Flashing Lights After Retinal Laser Treatment: What You Need to Know - Ophthalmology

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Retinal laser treatment


Hello Doctor: I am a person with high myopia, with -500 in my left eye and -600 in my right eye.
During my pregnancy this year, I experienced flashes of light, and after giving birth, I underwent laser treatment.
However, it has been a month since the procedure, and I still experience flashes daily in both eyes.
I consulted a doctor who examined my eyes and confirmed that the treated holes are fine, but mentioned that some individuals have a tendency for their lens and retina to adhere.
He advised me not to worry and to return only if I see shadows or experience distorted vision.
Doesn't this imply waiting until a detachment occurs? I am very anxious every day, as I have to care for my child and work long hours on the computer.
Additionally, the peripheral area of my left eye is thinner.
Some doctors recommend laser treatment for that area, while others say it is unnecessary.
I see flashes daily (sometimes I also notice floaters, which appeared after the laser treatment).
What could be the reason for this? Could my insomnia over the past month also be affecting my condition? I am very concerned about a potential detachment, as I have heard that it can occur without warning.
What should I do? P.S.: I had the laser treatment for both eyes at different places, but the examinations were conducted at a large teaching hospital.
The doctors at the teaching hospital stated that my eye condition is currently stable, so why do I still experience flashes?

peggy, 30~39 year old female. Ask Date: 2011/12/07

Dr. He Jianxian reply Ophthalmology


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: The phenomenon you described as "flashes" is medically referred to as "photopsia." Its cause is due to traction on the retina from external forces, such as vitreous or gravitational traction.
The purpose of the laser treatment is to secure the area around retinal tears, but it cannot alter the established fact that the retina is under traction.
Therefore, even after undergoing laser treatment, it is still possible to experience photopsia.
Generally, if there is an issue with the retina, there are precursor symptoms, which may include: (1) a sudden increase in floaters, (2) a sudden increase in the frequency of flashes, (3) the appearance of visual field defects, or (4) distortion of vision.
If you experience any of these symptoms, you should be particularly cautious.
However, if you have regular follow-up appointments and no significant issues have been found, you can actually feel reassured.
If any other problems were detected, arrangements for laser treatment would likely be made immediately, so there is no need to worry.
Lastly, I wish you peace and happiness.

Reply Date: 2011/12/07

More Info


Flashing lights after retinal laser treatment can be a concerning experience, especially for someone with a history of high myopia and recent laser procedures. It's important to understand that while flashing lights can be alarming, they are not always indicative of a serious problem. Here’s a comprehensive overview of what you need to know about this phenomenon, particularly in the context of your situation.


Understanding Flashing Lights
1. What Causes Flashing Lights?
Flashing lights, or photopsia, can occur for several reasons after retinal laser treatment. The most common causes include:
- Retinal Irritation: The laser treatment itself can irritate the retina, leading to temporary sensations of light.

- Vitreous Changes: In individuals with high myopia, the vitreous gel that fills the eye can pull away from the retina, causing flashes of light. This is often referred to as vitreous detachment.

- Healing Process: After laser treatment, the retina is healing, and during this time, it may be more sensitive, leading to the perception of flashes.

2. When to Be Concerned?
While flashes can be a normal part of the healing process, certain symptoms warrant immediate medical attention:
- New Floaters: If you notice a sudden increase in floaters or the appearance of new floaters, this could indicate a retinal tear or detachment.

- Dark Shadows or Curtains: If you experience a shadow or curtain effect in your vision, this is a sign that you should seek immediate care.

- Distorted Vision: If objects appear distorted or if you see flashes of light that are accompanied by a significant change in vision, it’s essential to consult your eye care provider.


Managing Your Concerns
1. Follow-Up Care:
It’s reassuring that your doctor has indicated that the laser treatment has successfully sealed the holes in your retina. Regular follow-ups are crucial, especially in the first few months post-treatment. If your doctor has advised that you only need to return if you experience new symptoms, it’s likely that they are confident in the current state of your retina.

2. Lifestyle Considerations:
Given your busy schedule with work and childcare, managing stress and ensuring adequate rest is vital. Lack of sleep can exacerbate eye strain and may contribute to the perception of flashes. Consider the following:
- Limit Screen Time: Take regular breaks from screens to reduce eye strain.

- Proper Lighting: Ensure that your workspace is well-lit to avoid straining your eyes.

- Eye Exercises: Simple eye exercises can help alleviate fatigue.

3. Understanding Your Condition:
It’s common for individuals with high myopia to experience changes in their vision, including flashes and floaters. The fact that you have been advised by multiple doctors regarding the condition of your retina suggests that they are monitoring it closely. The variability in recommendations regarding laser treatment for thinner areas of the retina is also not uncommon; opinions can differ based on individual assessments.


Conclusion
In summary, while flashing lights can be a normal occurrence after retinal laser treatment, it’s essential to remain vigilant for any new or worsening symptoms. Your doctor’s reassurance that your retina is healing well is a positive sign. However, if you continue to experience anxiety about your symptoms, consider discussing your concerns further with your eye care provider. They may offer additional reassurance or suggest further monitoring to help alleviate your worries. Remember, maintaining a healthy lifestyle and managing stress can also play a significant role in your overall eye health.

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