PVD after RD

[lhn]

I had a retinal detach in my left eye about 4 years ago, had surgeries and procedures, complications and now have almost no usable vision in that eye.   I think the detach was from PVD tearing retina.  The other day I had a lot of flashing lights with eye movement in my good right eye so I went to two  reputable retina specialists/sugeons in my major metropolitan area.  They both did detailed dialated eye exams and said the retina was not torn, no holes both diagnosed PVD.  One said to come back in two weeks, one said come back in 6 weeks.  Both said if vision changes come in right away.  Both also said no limits on activity.  Questions if you don't mind--
Do you ever recommend limiting activity?  I like to work out vigorously but I am afraid to do this.  
How about reading and computer work?
How many flashers are too many?  I have a lot especially when I move my eyes.  No new floaters.  (If I got new floaters I would immediately call my dr.)
I know I am at great risk for RD in this symptomatic eye.  Should I be seen every week instead of going in two weeks?  What is the most conservative advice you ever would give in a situation like this?  I don't want to take any chances at all.  Thank you.

[John C Hagan III, MD, FACS, FAAO]

I can't tell you the answer because I can't examine your eye. If you've trusted your sight to him and be okay so far no reason to stop now. If something changes call and go in sooner.

JCH MD

[lhn]

Well, I ended up with an RD in my right eye as I expected.  I had a vitrectemy, RDs/tears repaired and 360 laser.  Gas bubble.  After 2 weeks my vision, already bad from the cataract caused by the gas worsened, IO spiked to 50, emer. cataract surgery and another vit.  when lens capsule pulverized during extraction and fell into the back of my eye.  A week after surgeries,  have had another pressure spike to 33, got drops changed.  Now I am 2 weeks post op and dr. says he doesn't need to see me for 3 weeks.  He changed the drop sched to no more prednisone, continue pressure drop and inflammation drop at reduced rate.
Should I be seen sooner than 3 weeks by retina dr?  I don't want to be greedy with the dr's time or waste it but I seem to be prone to complications.  Should I insist on coming in to be checked sooner?  What would you tell your patient or want for yourself?  Thanks!

[John C Hagan III, MD, FACS, FAAO]

I do ask my patients that are having PVD and have flashes to avoid heavy bending, stooping, lifting, yoga exercises where they stand on hands and to avoid contact sports and amusement park rides that whip the head around till the flashes stop.

Unless things change a follow uyp in 2 to 6 weeks is okay.

Best advice: if the flashes increase, the floaters increase or there is problem with peripheral vision return immediately to one of the retina Eye MDs.

JCH MD