Retinal Issues: Discrepancies in Eye Exam Results Explained - Ophthalmology

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Retinal issues?


Hello Doctor: Recently, I have noticed an increase in floaters during vigorous head movements while exercising, lasting about 20 seconds.
Therefore, I underwent a dilated fundus examination.
However, just a week prior, I had a follow-up dilated examination, and the results from the two visits were different.
One doctor did not mention any issues, while the other indicated retinal degeneration (he mentioned that the degeneration associated with floaters is quite severe) and recommended monitoring and medication (muscle relaxants + B12) to prevent deterioration.
Could you explain why the results from the two examinations differ? At the age of 24, if I have retinal degeneration, am I at a higher risk of blindness in the future? I am quite worried.
Thank you, Doctor.

ll, 20~29 year old female. Ask Date: 2017/05/07

Dr. Cai Wenyuan reply Ophthalmology


Hello, there's no need to worry too much; regular medical check-ups will suffice.
Thank you.

Reply Date: 2017/05/07

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the discrepancies in your eye exam results and the potential implications for your vision. It’s understandable to feel anxious when faced with conflicting medical opinions, especially regarding something as vital as your eyesight.

Firstly, let’s address the differences in the findings from your two eye exams. Variability in eye exam results can occur for several reasons. One possibility is the subjective nature of some aspects of the examination. Different ophthalmologists may interpret the same findings differently based on their experience and the specific techniques they use during the examination. For instance, one doctor might focus on the presence of floaters and their implications, while another might emphasize the overall health of the retina and any signs of degeneration.

Additionally, the timing of the exams can play a role. If there was a significant change in your symptoms or the condition of your eyes between the two visits, this could lead to different conclusions. For example, if you experienced a sudden increase in floaters or changes in your vision due to physical activity, this might have been more pronounced during the second examination, leading to a diagnosis of retinal degeneration.

Regarding your concern about retinal degeneration at the age of 24, it is indeed rare but not impossible. Factors such as genetics, previous eye injuries, or underlying health conditions can contribute to early retinal issues. However, it’s important to note that not all retinal degeneration leads to severe vision loss or blindness. Many individuals with similar conditions can maintain good vision with appropriate monitoring and treatment.

The recommendation to use muscle relaxants and vitamin B12 supplements is likely aimed at alleviating any symptoms you may be experiencing and potentially slowing the progression of any degenerative changes. Vitamin B12, in particular, is essential for nerve health and may help in maintaining optimal retinal function.

To address your anxiety about potential vision loss, it’s crucial to maintain regular follow-ups with your eye care provider. They can monitor any changes in your condition and adjust your treatment plan as necessary. Additionally, you should be vigilant about any new symptoms, such as sudden changes in vision, increased floaters, or flashes of light, and report these to your doctor immediately.

In the meantime, consider adopting some lifestyle changes that can support your eye health. These include:
1. Protecting Your Eyes: Wear sunglasses that block UV rays when outdoors, and consider using protective eyewear during sports or activities that could lead to eye injury.

2. Healthy Diet: Incorporate foods rich in antioxidants, such as leafy greens, fish high in omega-3 fatty acids, and fruits, which can support retinal health.

3. Regular Eye Exams: Continue with regular eye examinations to catch any changes early.

4. Limit Screen Time: If you spend a lot of time on screens, ensure you take regular breaks to reduce eye strain.

5. Stay Hydrated: Proper hydration can help maintain eye moisture and overall health.

In conclusion, while the conflicting results from your eye exams can be concerning, it’s essential to stay proactive about your eye health. Regular monitoring and a healthy lifestyle can significantly contribute to maintaining your vision. If you continue to feel uncertain, seeking a second opinion from another ophthalmologist may provide additional clarity and peace of mind.

Best wishes for your eye health, and don’t hesitate to reach out with further questions or concerns.

Sincerely,
Doctor Q&A Teams


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