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 19th, 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 what I experienced before the laser treatment.
Should I consider this as a sign that the retina hasn't stabilized yet, as the doctor mentioned it typically takes 2-3 weeks? The primary physician advised that if I notice an increase in floaters or flashes, I should return for an earlier consultation.
However, since it has only been a week and my primary doctor is fully booked, I am still awaiting my follow-up appointment.
Given that the frequency of flashes is similar to before the laser treatment, I am uncertain whether this indicates a worsening condition or if it is simply a part of the healing process before the retina stabilizes as the doctor indicated.

Li Xiaojie, 20~29 year old female. Ask Date: 2024/06/27

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 week timeframe mentioned by the physician is a general estimate 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 strenuous activities for a few weeks post-surgery, particularly those that involve significant eye movement or bodily vibrations.
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 consultation if there is a noticeable increase in floaters or flashes.
While there are no apparent signs of deterioration at this time, continued observation is advised to ensure retinal stability.
If there are any changes in symptoms, such as an increase in floaters or flashes, or if vision abnormalities occur, an immediate visit to an ophthalmologist is warranted.
4.
Regular Follow-Up: Even if the current situation has not significantly worsened, it is essential 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, it may be worthwhile to contact the clinic for an earlier appointment or seek advice from another ophthalmologist.
In summary, experiencing some flashes of light within a week post-surgery is possible, especially after resuming normal activities.
However, it is important to avoid excessive strenuous 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: 2024/06/27

More Info

After undergoing retinal laser surgery, it's essential to monitor your symptoms closely and understand when to seek further medical attention. Based on your description, it seems you are experiencing some recurring symptoms that may warrant further evaluation.

Firstly, it's important to recognize that after laser treatment for retinal tears or holes, some patients may continue to experience flashes of light (photopsia) and floaters (myodesopsia). These symptoms can be a normal part of the healing process as the retina adjusts post-surgery. However, the persistence or increase in the frequency of these symptoms can be concerning.

In your case, you mentioned that you initially noticed a reduction in flashes for the first few days post-surgery, but they returned to a frequency similar to what you experienced before the procedure. This could indicate that the retina is still healing, and the laser treatment may not have fully stabilized the area around the tear yet. The timeframe for the retina to stabilize can vary, but typically, it can take several weeks to a few months for the laser-treated area to fully heal and for the symptoms to subside.

Your doctor advised you to return if you notice an increase in the frequency of flashes or the appearance of new floaters. Since you are experiencing a similar frequency of flashes as before the surgery, it may not necessarily indicate a worsening condition, but it is essential to remain vigilant. If you start to notice a significant increase in the number of flashes or floaters, or if you experience any new symptoms such as a shadow or curtain over your vision, you should seek medical attention immediately.

Regarding your work in a fast-paced environment like the restaurant industry, it is possible that the physical activity and quick movements could contribute to your awareness of these symptoms. Stress and eye strain can sometimes exacerbate visual disturbances, so it might be beneficial to take regular breaks and avoid excessive eye strain during your recovery period.

In summary, while it is not uncommon to experience some flashes and floaters after retinal laser surgery, you should keep a close watch on any changes in your symptoms. If the frequency of flashes increases or if you develop new symptoms, do not hesitate to contact your eye care provider, even if it is before your scheduled follow-up appointment. Your vision and eye health are paramount, and timely intervention can prevent potential complications. Always prioritize your health and communicate openly with your healthcare provider about any concerns you may have during your recovery.

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