Retinal Thinning and Eye Pressure in Dancers - Ophthalmology

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Retina and intraocular pressure?


Last week, I noticed an increase in the number of floaters in my vision, so I immediately underwent a dilated fundus examination.
The doctor informed me that the retina in my left eye has thinned.
I am a professional dancer who performs with a dance troupe and also engages in weight training.
My eye pressure measurements have been normal, with the left eye at 16 mmHg and the right eye at 17 mmHg.
Occasionally, when I rub certain areas of my eyes, I experience flashes of light, but this does not happen regularly.
I would like to know if this could be related to my dancing and weight training, as I typically train for about 2 hours each day.
However, I make sure to avoid holding my breath during weightlifting.
Is this condition simply a result of my high myopia (with prescriptions of -9.25 and -9.75) leading to retinal degeneration? Thank you for your response, doctor.

Eazon, 10~19 year old female. Ask Date: 2016/09/25

Dr. He Jianxian reply Ophthalmology


High myopia generally causes thinning of the retina, but as long as there are no tears, there should be no major issues.
However, you should avoid rapid rotations, head shaking, and rubbing your eyes to prevent excessive traction on the retina.

Reply Date: 2016/09/25

More Info


Retinal thinning, especially in individuals with high myopia (like your case with prescriptions of -9.25 and -9.75), is a common concern. High myopia can lead to structural changes in the eye, including thinning of the retina, which can increase the risk of retinal detachment and other complications. Your experience with an increase in floaters and flashes of light is also noteworthy, as these symptoms can be associated with retinal changes.

As a professional dancer and someone who engages in weight training, it’s understandable to wonder if your physical activities could be contributing to your eye condition. While there is no direct evidence linking dancing or weight training to retinal thinning, certain movements and exertions can potentially exacerbate existing eye conditions. For instance, activities that involve rapid head movements or significant physical strain could theoretically increase the risk of retinal issues, especially if there is already a predisposition due to high myopia.

When you mentioned that you avoid holding your breath during weight training, this is a good practice. The Valsalva maneuver, which occurs when one holds their breath and exerts force, can increase intraocular pressure and may pose risks for individuals with pre-existing eye conditions. Therefore, your awareness and precautions are commendable.

The flashes of light you experience when rubbing your eyes or during certain movements could be related to the vitreous gel in your eye pulling on the retina, which is not uncommon in individuals with myopia. However, if these flashes become more frequent or are accompanied by a significant increase in floaters or a shadow in your vision, it is crucial to seek further evaluation from an eye care professional.

In terms of your eye pressure readings (16 mmHg in the left eye and 17 mmHg in the right eye), these are within the normal range. Normal intraocular pressure is typically considered to be between 10 and 21 mmHg. However, it’s important to monitor your eye health regularly, especially given your history of high myopia and retinal thinning.

To summarize, while your activities as a dancer and weight trainer may not directly cause retinal thinning, they could potentially influence your eye health, especially if you have underlying conditions. It’s essential to maintain regular check-ups with your eye doctor, who can monitor your retinal health and provide guidance tailored to your specific situation. Additionally, practicing good eye care habits, such as taking breaks during prolonged screen time, staying hydrated, and protecting your eyes from excessive strain, can be beneficial.

If you have any further concerns or if your symptoms change, don’t hesitate to reach out to your eye care professional for a more thorough examination and personalized advice. Your proactive approach to your eye health is crucial, especially as a professional dancer where visual acuity and eye health are paramount.

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