>**Retinal Stabilization**： After retinal laser surgery, the retina requires a certain amount of time to

Post-retinal laser surgery

Hello, doctor.
On June 19, I underwent retinal laser treatment due to a detected tear that had developed into a hole.
During the first three days of resting at home, I noticed a significant reduction in the flashes of light.
However, on the fourth day, when I returned to work, the flashes started to reappear.
Since my job in the food service industry involves quick movements, I am unsure if this has had an impact.
The frequency of the flashes is about 7-8 times a day, which is similar to the frequency I experienced before the laser treatment.
Does this mean that it is still within the 2-3 week period that the doctor mentioned for the retina to stabilize? My primary physician indicated that I should return for a follow-up if I notice an increase in floaters or flashes, but since it has only been a week and my doctor is fully booked, I am not yet due for a follow-up appointment.
Given that the frequency of flashes is similar to before the laser treatment, I am uncertain if this indicates a worsening condition or if it is simply too early for the retina to stabilize as the doctor suggested.

Li Xiaojie, 20~29 year old female. Ask Date: 2024/06/26

Dr. Gao Pilin reply Ophthalmology

Hello: It is possible to experience some flashes of light during the recovery period after retinal laser surgery.
Here are a few key points and recommendations:
1.
Retinal Stabilization: After retinal laser surgery, the retina requires a certain amount of time to stabilize and heal.
This process typically takes several weeks, so experiencing some flashes during this period is not uncommon.
The 2-3 weeks mentioned by the physician is a general timeframe for retinal stabilization, but individual recovery may vary.
2.
Flashes Phenomenon: If the flashes decrease in the three days leading up to the surgery and then reappear after returning to normal activities on the fourth day, this may be related to increased activity levels.
Excessive or rapid movements can impact the eyes, especially in the early stages of recovery.
Therefore, it is advisable to avoid overly vigorous activities for a few weeks post-surgery, particularly those that require significant eye movement or body jolting.
3.
Monitoring Symptoms: Although the current frequency of flashes is similar to that before the laser treatment, close observation is still necessary.
The physician recommends seeking an earlier appointment if there is a noticeable increase in floaters or flashes.
While there are no obvious signs of deterioration at this time, continued monitoring is suggested to ensure retinal stability.
If there are any changes in symptoms, such as an increase in floaters or flashes, or any other visual abnormalities, an immediate visit to an ophthalmologist is warranted.
4.
Regular Follow-Up: Even if the current situation has not significantly worsened, it is important to adhere to the physician's follow-up schedule.
Regular check-ups can ensure retinal stability and timely management of potential issues.
If there are concerns, even if the primary physician's schedule is full, consider reaching out to the clinic for an earlier appointment or seeking a second opinion from another ophthalmologist.
In summary, experiencing some flashes within the week post-surgery is possible, especially after resuming normal activities.
However, it is important to avoid excessive vigorous activities and closely monitor any changes in symptoms.
If there is an increase in flashes or floaters, an ophthalmological examination should be sought promptly.
Please follow the physician's scheduled follow-up appointments to ensure the health and stability of the retina.

Reply Date: 2024/06/26

More Info

After undergoing retinal laser surgery, it is crucial to monitor your symptoms closely and understand when to seek further medical attention. Based on your description, it seems that you are experiencing some recurring symptoms, such as flashes of light, which can be concerning after such a procedure.

Firstly, it is important to recognize that experiencing flashes of light (photopsia) and floaters (often referred to as "flying mosquitoes") can be common after retinal surgery, including laser treatments. These symptoms can occur due to various reasons, including the healing process of the retina and the vitreous gel in the eye. After laser surgery, the retina may take some time to stabilize, and during this period, it is not unusual for patients to notice changes in their vision, including the perception of flashes or floaters.

You mentioned that you felt a reduction in the frequency of flashes during the first few days post-surgery but noticed a return to a similar frequency as before when you resumed work. This could indicate that your eyes are still adjusting to the changes caused by the laser treatment. However, it is essential to differentiate between normal post-operative symptoms and signs that may indicate complications.

According to your doctor's advice, you should be particularly vigilant for any significant changes in your symptoms. If you notice an increase in the frequency of flashes or floaters, or if you experience new symptoms such as a curtain-like shadow over your vision, a sudden decrease in vision, or any other alarming changes, you should seek medical attention immediately. These could be signs of complications such as retinal detachment or other issues that require prompt intervention.

Regarding your concern about returning to work in a fast-paced environment like the restaurant industry, it is advisable to take it easy initially. Rapid movements and straining your eyes can potentially exacerbate symptoms. If your job involves a lot of visual focus and quick movements, it might be worth discussing with your doctor whether you should modify your activities temporarily until your eye has had more time to heal.

As for the timeline for the retina to stabilize, while your doctor mentioned a period of 2-3 weeks, it is essential to remember that individual healing times can vary. The retina may not be fully stable immediately after the procedure, and it can take time for the laser treatment to take full effect. If your symptoms remain consistent with what you experienced before the surgery, it may not necessarily indicate a worsening condition, but rather a continuation of your baseline symptoms.

In summary, while it is normal to experience some flashes and floaters after retinal laser surgery, you should remain vigilant for any significant changes in your symptoms. If you have concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider, even if it is before your scheduled follow-up appointment. Your eye health is paramount, and it is always better to err on the side of caution when it comes to potential complications following eye surgery.

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