Post-Retinal Laser Surgery: Essential Care Tips for Eye Health

Post-operative Care Instructions After Retinal Laser Treatment

Hello: In January, I underwent laser surgery on my left eye due to a retinal tear and high myopia with retinal thinning.
After a follow-up in mid-February, my condition has stabilized.
Additionally, I found out that my right eye has vitreous degeneration.
I would like to ask the doctor some questions regarding daily life precautions: 1.
Is it safe to wear contact lenses? 2.
Can I wear goggles while swimming? 3.
The doctor mentioned avoiding strenuous exercise; can I do activities like hula hooping or using a treadmill? 4.
Is it okay to rub my eyes when they are itchy? 5.
I have a poor sleeping habit and often press my face into the pillow while sleeping, which puts pressure on my eyes.
Is this okay? Should I use any protective eyewear while sleeping? 6.
Can taking lutein help improve or maintain my eye health? 7.
Given that the hospital is busy, I couldn't ask the doctor more questions; aside from avoiding strenuous exercise, are there other precautions I should take regarding vitreous degeneration? Thank you, doctor.

Nìmíng, 40~49 year old female. Ask Date: 2014/02/26

Dr. Wang Zhishun reply Ophthalmology

1.
The post-laser surgery condition and vitreous degeneration are unrelated to the use of contact lenses.

2.
It has been over a month, so you should be able to wear goggles for swimming.

3.
After more than a month, activities like hula hooping or using a treadmill should be permissible.

4.
It is advisable to avoid rubbing your eyes under any circumstances.

5.
Sleeping on your stomach is indeed not good for your eyes.
You can wear a hard-shell eye mask for protection, if you are comfortable with that.

6.
Taking lutein may be beneficial for the retina in individuals with high myopia.

7.
For vitreous degeneration, in addition to avoiding strenuous exercise, it is important to refrain from rubbing your eyes, ensure adequate sleep, take appropriate breaks, and consume more dark-colored vegetables, all of which can be helpful.

Reply Date: 2014/02/26

More Info

Post-retinal laser surgery care is crucial for ensuring optimal recovery and maintaining eye health. Given your recent experience with retinal laser surgery and the additional concerns regarding your right eye's vitreous degeneration, here are some essential care tips and answers to your questions:
1. Wearing Contact Lenses: After retinal laser surgery, it is generally advisable to avoid wearing contact lenses for at least a few weeks, or until your doctor gives you the green light. This is to allow your eye to heal properly and to minimize the risk of infection. If you have been cleared by your ophthalmologist during your follow-up visits, you may be able to resume wearing them, but always prioritize your eye health and follow your doctor's recommendations.

2. Swimming with Goggles: Swimming, especially in pools, can expose your eyes to chlorine and other irritants, which may not be ideal post-surgery. If you wish to swim, it is best to wait until your doctor confirms that your eyes have healed sufficiently. If you do swim, wearing goggles can help protect your eyes from water exposure, but ensure that the goggles fit well and do not press against your eyes.

3. Exercise Recommendations: Engaging in light to moderate exercise is typically encouraged after retinal surgery, but you should avoid any activities that involve heavy lifting, straining, or high-impact movements. Activities like using a hula hoop or walking on a treadmill may be acceptable, but it’s essential to listen to your body and stop if you experience any discomfort. Always consult your doctor for personalized advice based on your recovery progress.

4. Rubbing Itchy Eyes: It is generally not advisable to rub your eyes, especially after surgery. Rubbing can cause irritation, increase the risk of infection, and potentially disrupt the healing process. If your eyes feel itchy, consider using lubricating eye drops recommended by your doctor to alleviate discomfort instead.

5. Sleeping Position: If you have a habit of sleeping with your face pressed into the pillow, it may not be the best position for your eyes, especially after surgery. This can put pressure on your eyes and may lead to discomfort or complications. Consider using a sleep mask or a specially designed eye pillow that provides cushioning without applying pressure to your eyes. If you find it difficult to change your sleeping position, you might want to consult your doctor for additional protective measures.

6. Lutein Supplements: Lutein is a carotenoid that is believed to support eye health, particularly in protecting against age-related macular degeneration and improving visual function. While taking lutein supplements may be beneficial, it is essential to discuss this with your healthcare provider to ensure it is appropriate for your specific situation and to determine the right dosage.

7. Vitreous Degeneration Precautions: Besides avoiding strenuous activities, it is crucial to monitor any changes in your vision, such as sudden flashes of light, floaters, or a curtain-like shadow over your vision. If you experience any of these symptoms, seek immediate medical attention. Regular follow-ups with your ophthalmologist are vital to monitor the condition of your vitreous and overall eye health.

In summary, your post-surgery care should focus on protecting your eyes, allowing them to heal, and maintaining regular communication with your healthcare provider. Always prioritize your eye health and follow the specific recommendations given by your ophthalmologist. If you have any further concerns or questions, don’t hesitate to reach out to your doctor for guidance.

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