Link Between Increased Prescription and Retinal Detachment Risks - Ophthalmology

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The correlation between refractive error and retinal detachment?


Hello Dr.
Gao,
I have been wearing glasses for nearsightedness with a prescription of -8.50 diopters for over a decade.
Last year, I got new glasses with a prescription of -9.00 diopters for both eyes.
However, after wearing the new glasses for two months, I experienced a retinal detachment in my right eye.

Could the additional -0.50 diopters have contributed to the retinal detachment? My reasoning is that the increased prescription may have placed additional strain on my eyes, leading to a more pronounced elongation of the eyeball and ultimately resulting in the retinal detachment.

I would appreciate your clarification on this matter.
Thank you.

Best regards,
John

John, 40~49 year old female. Ask Date: 2017/03/15

Dr. Gao Pilin reply Ophthalmology


Hello John: There is basically no correlation between prescription strength and retinal detachment, so there is no need to worry.
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; if necessary, you should visit a medical facility for treatment.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2017/03/15

More Info


The concern regarding the link between increased prescription strength and the risk of retinal detachment is a common one, especially among individuals with high myopia (nearsightedness). To address your question, it is important to clarify that while high myopia is indeed associated with an increased risk of retinal issues, the act of changing your prescription by a small increment, such as from -8.50 to -9.00 diopters, is not directly responsible for causing retinal detachment.

Retinal detachment occurs when the retina, the light-sensitive layer at the back of the eye, separates from its underlying supportive tissue. This can lead to permanent vision loss if not treated promptly. The primary risk factors for retinal detachment include high myopia, previous eye surgery, trauma, and certain eye diseases. High myopia can cause the eye to elongate, which in turn can lead to thinning and degeneration of the retina, making it more susceptible to tears and detachment.

In your case, the increase in prescription strength is unlikely to have caused the retinal detachment. The relationship between myopia and retinal detachment is more about the degree of myopia rather than the specific prescription change. It is well-established that individuals with high myopia (typically defined as -6.00 diopters or more) have a higher risk of developing retinal tears and detachments due to the structural changes in the eye.

Your reasoning that the additional 50 degrees of correction could lead to increased eye strain or fatigue is understandable, but it is important to note that the eye's ability to accommodate (focus) is not significantly impacted by such a small change in prescription. Moreover, the eye's structural integrity and the risk of retinal detachment are more influenced by the overall degree of myopia rather than the specific prescription at any given time.

To manage your anxiety regarding this issue, it is crucial to maintain regular follow-ups with your eye care professional. They can monitor your eye health and provide guidance on any necessary preventive measures. If you experience any new symptoms, such as flashes of light, floaters, or a sudden decrease in vision, you should seek immediate medical attention, as these can be signs of retinal detachment.

Additionally, it may be beneficial to address the psychological impact of your recent experience. The fear of vision loss can be overwhelming, and it is important to acknowledge these feelings. Consider speaking with a mental health professional who can help you develop coping strategies and provide support as you navigate your concerns about eye health and vision.

In summary, while high myopia is a significant risk factor for retinal detachment, a small increase in prescription strength is not likely to be the cause of your recent retinal detachment. Regular eye examinations and open communication with your eye care provider are essential for monitoring your eye health and addressing any concerns you may have.

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