Retinal Damage: Recovery and Long-Term Effects After Eye Injury - Ophthalmology

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Retinal issues?


At the end of June this year, I was struck in the right eye by a badminton shuttlecock, resulting in retinal damage.
I went to the hospital for an examination, where a CT scan revealed that the impact hit the center of the retina, causing cell rupture, which led to blurred vision and the perception of some black strands.
The doctor mentioned that this was due to bleeding and that it would generally take about two months to recover.
However, it has now been over two months, and I still see a slight amount of black strands.
My vision feels like there are light spots obstructing my view when reading, and it becomes somewhat blurry when I focus on smaller text.
Before the injury, my right eye had a vision of 225 degrees, but after the injury, my vision was measured at 0.5, later improving to 0.6.
For instance, when I cover my left eye and look at the text I am currently typing with my injured right eye, I still see light spots obstructing my view.
I assess my condition daily and feel that there hasn't been much improvement, which worries me about the possibility of not fully recovering.
Will my condition heal? Will there be any long-term effects? Could this situation be causing dizziness?

Didi, 20~29 year old female. Ask Date: 2016/09/06

Dr. He Jianxian reply Ophthalmology


Theoretically, blurred vision should not cause dizziness; however, whether your eye condition will improve cannot be determined without examining your actual situation, as it is impossible to make a judgment based solely on your description.

Reply Date: 2016/09/06

More Info


Experiencing retinal damage due to an eye injury, such as the one you described from being hit by a shuttlecock, can be concerning and may lead to various symptoms, including blurred vision and the perception of floaters or spots in your vision. The recovery process and potential long-term effects can vary significantly depending on the severity of the injury and the specific areas of the retina that were affected.

Firstly, it is important to understand that the retina is a delicate layer of tissue at the back of the eye that is responsible for converting light into neural signals, which are then sent to the brain for visual recognition. When the retina is damaged, as in your case, it can lead to symptoms like blurred vision, floaters (which may appear as black strands or spots), and light flashes. These symptoms can be indicative of retinal tears, detachment, or hemorrhage, which can occur when the retina is subjected to trauma.

In your situation, the initial assessment by your doctor indicated that there was some bleeding and that recovery might take around two months. However, since you are still experiencing symptoms such as seeing black strands and having blurred vision after more than two months, it is crucial to follow up with your eye care provider. Persistent symptoms may suggest that the injury has not fully healed or that there could be other underlying issues, such as retinal scarring or persistent bleeding.

Regarding your concerns about recovery and potential long-term effects, many patients do experience improvement over time, but the extent of recovery can vary. If the retinal cells have been significantly damaged, there may be lasting effects, including permanent vision changes. The presence of floaters can sometimes diminish as the eye heals, but they may not completely disappear. In some cases, if there is significant scarring or damage to the central retina (the macula), this can lead to more pronounced vision loss.

As for your question about whether this condition could cause headaches, while blurred vision itself typically does not directly cause headaches, the strain of trying to see clearly or the discomfort from visual disturbances can contribute to headaches. If you are experiencing frequent headaches, it would be advisable to discuss this with your healthcare provider, as they can help determine if there is a connection to your eye condition or if other factors are involved.

In summary, it is essential to maintain regular follow-ups with your eye doctor to monitor your condition. They may recommend additional imaging or treatments to address any ongoing issues. If you notice any sudden changes in your vision, such as an increase in floaters or flashes of light, or if you experience a sudden decrease in vision, seek immediate medical attention. Your eye health is paramount, and timely intervention can make a significant difference in your recovery and long-term visual outcomes.

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