Eye Medications: Risks of Steroids and High Myopia Concerns - Ophthalmology

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When it comes to managing high myopia and associated eye conditions, understanding the medications prescribed and their potential side effects is crucial. In your case, you mentioned that your doctor prescribed two types of eye drops and an ointment for a bacterial infection related to your eyelashes. The medications you referred to, such as "舒美佐" (likely referring to a topical antibiotic) and "杏輝如視" (which may contain steroids), can indeed raise concerns regarding the use of steroids and their impact on intraocular pressure (IOP).

Steroids and Eye Pressure:
Steroidal eye drops are known to potentially increase intraocular pressure, especially in individuals who may be predisposed to glaucoma or have a history of elevated eye pressure. However, not everyone who uses steroid drops will experience this side effect. The risk is generally higher with prolonged use or in individuals with a history of steroid responsiveness. If your doctor prescribed these medications for a short duration to treat an infection, the benefits of controlling the infection typically outweigh the risks of transient pressure increases. It is essential to follow your doctor's instructions regarding the duration of use. If you have been using the drops for a week and are unsure about continuing, it would be best to consult your doctor for guidance.

Visual Symptoms and Retinal Concerns:
You also mentioned experiencing visual disturbances, such as seeing light from the sides when you close your eyes. This symptom could be indicative of retinal issues, especially in the context of high myopia, which is associated with an increased risk of retinal detachment and other complications. High myopia can lead to structural changes in the eye, making the retina more susceptible to tears and detachments. If your doctor has indicated that there are concerns regarding your retina, it is crucial to take these seriously. Regular follow-ups and possibly imaging studies, like an OCT (Optical Coherence Tomography), may be necessary to monitor the health of your retina.

High Myopia and Risk of Vision Loss:
Regarding your concerns about high myopia and the potential for vision loss, it is indeed a significant risk factor for various ocular complications, including retinal detachment, glaucoma, and cataracts. The degree of myopia you mentioned (over 800 diopters) is classified as high myopia, which increases the likelihood of these complications. While not everyone with high myopia will experience severe vision loss, the risk is elevated, and proactive management is essential. Regular eye examinations are critical to catch any changes early and to manage any arising issues effectively.

In summary, while the medications prescribed may have some risks, particularly if they contain steroids, the short-term use under a doctor's supervision is generally safe. It is vital to maintain open communication with your healthcare provider about any side effects you experience and to discuss your visual symptoms further. Regular monitoring of your eye health is crucial, especially given your high myopia, to prevent potential complications that could lead to vision loss. Always prioritize follow-up appointments and adhere to your doctor's recommendations for the best outcomes.