Does Pressing the Temples Affect the Retina? Concerns After Eye Surgery - Ophthalmology

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Does applying strong pressure to the temples affect the retina?


Dear Dr.
Hu,
I apologize for reaching out again with another question.
Following your advice, I visited the family medicine clinic this morning.
I noticed that the physician applied considerable pressure and massage on both of my temples during the examination, which has left me a bit concerned.
I would like to ask if this action could have any impact on the retina of my eyes, especially considering that I have previously undergone retinal reattachment surgery on my left eye (over a year ago, I had a scleral buckle procedure to reattach the retina, followed by outpatient laser treatment to stabilize the attachment).
I am feeling quite anxious about this, and I would appreciate your explanation and guidance.
Thank you.

Xiao Lai, 30~39 year old female. Ask Date: 2009/07/29

Dr. Hu Yusheng reply Ophthalmology


Hello: Activities involving gravitational acceleration can be more harmful to the eyes, while applying strong pressure to the temples and massaging the eyeballs are less related.
Regarding your concerns about retinal detachment, you may want to discuss this further with your surgeon.
Generally speaking, under regular follow-up, returning to a normal lifestyle is a common expectation shared by both the physician and the patient.
Wishing you peace and health.

Reply Date: 2009/07/29

More Info


Dear Patient,
Thank you for your question regarding the potential effects of pressing on the temples and its implications for your retina, especially considering your history of retinal surgery. It’s understandable to feel concerned about any manipulation around the eye area, particularly after undergoing procedures like scleral buckle surgery and laser treatment for retinal detachment.

To address your primary concern, pressing or massaging the temples generally does not have a direct impact on the retina itself. The retina is located at the back of the eye, and while the temples are adjacent to the eye, they are not directly connected to the retinal structure. However, there are a few important considerations to keep in mind:
1. Pressure and Eye Health: While the act of pressing on the temples may not directly affect the retina, excessive or forceful pressure could potentially lead to transient changes in intraocular pressure (IOP). Elevated IOP can be a concern, especially for individuals with a history of retinal issues or glaucoma. However, the pressure applied during a routine examination is typically not sufficient to cause significant changes in IOP or damage to the retina.

2. Post-Surgical Sensitivity: After undergoing retinal surgery, such as scleral buckle surgery, your eye may be more sensitive to pressure and manipulation. This sensitivity can lead to discomfort or a feeling of heaviness in the eye, but it does not necessarily indicate damage to the retina. If you experience persistent pain, vision changes, or other concerning symptoms following such an examination, it is essential to follow up with your ophthalmologist.

3. Psychological Factors: It’s also worth noting that anxiety and worry about your eye health can manifest physically. You might feel sensations in your eye or surrounding areas due to heightened awareness or stress. This is a common experience for patients who have undergone eye surgeries, and it can sometimes lead to misinterpretation of normal sensations as problematic.

4. Monitoring Your Symptoms: Given your history of retinal surgery, it is crucial to monitor your symptoms closely. If you notice any changes in your vision, such as flashes of light, new floaters, or a curtain-like shadow over your vision, you should seek immediate medical attention. These could be signs of complications that require prompt evaluation.

5. Regular Follow-ups: Regular follow-up appointments with your ophthalmologist are essential for maintaining eye health, especially after surgery. These visits allow your doctor to monitor your retina and overall eye health, ensuring that any potential issues are addressed early.

In conclusion, while pressing on the temples during a medical examination is unlikely to harm your retina, it is always best to communicate any concerns with your healthcare provider. If you continue to feel anxious about your eye health or experience any unusual symptoms, do not hesitate to reach out to your ophthalmologist for reassurance and guidance.

Take care, and I hope this information helps alleviate your concerns.

Best regards.

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