Symptom Inquiry
Hello Doctor: A few days ago, I returned to my hometown and saw my father applying for medical records at a clinic to claim insurance benefits.
According to my father, he described symptoms similar to floaters, where he suddenly saw a dark spot that looked distinctly like a cockroach leg.
Since my father could only describe the symptoms and couldn't clearly explain the detailed reasons, the medical record was written in professional terminology that he couldn't understand.
Therefore, I took a photo of the medical record and would like to consult you to understand my father's condition.
The main complaint section states: "Floaters OD increased in the recent 1 week." The diagnosis section includes: 1.
Lattice degeneration with retinal hole, OD 2.
Evaporative dry eye disease (DED) 3.
Asthenopia.
Could you please explain what these terms mean? What should we be cautious about regarding these symptoms? Thank you for your time in responding.
LEE, 40~49 year old female. Ask Date: 2016/07/13
Dr. Gao Pilin reply Ophthalmology
Hello LEE: The content of the diagnosis report mainly explains the condition of floaters and the detailed situation of peripheral retinal tears.
It is best to consult with the attending physician for further information.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2016/07/13
More Info
Hello! It sounds like you are concerned about your father's eye condition, and it's great that you are seeking to understand the medical terminology used in his diagnosis. Let's break down the terms you've provided and discuss their implications.
1. Flouters OD increase in recent 1wk: The term "flouters" likely refers to "floaters," which are small spots or lines that drift through your field of vision. They are often harmless but can be a sign of changes in the vitreous gel inside the eye. "OD" stands for "oculus dexter," which is Latin for the right eye. An increase in floaters, especially if sudden, can be concerning as it may indicate a potential issue with the retina.
2. Lattice with retinal hole, OD: "Lattice" refers to a condition known as lattice degeneration, which is a thinning of the peripheral retina. This condition can lead to retinal holes or tears, which can increase the risk of retinal detachment. The presence of a "retinal hole" in the right eye (OD) is significant because it can lead to more serious complications if not monitored or treated appropriately.
3. Evaporative DED: This stands for "Evaporative Dry Eye Disease." This condition occurs when the tears evaporate too quickly, leading to dryness and discomfort in the eyes. It can be caused by various factors, including environmental conditions, prolonged screen time, or certain medical conditions.
4. Asthenopia: This term refers to eye strain or fatigue, often caused by prolonged use of the eyes, especially when focusing on close objects, such as reading or using a computer. Symptoms can include discomfort, headaches, and blurred vision.
What to Watch For:
Given your father's diagnosis, there are several important points to consider:
- Monitor for Changes: If your father experiences a sudden increase in floaters, flashes of light, or a shadow or curtain effect in his vision, he should seek immediate medical attention. These could be signs of retinal detachment, which is a medical emergency.
- Regular Eye Exams: It's crucial for your father to have regular eye examinations, especially given the presence of lattice degeneration and a retinal hole. An eye care professional can monitor these conditions and determine if any treatment is necessary.
- Manage Dry Eye Symptoms: For evaporative dry eye, your father may benefit from using artificial tears or other lubricating eye drops to alleviate dryness. Additionally, he should consider environmental factors that may contribute to dry eyes, such as air conditioning or prolonged screen time.
- Address Eye Strain: If your father is experiencing asthenopia, he should take regular breaks when using screens or reading. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.
Conclusion:
Understanding these medical terms can help you and your father navigate his condition more effectively. It's essential to maintain open communication with his eye care provider and ensure that he follows their recommendations for monitoring and treatment. If you have any further questions or concerns, don't hesitate to reach out to a healthcare professional for clarification and guidance.
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