I would like to ask Dr. Gao about lasers?
Could you please clarify why my retina, which has no holes, was still treated with laser? What are the criteria for such a decision?
1.
I have a keloid tendency, and after the laser treatment, I developed a significant increase in floaters.
Is this related to my keloid tendency?
2.
If it is related, would the doctor proactively inform me about the possibility of thickening or enlarging scars after the laser treatment? Thank you, doctor.
Xiao Fei, 20~29 year old female. Ask Date: 2015/10/16
Dr. Gao Pilin reply Ophthalmology
Hello, Xiao Fei: If the retina is relatively thin, preventive laser treatment may be performed to avoid holes that could lead to retinal detachment.
1.
No.
2.
If you have any questions, you can consult a physician at the Taiwan E-Hospital Puzi Hospital Ophthalmology Department: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoon from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin.
Reply Date: 2015/10/16
More Info
Laser treatment for retinal issues is a common procedure used to address various conditions, even when there are no visible holes or tears in the retina. The decision to perform laser treatment often depends on several factors, including the presence of risk factors for retinal detachment, the overall health of the retina, and the specific symptoms the patient is experiencing.
1. Indications for Laser Treatment: Even in the absence of retinal tears, laser treatment may be indicated for conditions such as lattice degeneration, which is a thinning of the peripheral retina that can predispose to tears or detachment. Additionally, if a patient experiences symptoms like flashes of light or floaters, the doctor may recommend laser treatment as a preventive measure. The laser creates small burns in the retina, which can help to strengthen the retina and reduce the risk of future complications.
2. Keloid Formation and Floaters: Regarding your concern about keloid formation and the development of a significant floater after laser treatment, it is essential to understand that while keloids are typically associated with skin healing, they can also occur in the eye, particularly in individuals with a predisposition to this condition. The formation of floaters can be a common side effect of laser treatment, especially if the laser affects the vitreous gel in the eye. The presence of floaters does not necessarily indicate a complication but can be a normal response to the procedure.
3. Communication with Your Doctor: It is crucial for patients to have open communication with their healthcare providers. If you have a history of keloid formation, it is advisable to inform your ophthalmologist before undergoing any laser procedures. Doctors should discuss potential risks and side effects, including the possibility of increased floaters or changes in vision post-treatment. If you experience significant changes in your vision or new symptoms after the procedure, it is essential to follow up with your doctor promptly.
4. Post-Treatment Monitoring: After laser treatment, patients are typically scheduled for follow-up appointments to monitor the healing process and assess any changes in vision. During these visits, your doctor can evaluate the retina's condition and address any concerns you may have regarding floaters or other visual disturbances.
5. Understanding Risks and Benefits: Every medical procedure carries risks and benefits. In the case of laser treatment for retinal issues, the potential benefits often outweigh the risks, especially when considering the prevention of more severe complications like retinal detachment. However, understanding your individual risk factors, such as your keloid tendency, can help tailor the treatment approach to your specific needs.
In conclusion, laser treatment for retinal issues is a valuable tool in preventing more severe complications, even in the absence of visible tears. If you have concerns about keloid formation or the development of floaters, it is essential to discuss these with your ophthalmologist, who can provide personalized advice and monitor your condition closely. Regular follow-ups and open communication with your healthcare provider are key to ensuring the best possible outcomes after laser treatment.
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