Eye

Ask an eye Doctor and get an answer ASAP

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

I had a retinal tear at the corner of the eye which was

repaired by cryotherapy. I was...
I had a retinal tear at the corner of the eye which was repaired by cryotherapy. I was told that cryotherapy creates a stronger scar than laser. Why would not more ophthalmologist use cryotherapy instead of laser? Is it because cryotherapy requires some specialized skill and many newer ophthalmologist rather use laser treatment if they can? Is it likely that cryotherapy would create a bigger scar than laser and thus potentially reduce more vision? Also are there any lasers that are better suited for this procedures than others - -and if yes which kind? I am asking this question so I can be better prepared for this procedure next time and know what to ask. I am not looking for an answer which simply states that it is an ophthalmologist preference which procedure to use.
Show More
Show Less
Ask Your Own Eye Question
Answered in 20 minutes by:
9/24/2017
Richard Han
Richard Han, Board Certified MD
Category: Eye
Satisfied Customers: 1,132
Experience: Physican with over 15 years experience
Verified
Hello my name is***** am a board-certified physician and I am happy to help you. Both procedures are effective at essentially tacking down the retina so that vitreous of the fluid filling part of your eye does not leak thru the tear and cause retinal detachment. Recently there has been a trend away from cryotherapy because of slightly higher complication rates. That being said, many skilled ophthalmologists will still use cryotherapy over laser because of two main factors. 1. Location: tears that are near the front of the eye are very difficult to reach effective with a laser. 2. Cataracts- if you have significant cataracts, it is difficult to utilize a laser to perform the procedure. Hello my name is***** am a board-certified physician and I am happy to help you. As with anything else in medicine and surgery, individual physician preference, skill level and experience can also play a factor.Do you have any other questions I can help you with today?
Ask Your Own Eye Question
Customer reply replied 11 months ago
As I mentioned in my question my tear is in the corner of the eye and no cataracts. Would you please respond to the specific questions that I have asked.
MD Doc
MD Doc, Dr
Category: Eye
Satisfied Customers: 8,295
Experience: MD since 1994
Verified

Hi,

Whether to use laser or cryo depends on the size and placement of retinal tear.

A large retinal tear which is placed more anteriorly is sealed by cryo. While smaller retinal tears or holes which are placed more posteriorly are sealed using a laser.

The area where the retinal tear occurs, loses its life or strength, so vision from that area is almost zero. But since, these retinal tears and holes are in the peripheral part of the retina, the field of vision and vision loss by them is not significant. Majority of our vision is in the central part of the retina (called macula). Any problem in macula causes a major vision loss.

Since your retinal tear was in the periphery, the vision loss in the tear area is not very significant. Also, whether to use laser or cryo is determined by the surgeon based on the size and location of the tear.

Hope this information is helpful

Regards

Ask Your Own Eye Question
Customer reply replied 11 months ago
are you aware of any study that compares the long term outcomes of cryo vs laser for retinal tear?thnaks

The indication of use of cryopexy (cryo) and laser are totally different. So, there would not be studies to compare both of them in the exact same scenario with half patients undergoing cryo ad half laser when retinal tear is found. Below is a link to a study which compares them both in case of retinal detachment after retinal tear

https://www.ncbi.nlm.nih.gov/pubmed/21149772

A few more links for your clarity

https://www.retinalphysician.com/issues/2008/october-2008/laser-treatment-of-retinal-breaks

https://www.reviewofoptometry.com/ce/know-your-retinal-breaks-tears-and-holes

Regards

MD Doc
MD Doc, Dr
Category: Eye
Satisfied Customers: 8,295
Experience: MD since 1994
Verified
MD Doc and 87 other Eye Specialists are ready to help you
Ask your own question now
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an eye doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask MD Doc Your Own Question
MD Doc
MD Doc
MD Doc, Dr
Category: Eye
Satisfied Customers: 8,295
8,295 Satisfied Customers
Experience: MD since 1994

MD Doc is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Dan B.

Dr. Dan B.

Board Certified Ophthalmologist

3,334 satisfied customers

Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Stan

Dr. Stan

Ophthalmologist

905 satisfied customers

Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon

Dr. Stevens

Dr. Stevens

Ophthalmologist

629 satisfied customers

Board Certified Ophthalmologist

Dr. Susan

Dr. Susan

Ophthalmologist

217 satisfied customers

Board Certified & Fellowship trained eye surgeon.

Dr. JP

Dr. JP

Ophthalmology, Oculoplastic Surgery

28 satisfied customers

Harvard Medical School, Massachussetts Eye and Ear

Dr-Trace

Dr-Trace

Board Certified Ophthalmologist

26 satisfied customers

Board Certified in General Ophthalmology

Dr. Daniel Jewelewicz

Dr. Daniel Jewelewicz

Board Certified Ophthalmologist

11 satisfied customers

Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

< Previous | Next >

Related Eye Questions
My son has small retinal tear in peripheral. Having laser
Hi there. My son has small retinal tear in peripheral. Having laser surgery Friday. Two questions. One can he swim before surgery w goggles. Two can he attend sleep away camp three days later. How res… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
I get flashes of light in the outside corners of my eyes,
I get flashes of light in the outside corners of my eyes, like lightning bolts.It's like someone is coming up along side me also sometimes. Is this anything to be concerned about?… read more
eyemd45
eyemd45
44 satisfied customers
My son is 19 years old, high myopic (-21), several
My son is 19 years old, high myopic (-21), several tears/bleeds in past years, 360 laser done 4 years ago. He was seen today and another tear was discovered. What is the likelyhood he will eventually … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
I received laser surgery yesterday to repair a retinal tear
Hello. I received laser surgery yesterday to repair a retinal tear in my right eye as a result of trauma. My question is if exercise is permitted after the laser surgery and if I should wait until my … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
1,037 satisfied customers
I had laser surgery to seal retinal tears in both eyes 11
I had laser surgery to seal retinal tears in both eyes 11 months ago. I have macular pucker in right eye. I am 60 and self employed using computers. I see wavy horizontal lines on an amsler grid. That… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
Why would the jell in my eye be leaking after surgury? It is
Why would the jell in my eye be leaking after surgury? It is showing up as a white ring in my vision, also shows on x-ray.… read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
When I close my right eye, I see a bright light coming out
When I close my right eye, I see a bright light coming out of the corner. It's not consistant though. Sometimes, I see a gray area in the same spot as the bright light. I see floaters go across my vis… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
Tonight when driving home I noticed when blinking, flashing
tonight when driving home I noticed when blinking , flashing lights in the corner of my right eye when I turned to the left. I have no pain and have never had this experience before. I still have afte… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
I was in a motor vehicle collision in February of 1999. I
I was in a motor vehicle collision in February of 1999. I sustained 5 small retinal tears in my right eye from an air bag that had deployed inproperly. I am now doing reading on all sorts of laser eye… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
Regards a floater within the eye, there is no tear in the
regards ***** ***** within the eye, there is no tear in the retina, is the floater something the patient has to learn to live with or is there a method of removal ?… read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
I have had strobe like lights in right corner of my eye.
I have had strobe like white lights in right corner of my eye. Don't see them all the time, need I worry ? I also have black floaters in right eye all the time. Thank you. Carole… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
I had cataract surgery and 3 mos. after I had a retina tear
I had cataract surgery and 3 mos. after I had a retina tear in one eye that was fixed with laser surgery. I now have continuous floaters (clouds) in that eye. Is there anything I can do about the floa… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
I have a friend who works in the fitness industry and needs
Hi, I have a friend who works in the fitness industry and needs to see well to orrect and cue clients. She doesn't get as good a vision correction with contact lenses as she does with glasses, but wea… read more
Dr. JP
Dr. JP
Ophthalmology, Oculoplastic Surgery
Doctoral Degree
28 satisfied customers
A couple of years ago I had a laser repair of a torn retina.
A couple of years ago I had a laser repair of a torn retina. Tonight a gray cloud suddenly obscured the lower half the vision in that eye. After a few minutes the cloud descended and my normal vision … read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
I had two general questions regarding retinal laser surgery
I had two general questions regarding retinal laser surgery to repair a small tear. The first is whether a topical eye drop anesthetic would be preferable to injecting an anesthetic into the eye in or… read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
Must the retina be detached before it can be repaired--I was
must the retina be detached before it can be repaired--I was told that nothing can be done before it is completely detached… read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
My mom is 83 years old. About 3 years ago she had cataract
My mom is 83 years old. About 3 years ago she had cataract surgery in which a new lens was implanted into each eye. Recently, she has noticed that her vision is not as sharp as it was the first year o… read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
I would like to know of an eye surgeon or ophthalmologist
I would like to know of an eye surgeon or ophthalmologist who uses the Y A G laser for the procedure to try and improve distance vision after cataract removal surgery. This procedure is called a poste… read more
Dr. James
Dr. James
Doctoral Degree
2,273 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x