Retinal Thinning: Symptoms and Prevention for Teens - Ophthalmology

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Thinned retina?


Hello, doctor.
I am currently 17 years old and have floaters.
How can I prevent them from worsening? When I close my eyes and move my eyes side to side, I see circular flashes of light; does this indicate that my retina is thinning or detaching (I don't see flashes during daily activities)? However, my myopia is not more than -2.00 diopters and I do not have high myopia, so how could it be thinning? If it is indeed thinning, what should I do?

Niming, 10~19 year old female. Ask Date: 2016/03/30

Dr. Wang Zhishun reply Ophthalmology


Hello, it is recommended to see an ophthalmologist.
(It may be a result of the developmental process, and it is not necessarily due to thinning.)

Reply Date: 2016/03/30

More Info


Understanding retinal thinning and its implications is crucial, especially for teenagers who may be experiencing symptoms like floaters or flashes of light. At 17 years old, you are still in a developmental stage where your eyes are maturing, and it's not uncommon to experience changes in vision or eye health. Let's break down your concerns and provide some insights into prevention and management.


Symptoms of Retinal Thinning
1. Floaters (Myodesopsia): These are small spots or lines that appear in your field of vision, often more noticeable against bright backgrounds. They are usually harmless but can be bothersome.

2. Flashes of Light (Photopsia): Seeing flashes of light, especially when moving your eyes, can indicate that the retina is being stimulated. This can happen due to various reasons, including vitreous detachment, which is common as we age.

3. Visual Disturbances: If you notice any changes in your vision, such as blurred vision or a curtain-like shadow over your field of vision, these could be signs of more serious conditions like retinal detachment.


Causes of Retinal Thinning
Retinal thinning can occur for several reasons, including:
- Genetic Factors: Some individuals may have a predisposition to retinal issues due to family history.

- Myopia (Nearsightedness): While you mentioned your myopia is not severe, even mild myopia can increase the risk of retinal thinning over time.

- Age: Although you are young, the aging process can still affect the vitreous gel in your eyes, leading to changes that may cause symptoms.


Prevention and Management
1. Regular Eye Exams: It's essential to have regular check-ups with an eye care professional. They can monitor your eye health and catch any potential issues early.

2. Protect Your Eyes: Use sunglasses that block UV rays when outdoors, and take breaks from screens to reduce eye strain. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for 20 seconds.

3. Healthy Lifestyle Choices: Maintain a balanced diet rich in antioxidants (like vitamins A, C, and E), omega-3 fatty acids, and minerals. Foods like leafy greens, fish, and nuts can support eye health. Staying hydrated is also important.

4. Avoid Eye Strain: If you are spending long hours on screens, ensure that your workspace is well-lit and that you are sitting at an appropriate distance from your screen. Adjust the brightness and contrast to comfortable levels.

5. Monitor Symptoms: If you notice an increase in floaters or flashes, or if you experience any sudden changes in vision, seek medical attention promptly. Early intervention can be crucial in preventing more serious complications.


When to Seek Help
If the flashes of light you are experiencing become more frequent or if you notice any new floaters, it is essential to consult an eye care professional. They may perform a comprehensive eye exam, including a dilated fundus examination, to assess the health of your retina and vitreous.


Conclusion
While your current symptoms may not necessarily indicate retinal thinning or detachment, it is vital to remain vigilant about your eye health. Regular check-ups, protective measures, and a healthy lifestyle can significantly contribute to maintaining your vision and preventing potential issues. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to an eye care specialist for further evaluation and guidance.

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