Eye problems
I have many concerns.
Doctor, if you have time, please reply.
Thank you.
Regarding the issue of laser treatment for the retina:
1.
I have reviewed a lot of information, and it seems that among the many patients sharing similar experiences online, only a small portion developed severe floaters after the laser procedure.
During my last follow-up, the doctor mentioned seeing some fibers.
Is this indicative of vitreous fiber proliferation? Is it really serious? Can vitreous fiber proliferation lead to tractional retinal detachment? I understand that I shouldn't be asking questions online and should consult my doctor, but his attitude has been quite dismissive.
2.
The doctor performed a dilated fundus examination.
In general, does this type of examination also assess the vitreous? Specifically, does it check for any pathologies in the vitreous or retina, or is it necessary to specifically request a vitreous examination?
3.
Do retinal scars tend to enlarge over time?
4.
During my last follow-up, the doctor said that the area treated with laser looked fine.
If the retina is indeed okay, then what I see—flashes and floaters, including linear and misty shapes, as well as numerous black dots the size of dimes, and large black dots connected to lines that span my entire field of vision—is this really just typical floaters? Because the other eye also has floaters but they are completely manageable.
However, before the laser treatment, the treated eye did not have the same type of floaters, and now post-laser, the impact is significantly greater.
Could this be due to some underlying pathology? I feel I can tolerate typical floaters, but this situation is quite exaggerated.
Is there any necessary examination to determine the cause of this condition?
5.
I am very concerned about potential sequelae, such as retinal membranes, neovascularization, and fiber proliferation.
It has been about a year since the laser treatment, and I have been experiencing an increasing number of floaters.
I never saw flashes before, but recently I have been seeing them frequently, which is very worrying.
Are these sequelae detectable through a fundus examination? If the doctor did not mention them, does that mean there are no issues with these sequelae? I wonder if the mention of sequelae indicates that perhaps the laser energy was too strong, leading to the current situation with so many floaters.
Thank you, doctor!
Niming, 20~29 year old female. Ask Date: 2016/03/11
Dr. Gao Pilin reply Ophthalmology
Hello: 1.
No, please don't worry.
If there is vitreous proliferation, it will be detected during the examination.
Your situation is different.
2.
No additional tests are needed.
3.
It should not happen.
4.
It cannot be determined, but it is not a concern.
5.
It will not be a problem; as long as you have regular check-ups, floaters are harmless.
If you are still concerned, you may seek another physician for an examination.
In Taiwan, Puzih Hospital's ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2016/03/11
More Info
Post-laser eye surgery complications and concerns are common topics of discussion among patients who have undergone procedures like LASIK or retinal laser treatments. Understanding these complications is crucial for managing expectations and addressing any arising issues effectively.
1. Understanding Floaters and Retinal Issues: Floaters are often a benign phenomenon, but they can be concerning, especially after laser surgery. The presence of fibers in the vitreous humor, which can be seen during an eye exam, may indicate vitreous degeneration or traction. While vitreous traction can lead to retinal detachment, it is not a certainty. Regular monitoring by an eye care professional is essential, especially if you notice an increase in floaters or flashes of light, as these can be signs of retinal issues.
2. Comprehensive Eye Examinations: When your eye doctor performs a dilated fundus examination, they typically assess both the retina and the vitreous body. If you have specific concerns about the vitreous, it is advisable to communicate this to your doctor. They may perform additional tests, such as optical coherence tomography (OCT), to get a clearer picture of the vitreous and retinal health.
3. Scar Tissue Development: Scar tissue on the retina can change over time. It may not necessarily grow larger, but it can lead to complications if it causes traction on the retina. Regular follow-ups are important to monitor any changes in the scar tissue and to ensure that it does not lead to further complications.
4. Nature of Floaters Post-Surgery: The floaters you describe, especially if they are new and more pronounced after surgery, warrant further investigation. While they may be a result of normal aging or changes in the vitreous, the sudden increase in floaters and the presence of flashes could indicate a more serious condition. It is crucial to have a thorough examination to rule out any retinal tears or detachments.
5. Concerns About Long-term Complications: After laser surgery, it is natural to worry about potential complications such as retinal membranes, neovascularization, or further vitreous degeneration. Regular eye examinations should include checks for these conditions. If your doctor has not mentioned any issues, it is likely that they did not observe any concerning signs during your examination. However, if you have persistent symptoms or new developments, do not hesitate to seek a second opinion or further evaluation.
In summary, while many patients experience floaters after laser eye surgery, it is essential to differentiate between benign floaters and those that may indicate a more serious condition. Regular follow-ups with your eye care provider are crucial for monitoring your eye health. If you have concerns about the severity of your symptoms or the quality of care you are receiving, consider discussing these openly with your doctor or seeking a second opinion. Your eye health is paramount, and understanding the nuances of your condition will help you navigate any complications that may arise.
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