Is it possible to wear lenses after retinal coagulation. Laser coagulation of the retina - laser cauterization. Share the link to the material on social networks and blogs

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If there is a small area of ​​detachment, it is possible to delimit this area using laser coagulation.

Sometimes the procedure is prescribed after the operation to eliminate the detachment to form more reliable bonds after breaks in the area of ​​the surgical operation.

Doctors advise pregnant women to conduct a thorough examination by an ophthalmologist (including the fundus) at the end of the first trimester of pregnancy. If there is evidence, the doctor prescribes laser coagulation, which can be carried out up to 35 weeks after conception.

Natural childbirth is stressful and a huge burden on the entire body, so ruptures or weak vessel walls can lead to serious visual impairment in the future. Timely prevention is safe and will help avoid eye complications.

Stages of the operation

1. After anesthesia, a three-mirror lens is placed on the eye.
2. With the help of a laser that creates a high temperature on the treated surface, the affected vessels or formations are soldered or delimited.

A special lens provides full penetration of the laser stream into any area of ​​the eye, and the laser itself has a thin beam that allows precise manipulations. The doctor controls the course of the procedure through a microscope.

The resulting "seams" of coagulants firmly bind the retina to the adjacent eye membranes, which contributes to the restoration of normal blood supply to the eyes. Delimiting the risk zone with coagulants minimizes the risk of retinal detachment in this area.

In diabetes mellitus, serious cardiovascular diseases and a number of other cases where complex operations cannot be performed or general anesthesia cannot be used, laser coagulation is the only way to treat the retina.

Contraindications

The operation should be postponed or excluded in the following cases:

The right approach and a thorough examination will help you choose the right treatment method.

With a significant clouding of the vitreous body, a vitrectomy is performed. which allows the patient to regain vision.

Why blood vessels burst in the eyes and how to strengthen the capillaries, read our article.

Possible Complications

The procedure for laser exposure to the retina can have the following unpleasant consequences:

Except for the first point (corneal edema), the likelihood of complications is negligible. If extensive coagulation is necessary, in order to avoid unpleasant consequences, it is better to divide the procedure into several stages.

Postoperative period

The operation to eliminate defective vascular formations proceeds quickly and does not cause discomfort to the patient. However, laser intervention imposes certain responsibilities on a person:

In a period of up to 2 weeks, complete healing and scarring of coagulants occurs.

Persons with a hereditary predisposition to eye diseases or already suffering from them, after suffering eye and head injuries, it is advisable to periodically examine the fundus.

It is more expedient to eliminate a defect detected in a timely manner than to suffer all your life later or do the most difficult operations.

After laser coagulation, especially in diabetes mellitus, relapses are sometimes possible. the appearance of new areas with dystrophic vessels or incipient detachment.

Therefore, after the procedure, it is strongly recommended to visit an ophthalmologist for a monthly examination for up to six months, gradually reduce the frequency of visits to 1 time in 3 months, then 6 months and 1 time per year.

Laser coagulation of the retina is a fairly simple, non-traumatic and effective way to prevent retinal detachment. The extremely low complication rate, rapid post-procedure recovery, and easy tolerability justify the widespread use of this method in ophthalmology.

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Laser coagulation of the retina: do's and don'ts

Age - 18 years old, still young)

Vision and degree of myopia: -7 units, respectively strong myopia.

The state of the fundus: there is no information on hand, because the card remained at the research institute.

In fact, up to -5.5 vision reached the 10th grade, and until the beginning of the 2nd year it remained that way. However, the passion for the gym (even on a sparing mode, at half strength) had an unpleasant effect, and in a little over a year, my vision fell by another one and a half units. LKS appointed in connection with the threat of exfoliation. I am currently in 3rd grade.

Message added at 23:53

Chemist thanks, I got the first information about LKS just from your topic, I was directed to it from a forum about search engine optimization

Posted by Chemist.

3) The first month after LC, the restrictions are the same as before the procedure. The doctor should have warned you about them.

Click to reveal.

There were no warnings, only irifrin, ascorutin tablets and blueberry forte were prescribed.

Last edited by Zorkiy Sokol on 10/11/2009 at 10:54 pm. Reason: addition

LKS appointed in connection with the threat of exfoliation.

Click to reveal.

Here from this place it is desirable more in detail. Of course, it would be necessary to have an accurate diagnosis, only retinal dystrophy or ruptures? I'm leaving the topic, all the same, such cases are clearly beyond my competence. I can only share my impressions, although they are already in another topic. Well, list those contraindications that were in my particular case.

Registration: 11.10.2009 Posts: 6

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Only dystrophy, no breaks pah-pah.

Registration: 08/05/2009 Address: Samara Posts: 4,991

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however, could you tell me when it will be possible to put on lenses and go for a run after the procedure?

Click to reveal.

I think that the LCL can be put on the next day, but physical activity is limited to up to a month. For more details, check with your doctor.

A procedure was prescribed (according to the medical procedure or operation is more correct?) due to the fact that my myopia is progressive.

Click to reveal.

For this reason, laser photocoagulation is not performed. It is also not performed for ANY retinal dystrophy. There are retinal dystrophies that threaten to rupture and detach, and dystrophies that are safe in this regard.

1. How long after LKS can contact lenses be put on?

2. How can I load my eyes after the procedure and when, in relation to computer screens?

3. How and when can you exercise yourself physically after the procedure? That is, when can you start running, swimming, and so on?

Click to reveal.

1. Two hours later, when the mydriatic leaves. Otherwise, the lenses will be saturated with it and will keep the pupils wide.

2. If we are talking about visual load - at least immediately.

3. In three weeks (approximately). The doctor will tell you exactly after examining the fundus of the eye (pigmentation of coagulates appears).

Laser vision correction or goodbye myopia

It's been almost a month since I had my vision corrected. This is an indescribable sensation, especially for someone who no longer remembers how it is to see without everything. Wake up and see everything. No lenses, no glasses.

It is difficult to write something else, just a sea of ​​positive emotions.

I took a long time to this operation. First, it was necessary to earn money (you must be ready to pay around 50K), then choose the time and decide when it will be, and then, most importantly, decide. If you do it in winter, you will be left without skiing until the end of the season. In the summer - without cycling, swimming, not even going to the bathhouse. Spring / autumn - it is dangerous to get sick before or after the operation. Decided to donate in the summer.

And now I'll tell you in order.

Getting ready for surgery

How to understand that you need correction, are you ready for it?

As for the question, at what minus or plus is it worth doing the operation, this is a purely personal question. The same as whether it is worth fighting overweight, maybe you like it that way? Someone feels comfortable even at -6, wearing glasses, and there are rumors about the states that even -0.25 is corrected there.

From a medical point of view, the following requirements are important:

What we treat

In the general case, you can adjust (information is available on the websites of eye clinics):

But everything is individual, really. The operation is considered cosmetic.

Progressive myopia/farsightedness

It is necessary to stop, otherwise what is the point of the correction if the vision floats further?

I had scleroplasty done at school. This is when a piece of inorganic tissue is sewn to the sclera (the shell of the eye) so that the eye no longer grows. It helped, the drop in vision stopped immediately. Although at the examination before the correction they said that I had almost a unique case and I had a very successful operation.

Laser coagulation of the retina

Myopia occurs due to the enlargement of the eyeball, which leads to thinning of the retina and the appearance of tears. That is why people with vision worse than -6 are not taken into the army and they are contraindicated in jumping, sports where there is a risk of a blow to the head, as well as donation. I was told about it, but it never stopped me from the same volleyball and skiing in the forest. During my examination, there were no thinnings of the retina, but there were a couple of breaks. Before the operation, laser photocoagulation of the retina was recommended. I agreed.

I had read earlier about coagulation and it seemed to me something terrible, with a not very pleasant recovery period. But everything turned out not to be scary at all.

What is the essence of the operation?

A contact lens is inserted into the eye (in fact, a whole periscope), the same as when examining the fundus in the periphery. And through this lens, the doctor uses a laser to strengthen the retina around the break. Pictures can be viewed online. I don't post because not everyone will like it.

About the consequences. The pupils after the operation are dilated and there is a slight burning sensation in the eyes. It is better to get home with an accompanying person and wearing dark glasses. Foolishly, I was wearing prescription glasses, but I squinted more from the bright light. After 4 hours, he lets go and everything is possible. For almost two weeks, you can’t lift weights, work in an incline. But it was dangerous for you even before the operation.

Corneal thickness

According to Wikipedia. the thickness of the cornea in a healthy eye in the central part is 520-600 microns. For correction by the LASIK method, the thickness of the cornea must be greater than 450 microns.

In addition to the correction method, the thickness of the cornea determines how much you can restore your vision. I don’t know my exact numbers, but they told me that they would restore it completely, with the help of LASIK.

A couple of days before surgery

Before the operation, there are no restrictions at all. You need to undergo an examination, it is possible to do coagulation.

Everywhere it is written that not to wear contact lenses (from two weeks). I haven't worn in a couple of months and it may have helped my cornea a bit. In fact, it was possible to come without lenses for an examination, and put them on the next day. Well, after coagulation, do not wear until the evening. Again, without lenses there is less chance of catching conjunctivitis.

After the examination, you will be given a referral for tests - a standard set. Syphilis and hepatitis. You can donate anywhere. Please note that the result will have to wait up to 5 working days. I almost missed the deadline and took it the day before the operation.

Since after the operation you can’t wash your hair for 3 days, I cut my hair. A short haircut delivers less discomfort with a dirty head. Girls do not even know what to advise. And of course I washed my head for 3 days in advance.

Operation

Not to say that I was afraid of the operation. More like curiosity. I satisfied him as best I could, because the clinic did not tell much. Arrive at 12 on the day of surgery, bring sunglasses. In general, that's all.

The Internet is full of videos about the correction process itself, about how it looks from the outside. For example this.

But I, as I think you, were interested in the question: What will it be like to feel for yourself? . After the third approach, I found a simulated perception of the operated. Very well modeled as it turned out later. Here it is.

The difference is that I was not instructed to always look at the red dot and during the laser correction itself, the vacuum ring was not removed. The surgeon took the coordination of the eye into his own hands.

The operation lasts 4 minutes for each eye. During this time, they manage to cut off a piece of the cornea, evaporate the cornea from the surface of the eye, smooth the piece back and the piece grows back. Nothing bad actually happens.

Postoperative period

After the operation, you will be given eye drops that you need to drip at regular intervals, rest a lot, and in no case should you touch your eyes. The first night it is recommended to sleep on your back.

First week

The first hours after the operation, there is a burning sensation in the eyes, which disappears after 3-4 hours. There is also acute photophobia, this is when you sit in a tinted car with dark glasses and it hurts from oblique sunlight. It passes the next day, then it is not recommended to go out without dark glasses for a month. Sunglasses must be with UV filters, preferably with polarization, and even better - black.

But this is not the most difficult. The most difficult thing is that in the first week, loads at close range are prohibited. You can’t look at the computer monitor, you can’t read books, in general, it’s difficult to use the phone in the early days.

You can watch TV, it's better not to abuse it. So it remains to listen to music and read audiobooks. I really regret that there is no device that, when falling asleep, would stop the playback of the book. It is very difficult to find the moment at which I was distracted.

Life is getting better

After a week, moderate loads near are allowed (you can watch until fatigue and tension in the eyes occur, at first it occurs quite quickly). You can gradually return to normal life. Two weeks later I was discharged and I returned to work.

As for alcohol, its intake is prohibited for the period while you are dripping an antibiotic. It's a week and a half. Smoking is allowed immediately (forbid you to smoke, of course), but the smoke causes discomfort.

Baths, saunas, swimming in open water and pools are prohibited for two months. A month later, the eyes are still very sensitive to shampoo, smoke. Strong physical activity, contact sports games are also prohibited. In general, it is better not to risk it, let your eyes heal.

For you girls

For weeks two-month it is necessary to fasten with cosmetics. No mascara, shadows, etc. I suspect that in the first days you should not wipe your face with anything containing alcohol. Just be ready.

Consequences and complications

If you look for all sorts of problems that can come out after the correction, then you can turn gray and turn into a hypochondriac giraffe Melman from Madagascar. But the probability of occurrence of most complications is less than 1% by several orders of magnitude (roughly like a black hole from the LHC).

I was most worried about dry eye syndrome, because my eyes were already pretty tortured by lenses. But I was lucky and everything went without consequences.

There is only a small problem that is observed by everyone who has made a correction. And the more diopters corrected, the stronger it manifests itself. In the dark, a rather large halo appears around point light sources, as if looking at them through a cloudy glass. As in this picture, only the spot is more even.

I hope everything goes smoothly for you as well.

I almost forgot. Experienced ophthalmologists often dissuade from correcting myopia, they say, aging will begin for years, you will have farsightedness and there is no way to correct it. You have to wear glasses. To this, I decided for myself the following: I'd rather enjoy life without glasses now, and then I will wear reading glasses.

Results

I am very happy and satisfied that I had the operation. Life has become easier. No need to remove and put on contact lenses, no need to wear glasses that fog up, get dirty and put pressure on your nose. Before the correction, I had around -7 in both eyes (in sharpness from 0 to 1, I don’t know how much it is). On my last eye exam, I had 0.9 and 1.0. I suspect that at the moment, the left eye has also recovered.

The operation is neither expensive nor painful. The recovery period is not so difficult to survive. The effect is very pleasing.

This is already my third successful operation on the eyes and it seems to me that people have studied this organ quite well.

Consult with doctors, make up your mind and have a successful recovery.

Memo to the patient after laser coagulation of the retina

Laser coagulation of the retina is a surgical method for the treatment of thinning and ruptures of the retina, which helps prevent its detachment, which leads to a decrease in visual acuity and blindness. Surgical manipulation is performed on an outpatient basis and is easily tolerated by patients at any age. Its duration is about half an hour.

After the procedure of laser coagulation of the retina, unlike conventional eye surgery, the patient does not need a long period of rehabilitation. However, to achieve the best result of the intervention, it is necessary to follow some recommendations of the recovery phase.

Features of the postoperative period

The action of the drops that expand the pupil ends within 2 or 3 hours after the end of the procedure. Following this, the former character of the patient's vision is restored. Sometimes during this period, a person has redness of the eyes and a feeling of irritation. These manifestations disappear spontaneously after a few hours.

After the operation, you should stop driving and wear sunglasses. Refusal to drive a car and wearing tinted glasses is necessary until the formation of persistent chorioretinal adhesions.

The entire recovery period after laser coagulation of the retina can take one to two weeks. During this time, it is necessary to adhere to a special sparing regime, that is, to limit:

After the procedure of laser coagulation of the retina against the background of diabetes mellitus, there is a risk of new areas of detachment and the appearance of dystrophic vessels. Therefore, within six months, the patient is recommended to visit an ophthalmologist every month for a preventive examination. For the next six months, the frequency of preventive examinations is reduced to one, every 3 months. Then, with a favorable course, preventive examinations are necessary every six months and a year.

Preventive examinations of the peripheral areas of the fundus. allow timely detection of the emergence of new zones of dystrophic changes in the retina, its thinning, as well as breaks and make a decision on the implementation of preventive laser coagulation. This tactic significantly reduces the risk of developing retinal detachment and avoids loss of vision.

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Postoperative period after laser coagulation of the retina

Treatment of a damaged retina by laser coagulation allows you to restore the patient's vision, prevent dystrophic changes in tissues, as well as the development of blindness. In addition, coagulation makes it possible to effectively treat retinal detachment, restore blood supply and the efficiency of the vascular apparatus of the eye. A distinctive feature of the postoperative period is the ability of the patient to leave the medical institution within a few hours after the completion of the operation.

In what cases is laser coagulation of the retina prescribed?

Laser coagulation of the retina can be prescribed to a patient in case of a number of diseases, including:

• dystrophy of the ocular vascular apparatus (peripheral vessels);
• in case of proliferation of vessels in large numbers (angiomatous changes);
• venous thrombosis of the retina;
• with diabetes or hypertension, resulting in retinopathy;
• ruptures or traumatic detachments of the retina;
• dystrophic age-related changes in the macula of the eye (yellow spot in which the light beam is focused);
• deformation of the eyeball resulting from myopia (impaired eye refraction, in which there is a deterioration in vision - myopia);
• the presence of certain types of formations (tumors).

Laser coagulation can also have a number of limitations, which include clouding of the cornea and vitreous body (gliosis), the presence of hemorrhages in the fundus, as well as some visual acuity disorders.

About the effectiveness of the method

Laser coagulation of the retina

The operation using a laser effectively allows you to get rid of eye ailments, moreover, it is carried out for a short time and does not require patients to stay in a hospital. A few hours after the procedure, patients can go home. The performed laser operations allow to get rid of breaks and damages of the retina in the future, as well as to improve the process of blood supply and its nutrition.

Tip: if deformations of the eyeballs are detected, it is necessary to discuss the possibility of laser surgery (coagulation) with the attending specialist. Restoration of the processes of eye vital activity is also effectively carried out by laser vision correction LASIK, which allows you to get rid of such ailments as astigmatism, farsightedness and myopia. In addition, this type of operation has minimal restrictions for carrying out. Smile vision correction is also considered effective (it is allowed to be carried out in the absence of contraindications).

The use of a laser (coagulation) allows you to restore visual processes and avoid damage to the tissues of the eyeballs even during pregnancy. After the operation, the work of peripheral vessels improves significantly and processes in the tissues are restored.

Features of rehabilitation after coagulation and possible complications

After surgery, it is forbidden to drive a car for a week

After coagulation using a laser, it is necessary to avoid direct sunlight in the eyes, for which it is recommended to wear dark glasses until strong tissue (choreoretinal) adhesions are formed.

The postoperative period can last from 1 to 2 weeks, depending on the characteristics of the human body. In the early postoperative period, it is forbidden to play sports, it is necessary to avoid heavy physical exertion, as well as sudden movements. These doctors' recommendations are based on the possible risk of recurrent retinal detachment and worsening of the patient's condition.

In order to avoid complications in the postoperative period, it is necessary to strictly follow the recommendations of the attending specialist, namely:

• after surgical treatment, you can not watch TV and work at a computer;
• diabetics are required to maintain normal blood sugar levels;
• with hypertension and problems with the cardiovascular system, constant monitoring of blood pressure is necessary;
• after laser coagulation, it is necessary to visit an ophthalmologist every 3 months.

Possible complications in the postoperative period include short-term swelling of the eye cornea, a slight decrease in vision at night, and an increase in pressure inside the eyeballs.

Preventive ophthalmological examinations will help to avoid further complications with vision and possible relapses from the vascular apparatus and retina.