Retinal Holes: Treatment, Recovery, and When to Seek Help - Ophthalmology

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Retinal detachment


I visited an ophthalmologist near Daan Forest Park a few days ago, as recommended by a friend.
After the examination, the doctor informed me that there are five holes in the retina of each eye and that I need immediate laser treatment to prevent retinal detachment.
I trusted the diagnosis and underwent laser treatment on my right eye that same day.
However, the day after the treatment, my vision in the right eye seemed to have decreased, and it has become more sensitive to light.
I am unable to see close objects clearly even when wearing glasses, and I now have to adopt the most standard posture to read.
Is this considered normal? If it is normal, how many days will it take for my vision to return to normal? If it is not normal, should I seek a second opinion at another hospital? Should I trust this doctor's expertise and proceed with treatment for my left eye? I have a myopia of approximately 600 degrees, significant astigmatism, and I experience floaters.
Thank you.

He, 20~29 year old female. Ask Date: 2001/08/09

Dr. Huang Bozhen reply Ophthalmology


Explanation: Generally, acute symptoms such as flashes of light accompanied by numerous floaters indicate a peripheral retinal tear that requires laser treatment to prevent further retinal detachment.
Based on your description of having myopia of -6.00 diopters with floaters but no flashes, it seems that observation is sufficient and immediate laser treatment is not recommended.
It is advised to visit a medical center for examination to determine why vision has decreased after treatment and whether there is vitreous hemorrhage.

Reply Date: 2001/08/09

More Info


Understanding retinal holes and their treatment is crucial for maintaining eye health and preventing complications such as retinal detachment. Retinal holes can occur due to various reasons, including aging, trauma, or underlying eye conditions. When diagnosed, timely intervention is essential to prevent further complications.


Treatment of Retinal Holes
The standard treatment for retinal holes often involves laser therapy, which aims to create a barrier around the hole to prevent fluid from passing through and causing a detachment. This procedure is generally effective and can be performed in an outpatient setting. In your case, it seems you underwent laser treatment on your right eye, which is a common approach.


Recovery and Symptoms Post-Treatment
Post-laser treatment, it is not uncommon to experience some changes in vision. Symptoms such as light sensitivity, blurred vision, or difficulty focusing on near objects can occur. These symptoms may be temporary as your eye heals. However, if you notice a significant decrease in vision or persistent discomfort, it is essential to follow up with your eye care provider.

1. Normal Recovery Timeline: Generally, after laser treatment, you may notice gradual improvement in your vision over several days to weeks. However, the exact timeline can vary based on individual healing processes and the extent of the treatment. It is advisable to monitor your symptoms closely and maintain regular follow-ups with your ophthalmologist.

2. When to Seek Further Help: If your symptoms worsen or do not improve within a week or two, or if you experience new symptoms such as flashes of light, an increase in floaters, or a shadow in your peripheral vision, you should seek immediate medical attention. These could be signs of complications that require prompt intervention.

3. Trusting Your Doctor: It’s essential to have confidence in your healthcare provider. If you feel uncertain about the treatment plan or the outcomes you are experiencing, seeking a second opinion from another qualified ophthalmologist can provide reassurance and additional insights. It is your right as a patient to seek clarity and ensure that you are comfortable with the proposed treatment.


Additional Considerations
- Vision Changes: The difficulty you are experiencing with near vision and the need for specific reading positions may be related to the changes in your eye post-treatment. It’s crucial to communicate these issues with your doctor, as they may need to adjust your prescription or recommend specific exercises to help with focusing.

- Myopia and Astigmatism: Given your history of myopia (600 degrees) and astigmatism, these factors can also contribute to visual discomfort. Ensure that your glasses prescription is up to date, as this can significantly affect your comfort and clarity when reading or performing close-up tasks.

- Follow-Up Care: Regular follow-ups are vital after any retinal treatment. Your eye doctor will likely schedule follow-up appointments to monitor your recovery and the status of your retinal holes. Adhering to these appointments is crucial for your long-term eye health.


Conclusion
In summary, while experiencing some changes in vision after laser treatment for retinal holes can be normal, it is essential to remain vigilant about your symptoms. Trust your instincts regarding your health, and do not hesitate to seek further evaluation if you have concerns. Maintaining open communication with your healthcare provider will help ensure that you receive the best possible care for your eyes.

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