Examination for Retinal Tears
Hello Doctor: A few months ago, I discovered that I have floaters and visited two clinics where the doctors said there was no issue.
I would like to ask if I still need to go to a larger hospital for an examination.
How can I know if I have a retinal tear? I appreciate your time in answering my questions.
Thank you.
Wei Wei, 10~19 year old female. Ask Date: 2017/05/28
Dr. Cai Wenyuan reply Ophthalmology
Hello, how can I know if I have a retinal tear? It can only be determined through an examination.
Two clinics have examined me, and the doctors said there are no issues.
I would like to ask: do I still need to go to a large hospital for further examination? No, you do not need to.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/05/28
More Info
When it comes to eye health, particularly regarding concerns such as retinal holes and floaters, it is essential to take a proactive approach. Your experience of visiting two different doctors and receiving reassurance that there are no significant issues is a positive sign, but it is understandable to still feel uncertain, especially with symptoms like floaters.
Firstly, floaters are often a common occurrence and can be associated with age-related changes in the vitreous gel of the eye. However, they can also indicate more serious conditions, such as retinal tears or holes, particularly if they are accompanied by flashes of light or a sudden increase in the number of floaters. The fact that both doctors you consulted did not find any significant issues is reassuring, but if you continue to experience symptoms or if they worsen, further evaluation may be warranted.
Here are some considerations to help you decide whether you should seek further testing at a larger hospital or specialized eye clinic:
1. Symptoms Monitoring: Keep track of any changes in your symptoms. If you notice an increase in floaters, new flashes of light, or a shadow or curtain effect in your vision, these could be signs of a retinal issue that requires immediate attention.
2. Quality of Examination: The thoroughness of the eye examination can vary between practitioners. If you feel that the examinations you received were not comprehensive enough, or if you have lingering doubts, it might be beneficial to seek a second opinion from a retinal specialist. They often have access to advanced imaging technologies, such as optical coherence tomography (OCT), which can provide detailed images of the retina and help identify any potential issues.
3. Family History and Risk Factors: If you have a family history of retinal problems, or if you have risk factors such as high myopia (nearsightedness), previous eye surgeries, or trauma, it may be prudent to have a more thorough examination, even if your current symptoms seem stable.
4. Follow-Up Recommendations: If either of the doctors you consulted suggested a follow-up or further testing, it is wise to heed that advice. They may have insights based on your specific case that warrant additional investigation.
5. Peace of Mind: Ultimately, your comfort and peace of mind are crucial. If you feel anxious about your eye health, seeking further evaluation can help alleviate those concerns, even if it turns out that everything is fine.
In conclusion, while both doctors have reassured you that there are no significant issues, if you continue to experience symptoms or if you have any doubts, it is entirely reasonable to seek further testing. A retinal specialist can provide a more in-depth evaluation and help ensure that your eyes remain healthy. Remember, it is always better to err on the side of caution when it comes to your vision.
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