Retinal Tears and Detachment: Symptoms and Concerns - Ophthalmology

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Regarding retinal tears and detachments?


Hello Doctor: You previously told me that "even after laser treatment, it is still possible to experience photopsia.
If there is an issue with the retina, there are usually warning symptoms, including: <1> a sudden increase in floaters <2> a sudden increase in the frequency of flashes <3> the appearance of visual field defects <4> distortion of vision." Since giving birth, I have been suffering from severe insomnia due to a retinal tear repair, and my mood has been greatly affected.
I worry every day, and even after seeing a physician at a large teaching hospital who treated the tear, I still see flashes multiple times daily.
I am afraid of developing new tears.
If one day I experience "visual field defects or distortion of vision," will these conditions disappear after surgery, or will they stay with me for life? Will I be able to care for my child under such circumstances? Currently, my vision with glasses (500 and 600 degrees) is 1.0 and 1.2.
To what extent will my vision likely decline in the future? Will this prevent me from being able to care for my child forever? My mood has been severely affected, and I often cry.
I also have to work, and I am really afraid that my retinal issues will worsen.
What should I do? The laser physician has asked me to return for a follow-up in three months, but could my problems worsen suddenly during this time? Currently, I sometimes see floaters, and sometimes I don’t; when I do see them, it’s not always a lot, just a little.

peggy, 30~39 year old female. Ask Date: 2011/12/13

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: Your issue can only be monitored through regular follow-up appointments.
If there are any real concerns, the physician will address them accordingly.
There is no need to worry about other aspects that are beyond human control.
Lastly, I wish you peace and happiness.

Reply Date: 2011/12/13

More Info


Understanding retinal tears and detachment is crucial, especially for someone who has recently undergone laser treatment for retinal issues. Your concerns about the potential for new tears or detachment are valid, particularly given the symptoms you are experiencing, such as flashes of light and the presence of floaters.
Retinal tears and detachments can occur when the retina, the light-sensitive layer at the back of the eye, becomes separated from its underlying supportive tissue. Symptoms of retinal tears or detachment often include:
1. Increased Floaters: A sudden increase in floaters (tiny specks or cobweb-like shapes that drift through your field of vision) can indicate a problem. If you notice a significant change in the number or appearance of floaters, it’s essential to seek medical attention.

2. Flashes of Light: Experiencing flashes of light, especially if they are new or more frequent, can be a sign of retinal irritation or a tear.

3. Visual Distortions: This includes seeing wavy lines or a curtain-like shadow over your vision, which can indicate that the retina is detaching.

4. Loss of Vision: Any sudden loss of vision or a darkening of your peripheral vision should prompt immediate medical evaluation.

Regarding your specific concerns about the permanence of symptoms like visual distortion or loss of vision after surgery, it is important to understand that while many patients experience significant improvement post-surgery, some may have lingering effects. The outcome can vary based on the severity of the detachment, the promptness of treatment, and individual healing processes.
In terms of your ability to care for your child, many individuals with retinal issues can lead normal lives, including parenting, especially if their vision is stable and they are receiving appropriate care. However, it is understandable to feel anxious about your vision and its impact on your daily life.
Your feelings of anxiety and sadness are also significant. It’s not uncommon for individuals dealing with health concerns to experience emotional distress. The fear of losing vision can lead to heightened anxiety, which may exacerbate feelings of helplessness or sadness. It’s crucial to address these emotional aspects as well. Here are some strategies that may help:
1. Regular Follow-ups: Adhering to your doctor's advice about follow-up appointments is essential. Regular check-ups can help monitor your condition and catch any potential issues early.

2. Open Communication: Discuss your concerns with your ophthalmologist. They can provide reassurance and clarify what symptoms to watch for, which may help alleviate some anxiety.

3. Support Systems: Consider seeking support from friends, family, or support groups. Sharing your feelings with others who understand can be incredibly beneficial.

4. Mental Health Support: If your anxiety and sadness are overwhelming, it may be helpful to speak with a mental health professional. They can provide coping strategies and support to help you manage your emotions.

5. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your overall emotional well-being.

6. Focus on What You Can Control: While it’s natural to worry about the future, try to focus on the present and what you can do today to care for yourself and your child.

In conclusion, while it’s understandable to have concerns about your vision and its impact on your life, it’s important to take proactive steps to manage both your eye health and emotional well-being. Regular check-ups, open communication with your healthcare providers, and seeking support for your mental health can significantly improve your quality of life. Remember, you are not alone in this journey, and there are resources available to help you navigate these challenges.

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