Retinal Tear Laser Surgery - COMPLETE GUIDE
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- Опубликовано: 31 май 2020
- LearnAboutEyes.com EyeDocSkills Episode 01: How to treat retinal tears with laser.
In this episode we're looking at everything you need to know about treating a retinal tear with laser coagulation. What mechanisms are behind it, what settings you need and where you need to put the spots to prevent the tear from turning into a retinal detachment.
This is one of my favorite lenses to work with: Volk Quadraspheric amzn.to/3x41nm6
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Great video! Love the visual explanations!
Thanks for the video, good to understand this for someone potentially getting laser
Thank you for this video! It is very informative and useful for young doctors like me.
Thank you. You are best teacher!!!
Would like a future video on gonioscopy. Great way of explaining.
Great video. I am myself an ophthalmologist, with over 20 years of experience. But I started retinal lasering recently. And I churned the internet for some doubts I had but in vain. Your video cleared those points. The eye piece setting didn't work on zero. I had to dial it to minus 5 at times to get good view. It baffled me before watching this video! And the othe point is pulling the joystick towards myself to get good reaction. Thank you sir. You have a clear concept.
Very informative!
Great video and channel. Thanks man!
Thanks doc. Very well explained
Great video with amazing illustrations as always. Would like a future video on PRP.
PRP is almost the same but i have some tricks there too, so might make a video
I'm a biomedical engineer and I benefited very much from your explanation❤❤
thx i have my Laser in two days was good to have an explanation of what is happening
Great educational video, so many spots to weld. Wondering what happens if detachment occurs and you have to weld same spot again?
Informative!
Thank you
great video! thank you
thanks. recommend to your friends and tell me what topics you would like to see in future videos
I had no idea about what any of this was? I had two pretty large tears. One bigger than the other. I went to Moorfeild eye hospital and had laser treatment. The pain for me was like a Cluster headache behind each eye. But knowing that procedure would help me keep my sight it’s worth going through this pain, because it will eventually stop. I think being ignorant to what this whole experience was, helped… I am very grateful for the skill. The doctor had on doing my laser…
Great thank you
Thanks alot🌷
Great video! Loved the graphics
thank you valentina
Do you have any suggestions for topics?
@@learnabouteyes 🤔 well there could be other videos about iridotomy and capsulotomy, keeping the laser topic. I think it would be really great 😁
@@learnabouteyes Cheers, just keep a different style in your presentations from Tim Root.
@@anargyroi Tim Root is a legend. His graphics and animations are much better than mine will ever be.
I'm just doing my own style...the same way I teach my residents every day.
Whether that is close to Tim Roots style or not doesn't matter to me.
Thanks! What are the possible consequences after such a procedure?
Just had this done today. The Dr says it shouldn’t hurt but after a while I found i felt the laser, caused a very mild dull ache. Afterwards, eye was sore, felt like a headache.
Thankyou sir
Can you return to weight lifting after laser coagulation of micro tear?
i would give it 2 weeks. it's all about the vibrations and eye movements. so no reading, no bike, no running, no jumprope. benchpress, squats or other vibration free movements should be fine
I had laser surgery for a large hole and a tear in my retina, still got flashes and blurred vision. Waiting on a follow up to see if I need further laser surgery or an operation on my eye.
My dad just got a retinal tear thanks to this video I'm going to run to petsmart and get a laser and fix it myself😊👍
I needed that laugh lol
😂
😂
Pls add indirect laser (LIO) also
I'm 15 and have this
Thank you for this video! As a patient, it puts me more at ease knowing what's actually happening in there. Is it possible to still experience curtaining and flashes even after the treatment? I just got my laser two days ago and I'm afraid that it may not have been effective.
hi. thanks for your comment.
the curtain is most likely from the blood in the vitreous. it will take weeks to be washed out. however, if it changes or gets bigger: go back to your doctor.
the flashes are coming from the vitreous strand physically pulling on the retina. the laser doesn't have any influence on that. it only prevents that pulling-motion from causing a bigger tear
@@learnabouteyes Thanks so much for the speedy reply! :)
@@learnabouteyes Thanks for this excellent video, I have 2 questions please, I had a giant tear in my right eye, I had 3 laser sessions, the question can I have a normal life after that, can I train as before or do I have to be very careful All my life, the second question now after laser I see like a black curtain sometimes, the ophthalmologist has told me this is going away with time, from your experience this is true or not, and thank you again

Thanks for asking that question Irene, I was going to as same. Hope you’re doing well!
@@phonestoto6009 I'm waiting for ann answer please! Thank you
very informative , thank you
Can you put the link for the ppr setting please ?
I now know a little more about what my eye Dr did to me 2 hours ago.
Thankyou.
glad to hear that
My sentiments exactly!
Did it hurt cuz I’m getting mine tomorrow
@@yrn_slime1867 No it doesn't hurt. It's unpleasant. You may feel a bit of something in your brain when they are firing the laser.
One thing I will say, It needs doing so a little discomfort is worth it.
@@domaves4043 i can sleep now thank youu but what if I blink and how do they numb it srry for asking too much questions
Oh, I can't display English subtitles...
I could display subtitles on other videos of your channel.
Can you set it on this video?
great video! what if i cannot make laser spots on the basis of the tear , cause sometimes its so perfipheral you cannot even find the tear? thank you
that is the hardest part:
a) just shoot in the fog: usually you can get some shots in if the patient looks in the direction of the teat, you tilt the lens and shoot without a clear image of the retina
b) indent the sclera
c) try to get as close to the ora as possible with a wide strip of spots
d) do some cryo
Thanks this was great information as a patient going in for this surgery tomorrow!
Can you still see
@@mikennate78 yep - the floaters are still there but I've gotten used to them for the most part - when I look at a white wall or the bright sky I see them more
@@avantsoapstudio6654 Hello, can you please update how your eye is now after this surgery? Do you have the same vision as before the surgery and the cloudy & shadow on the eye went away completely? I couldn’t see the Dr. on Friday since she called in sick and all other Dr.s went on annual conference on Friday delayed my surgery to Monday and I’m worried if it’s too late to see Dr. on Monday.
Thanks alot nice video is it the effect of laser on retina permenent i.e retina cant back to normal texture at point of laser
Hi can I continue to take serrapeptase supplement few months out after this treatment? Serrapeptase can dissolve scar tissue, so just being cautious to see if it's ok.
I am using a Volk Quadraspheric lens by the way. Will it serve all my needs(because the slitlamp has various magnifications. ). None of my colleagues answered the question to my satisfaction.
I have myopia and retinal tear as well. If undergo laser surgery for retinal tear can I still undergo LASIK for myopia correction?
I am having this done soon.
1) does it hurt?
2) it’s a tinyyyy hole on the farrr right of the eye and being done as a precaution so is it safe to assume the smaller the hole and less there is to laser the quicker and painless it will be?
Thanks
Can the surgery cause damage to nerves in the eye?
I have had this surgery a year ago (for a big tear) and since then, I have photophobia. The ophtalmologist did not see anything wrong in my eye but the light sensitivity started a week after my surgery and has caused terrible migraines. I cannot go out without my sunglasses on and I cannot drive at night. I cannot use computers and halogen lights cause terrible pain.
I want to find answers to this mysterious pain I am in.
Dear, Whats the name of this one with the identation?(lenses)
Hello Doc, please help with my question. I only have one good eye which my eye doctor told me I have lattice degeneration and have 2 holes on the all the way side of the eye. I’m going to to see specialist. If I do laser will my vision will be normal after that. Heard some people says seeing curtain. Please advise. Thanks much and prayers.
Sir, my doctor only anteriorly applied this laser around multiple small holes in my retina.
Is it enough?
Great and very informative video, now I know about this, I will be doing this for both eyes. Can you tell what are the risks for this type of treatment ?
the risks are: pain during treatment due to the laser and pain after treatment due to corneal injury.
the risks are much higher without treatment (retinal detachment)
@@learnabouteyes Thanks.
@@sabahmurad9905 Have you done with laser treatment, please tell your experience !!
The risk of not having the procedure is 5 to 10% according to studies I have looked at.
Dear Dr. Thank You for your professional video sharing. Can I ask if the following are normal after the Laser Retinopexy Surgery:
1. Many Black spots arise in vision
2. Blurred vision then before surgery
3. Will the above disappear? How long?
I also facing the same problem. How are you now?
@@ahmedovi9110 After laser surgery, my retina was torn, they repaired the tear with an argon laser, but little black dots filled my eyes, it didn't go away for 2 weeks, did you have such a situation?
@@nurettinergenc2882hello there, so how is your eye right now? does the black dots disappear?
@@reissmorrow Hello, it has been 1.5 years since the surgery, it has not gone away, it bothers me but I am trying to get used to it, I believe it has not gone away anymore, I think it will stay like this for the rest of my life /:
I really loved it! I now can repair retinal tears! Any volunteers?
Did it hurt? I’m getting mine tomorrow I’m nervous
Try it out on your own eye first, lol.
I have a question. I had lasik surgery 3 years ago and a month ago I was diagnosed with lattice degeneration. If in the future my lattice degeneration progress into retinal break/tear, does this laser treatment affect my lasik flap or do I have to get my flap lifted before getting the laser?
Hi.
Short answer: No.
Long answer: The only thing that those 2 topics have in common is your eye and the word laser. It is a completely different type of laser (on the retina we burn whereas on during the LASIK they cut and dissolved) and (at least for an ophthalmologist) the two parts if the eye are as far apart as it gets.
The only way I have to interact with your cornea to do the laser is when I put the lens on it.
Hope this helps
How painful is this?
Great video, sorry what's the name of the 3 mirror lens with scleral identor
Haag Streit Three Mirror Lens w/Scleral Flange 903S
2:44 may I ask about the name of the lens with attached scleral indentation tip ?
Also would like to know about that lens please. Is the depressor a separate attachment for the lens that could be added to a Volk 160 / PRP 165?
it has been 2 years since my surgery for fixing my retinal scar, I have been seeing very tiny flashes since then . JUST TO be clear before the surgery I had huge flashes. is this normal ?
Same problem has it gone or not
Great video and visual. Thanks! I had this last week for lattice degeneration , i also have a few black floaters occasionally and have had the neon orange string that I see at night a few times since surgery, a week ago. ( i see it less x than before ) I had experienced the Neon orange string sighting for a bout a month prior and thought it was weird. It to me wasnt what I would describe as a flash. It was more the appearance in the dark of a neon thread in a sort of horse shoe or circular image for a few seconds. Sharing this for anyone who also was wondering what the Flash is.( isnt) .
QUESTION Learn about eyes my question why did the laser hurt less in some firings than others?? Is it the specific area he fired onto is more sensitive? or the power of the laser was turned up/down .. ? It got quite painful, ( I don't know why I wasn't given a real painkiller?? Also my vision has degraded in this eye prior to laser dimmer , blurry in spots, I am really worried and going for a second opinion.
hi, power can be turned up and down but most often the differences in pain from shot to shot are based on how close the area is to the ciliar nerves. unfortunately there is no way around it. it is pretty uncommon to give patients pain killers for retinal lasers, but some people are more senstitive to that type of pain and take some paracetamol 1 hour before the laser.
@@learnabouteyes Thank you for the helpful reply. Yes hopefully that was my first and last eye laser treatment.
@@zenmaiden1 and thanks to the doctor: when I got my extensive retinal surgery done by the USAF by an Air Force surgeon I knew it was unique but as I am looking at cataract surgery I am looking around about laser surgery since my eyes are fragile. HE USED BELLADONA DROPS for both surgeries which were extensive. I had NO PAIN and he completely reattached the retinas separate years.
How is your vision now?
@@zenmaiden1 how is your vision now ?
I had this done for a retinal tear back in the early days of laser. More than 30 years ago now. The repair didn't negatively affect my vision at all, thankfully. (I had a horseshoe tear on the periphery of the retina, and it's still holding just fine.) However, I've gotta undergo cataract surgery soon and am so worried about my thin retina detaching or tearing again. I hate to press my luck
You have to do your cataract surgery at some point anyways. Yes, there is an increased risk of retinal detachment after the cataract surgery. But it's fairly low if your tear has been stable for 30 years.
I wouldn't worry too much about the surgery. Just make sure they check up on your retina (dilated fundus exam) 1 week, 1 month and 3 month after surgery
Hi.
I got this surgery after my doctor told me I have retinal hole with liquid. I do not have any symptoms. What happens to the liquid in the hole after this surgery? How come I did not have any symptoms? Thanks
the liquid will stay under the retina but thanks to the laser not go any further towards the center
Hello doc, this video was great and very interesting. I got my LIO laser done for my retinal tear 2 days ago, fo I need to rest now? My mom is scared and wants me to rest for a week lol, kindly let me know:)
Do*
How are you doing today?
I have a question about what you are saying at 4:30. I've never heard about that solution before (adjsting the eye pieces to compensate for accomodation), but I struggle with finding the rigth focus during retinal laser treatment. I might just be tired at the moment but I don't really understand why it would be beneficial. Could you please explain the logic/physiology behind it?
the machine is calibrated so that the slitlamp and the laser have the same focus for an emetropic, non-accommodated doctor. young doctors accommodate a lot in front of these machines, during accommodation the refractive power of your lens increases. this means you make yourself "artificially myope" to correct that you need to put a minus lens in front of the eye. otherwise you have 1 of 2 situations: the laser is working but the retinalimage is blurry for you or the retinal image is blurry but the laser is only working with super high energy because it's not focused on the retina.
@@learnabouteyes thanks! That makes sense
@@learnabouteyes just to clarify, in your last sentence you mean "or the retinal image is CLEAR but the laser is only working with high energy" right?
yes
@@learnabouteyes I wish somebody ever explained it to me few years back. I have been struggling with this problem for couple of years now and the only explanation I got was I was doing something wrong :) Thank you once again for this video and keep up!
Hi thanks for the video! I have a question, since the retina is at the back of the eye, is the laser going to cause any harm to the cornea or to any front part of the eye, since it is going through to reach the retina? Or is the damage reduced due to a different absorption coefficient of the cornea?
Thanks :)
good question. it doesn't seem to do that. and here's why: the laser energy is highly focused. you'll see that when you try to perform your first retinal laser. just a couple of microns out of focus and nothing happens. so, you'd have to be very bad to be 22 millimeters off. and hit the cornea
@@learnabouteyes thanks for the reply! how dangerous is it if the focus is not set properly? Say if it is aimed too deep beyond the retina. Will the patient suffer any eye problems? What is your usual ritual to obtain the length of the eye? Do you do an ultrasound A-scan?
The reality is the RS will lie to you and tell you no, but that’s not true. For example if a eyelash or dark matter such as a small piece of mascara gets under the contact lens used by the RS the laser will focus on that and destroy your cornea - they won’t warn you about that or other life threatening complications from the retinal laser
my son has coats disease he gets laser treatments once a month with his retinal specialist
I also got this laser surgery for retina in my left eye but I forgot to tell my doctor that I have dry eyes so i’m very concerned right now because my left eye kinda hurts and feels dry and also please let me know if it’s alright to get laser surgery with dry eyes or else i will keep regretting this.
no problem
After Laser treatment in Germany I see afterimages and shadow of things that I see, specially when I look at the light, I see shadows of lights, when I close my eyes I still see it.
My question is: if the energy of Laser is high, can it make negative effect to retina?
The Doctor told me, she use this Parameters of Argon Laser:
Energy: 490 mw, Spot: 200 Micron, time:150 ms ARE THESE PARAMETER OK? Thank you.
Don't wait on this quick so called Dr respond to you being he won't, what you have is what I have but even more yellow tint, bit waviness things close up, farsightedness, flickering quarter of the eye, shadows, magnification fishbowl 3d view effect I learned to adapt to it rather than trusting these quack's to lose all my sight.
Sir my eyes are 6/6 both still I have lattice and hole in both eye I get lazer treatment 4 days ago but sometimes I feel flash in my periperal vision does lazer will give a blind spot in my periperal??
How are doing today?
Dear doctor I have done 360 degree peripheral barrage laser 6 days ago but I am seeing light flickering,/shimmering/ flashing continuously in upper right side of my right eye whereas my lattice was found in lower side of my right eye.
This light flickering,/shimmering/ flashing is really difficult for me when work & it break my attention. Is this light flickering,/shimmering/ flashing normal after barrage laser?
Can you please tell me about this?
Unfortunately this quack won't respond to you obviously it's been 4 months now you can't believe anything these quacks put out here never trust them..
hello there, how is your eyes right now? is the flickering flashes still happening on your upper vision or it's already gone? i'm currently having the same issue as you, please kindly let me know about your current eye's condition. thanks
@@reissmorrow flashing frickering still happening. But amount & frequency level reduced. But when I come from sunlight to dark area such garage or home. Doctor said it will stay forever.
i had a retinal tears in both my eyes due to genetics and got this surgery a year ago. Im only 22 and was wondering that am i at risk for more tears or something worse. the doctor who did my surgery said its normal and nothing to worry about. Also can i still get lasik surgery.
How is your eyes now same conditions to me
How are you today?
@@ankitasingh2902 nothing much changed still healthy
@@Reva-fl6nx I’m good
Bro why aren't u making new vids.
I done this laser surgery for my small retina detachment. My detached retina did not progress for quite sometime like abt around few months i think so my dr say try laser first. I hope it can stop my retina detachement from progressing. After this laser if detached area no progress i might think of gas bubble to push back retina because it is irrating to keep seeing retina flash oh my corner vision and abit blurry,
if it is progressing too much, a pars plana vitrectomy is the best option. nowadays they are not very big operations anymore
@@learnabouteyes They suggest only one needle to inject bubble into eye and see if can absorb the water below detached retina and then laser it but if fail is like doing one more extra surgery lol. Hopefully it dont progress until my pvd started and complete.
@@learnabouteyes Hi i have a gray area where the laser land and secure my detach retina i can see it clearly on certain light. Is this normal because my dr say the laser area cause the retina cell dead and cannot be recover is this true? or it will fade over time.
@@zcyeo8895 it is true. as shown in the video, we create a scar. your brain should be able to block this out after a couple of months and you will only notice it very rarely
@@learnabouteyes Alright thanks for reply. hopefully my brain will ignore those gray area.
Can you please post a video on how to choose the right retina specialist to do the laser surgery? Would you say someone with 10+ years of actual experience outside of school is important? My initial ophthalmologist referred me to one of his med school classmates who is a retinal specialist but only has 1 year of practicing experience. Would you choose someone else for even something relatively simple like a potential retinal hole needing laser surgery? I know it's hard to generalize but any guidance you have would be much appreciated
thanks
hi...probably depends on the country and hospital. there are some tricks you need to know but all in all it's a pretty simple skill. in our clinic the residents learn it in the second year. of all the surgeries we do, this is definitely one of the most simple ones. you do need some pracitce tho...
@@learnabouteyes Thanks, in the USA. There are also private practices vs university linked hospitals - any views on these? Is an renowned academic who sees patients a couple times a week a better choice than someone in private practice, generally?
How many time barrage laser can be done to retina in A single eye? What experience you have most sir?
I would say as many times as needed. we put up to 3000 spots in diabetic eyes...should be no problem putting a couple of spots around some tears
I had laser for lattice degeneration in both eyes one month ago. But I’m still seeing floaters. Is these floaters harmful? I am looking for your answer .
Did you get any shimmering or flickering light in the lasered area?
How are you doing today?
Is it common to do a retinol laser repair with no sedation when patient is very apprehensive, even after 1st treatment?
yes. I've never seen this done with sedation
Should i go for laser spots as a precautionary measure to stop retinal tear. I have lattice degeneration for a long time complemented with myopia. Current age is 29.
Also, should i be refraining from workouts.
definitely don't refreain from workouts. has nothing to do with it. it is debatable whether precautionary laser in lattice is a good idea. i would probably not and just get regular checkups. however, for medical advice you need to ask an eye doctor who has examined your retina.
@@learnabouteyes Thanks a lot. This has been suggested by the same doctor recently who examined my eyes. She was in favor of burning lesser spots to get the job done. But would surely get a second opinion from a different doctor.
Thanks a lot.
I had laser barrage for holes in my retina and my right eye had two procedures , no problems. The left eye about two weeks after laser has a shimmering spot. Scintillating Scotoma. Please advise, I’m having trouble coping with this along with hundreds of floaters
definitely go see your eye doctor
@@learnabouteyes I did
@@learnabouteyes he want concerned about the Scotoma that flashes and in low light settings it’s like a dark smudge
@@bdj1126 If that is the case, I wouldn't worry about it too much. If a trained ophthalmologist has done a dilated fundus exam, looked at the peripheral and central retina an not found any changes, it will most likely go away in a couple of weeks. The floaters can be super annoying but are harmless and you won't notice them anymore, once you give your brain the chance to learn that they are not dangerous. the flickering light can have multiple reasons, all of which your ophthalmologist would be able to see.
@@learnabouteyes thank you so much for the response, do you think getting depression and anxiety medication will help make the process easier ?
I was given a laser surgery for retinal tear without the laser contact lens. The doctor applied quite a lot of pressure onto my eyeball. Is that normal? I am really concerned because we are talking about doing the same procedure for the other eye - for prevention purposes.
yes, you can also do it with a handheld lens and scleral depression. hurts a bit but gives better view
@@learnabouteyes Thank you for your response. I couldn't find anything about this method and was worried they had out-of-date equipment or something. Didn't have much say in anything since this was an emergency. It did hurt quite a bit, my eyeball feels kinda bruised.
Please reply me
I done my leser bcz of retina hole and after 1month I have face some dryness issue in my both eye
Please please guide me what can I do ...
Dryness should be longer ya shorter time
And any other guidance
Please sir
probably has nothing to do with the laser. use artificial tears. it will go away. nothing to be concerned about
@@learnabouteyes please sir I want to talk directly with you only for 5min my whole problem solution of my eye
Please how can I connect you
Please sir
@@happyhappy-pm8hz if you want you can DM me on instagram
I had holes in my retina ... I had laser yesterday and my right eye is still more blurry and in my left eye I can see black thread floating... I m afraid that the laser is not successful... another question can I go for lasik surgery after that treatment?
the laser is done to keep the holes from getting bigger or turning into retinal detachment. it does not treat any of the symptoms like blurryness, black spots or flashes. These are caused by the vitreous and will likely fade away over time.
@@learnabouteyes ok thank you so much for your speedy reply... sir please guide me can I go for lasik surgery now?
@@bisatajmal845 those 2 things have nothing to do with each other. Lasik won't make your spots disappear. But if spectacle freedom is a concern, then go for a consultation
@@learnabouteyes thanks alot for ur help ...
Thanks for the video! I had two small (1mm) tears repaired four days ago and still see occasional flashes, especially at night (dark room). Is this normal? Will this go away? Or when does this point to there being another tear?
the flashes come from the vitreous pulling on the retina. the laser doesn't change that - it only prevents
retinal tears from getting bigger. eventually the flashes stop, when then whole vitreous has detached. can take weeks-months. in this time regular followups with dilated eye exams are required. new tears often go along with additional symptoms like more floaters
Was this painful for you
PLEASE REPLY🙏. I have only one eye. I have floaters and I have now holes in retina. I am really worried about doing this! How is it going to affect and is there any risk? After Laser will be something that can make my vision bad?
The risk of losing vision due to a retinal detachment is much bigger so I would definitely do it based on the limited information i have
@@learnabouteyes thank you so much 🙏🙏
@@learnabouteyes I have three small holes in my eye. 10 years ago I had one. I did not do anything sinse I have only one eye.
@@hareshmaher2158 bro what will you do if u go blind,thats the scary part
I have a lattice in one year and a tear in the other. Doc has recommended me to go for a laser. I'm just too scared about the whole procedure. Would I see a scar from the laser for the left of my life as I've heard from a few that you see a dark area where you got your laser. Any good hope of words would mean alot. P.s I'm just 25 years old.
go for the laser. you can't see the scar yourself. you want to avoid a retinal detachment because that you are definitely going to notice
@@learnabouteyes hey I got my laser last week and I'm constantly seeing flashes in the periphery. Should I visit the doctor? I am supposed to follow up after a month.
@@tntt9313 Best to call your doctor to ask about that
@@learnabouteyes thank you for your quick reply
@@tntt9313 how are you bro
Please reply I have retinal holes on both eyes.so is it ok to laser both. Eyes in the same day?
no problem for the eyes but can be uncomfortable for the patient.
@@learnabouteyes should I do it?
@@subramanyans7995 depens on you. as said. no problem for the eyes, uncomfortable for you. if you can manage a day with blurred vision on both eyes, do it, if not, do it 2 days apart
@@learnabouteyes hospital is so far from my home . travelling is pretty expensive.
@@subramanyans7995 how are eyes now after laser surgery
Do opthalmologists actually know how this feels to the patients? I doubt it. Its the most stressful and incredibly painful thing I have ever experienced . Also the opthalmologist wiped the lens on his pants before he applied it to my eye and then got angry when I remarked on the cleanliness of doing that. I will never go back.
After this laser treatment for how long shud one avoid lifting weights in the gym ? Or is it that one can never do that again?
don't have to avoid weight training at all. ....what you need to avoid is fast movement of the eye: reading, looking out of the side window of a car/train, anything that causes vibrations (biking, powerplate, ....)
I tell my patients not to do those things for 3 weeks
@@learnabouteyes Thank you for ur reply! It has relieved me a lot.
How are you doing today?
I had Smile relex surgery 3 years ago. I recently got told I had 3 holes and weak spots in my right eye and 2 holes and a couple of weak spots in my left. so I got retina laser surgery and my right eye can’t seem to focus when I read things close up.
Is that a permanent problem?
this has nothing to do with the laser. as we get older we lose the ability to read things up close. it's such a slow process that most people don't realize it until they have a reason to test it. so very often it is something like this that makes us think about our eyes and we start testing their function and realize: it can't accommodate as well as it used to
But my vision was good before the surgery. I’m asking will the effects of the laser surgery wear off soon?
@@DShun35 The side effect of the retina laser can be some dryness. That wears off after a few days.
Not seeing clearly up close is not an effect of the laser and will not go away.
So basically the laser ruined my eye sight since I was able to see properly beforehand. Got it
@@DShun35 NO. You obviously do not got it. This procedure does NOT have the ability to change your vision.
does it hur
I just got this surgery. It took like 5 minutes and it hurt a tiny bit.
@@fizzisoda7113 how is it going after a week?
@@pratikgaikwad9981 My eye ached a bit for a day or two, but now I feel normal.
before 2 months I did this laser operation, I had a hole in retina.
After this Laser photocoagulation I see more floaters(7 or 8 circles), these floaters are always in my eye field. Is it normal after Laser photocoagulation?? what is the reason of this?
the laser isn't causing any floaters. it's the underlying disease (posterior vitreous detachment) that is causing you the floaters. they won't go away but they are also harmless as long as you don't have any more tears in your retina.
@@learnabouteyes
but before the laser operation I didn't see this block of floaters(7 or 8 circles), I just started to see them after the laser photocoagulation.
if the doctor did mistake in the setting of laser device(energy and spot size), could it lead to floaters?
for example when the energy stronger than 400 mw, will it burn the vessels and then these burnt vessels go into the vitreous ???
Could this be the reason?
Or if the laser beam goes into the hole, not around the hole, could this lead to problem?
I need please answer, thank you.
@@gabidroubi2730 the laser doesn't cause floaters. they would have appeared that day with or without the laser
@@gabidroubi2730 the pressure they put on your eyes causes more floaters 😑
How far from the tear do we encirclage first laser layer?
as close as possible but far enough that you don't hit already detached retina.
After Done this retina laser tomorrow take bathing??? Please reply me
please ask your doctor