Eye Issues: Am I Experiencing Macular Degeneration Symptoms? - Ophthalmology

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Eye problems


Hello Doctor, I would like to ask the following questions:
1.
When I look at the Amsler grid, the lines appear straight, but the colors in the squares show light green and light red, with one square being light green and another being light red.
Each square has one of these two colors.
Is there a relationship between this observation?
2.
Sometimes when I stare at something, the lines disappear and then become distorted.
I have heard that the distortion associated with macular degeneration is fixed, but mine seems to move slightly.
Is there a connection? I undergo dilated eye exams every six months for floaters, and I assume that dilation should also allow for examination of the macula.
Recently, when I visited the doctor, I was told that my retina is fine.

Could you please clarify these concerns? Thank you.

Niming, 10~19 year old female. Ask Date: 2017/10/12

Dr. Cai Wenyuan reply Ophthalmology


Hello, during dilation, the macula can also be observed.
As long as the examination shows no issues, regular follow-ups are sufficient.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/12

More Info


Hello,
Thank you for reaching out with your questions regarding your eye health. Based on the symptoms you've described, it’s understandable to have concerns about potential issues like macular degeneration. Let’s break down your questions and provide some clarity.

1. Amsler Grid Test Results: The Amsler grid is a valuable tool for detecting visual distortions that can indicate macular degeneration. The fact that you see straight lines as straight is a positive sign, as significant distortions in the lines could suggest issues with the macula. However, the presence of light green and light red colors in the squares could indicate some level of contrast sensitivity issues or possibly a mild form of color vision deficiency. It’s essential to discuss these observations with your eye care professional, as they can provide a more tailored interpretation based on your overall eye health.

2. Temporary Distortions: The occasional disappearance or distortion of lines when you focus on objects can be concerning. While it’s true that in cases of macular degeneration, distortions tend to be more permanent and fixed, transient distortions can occur for various reasons, including eye fatigue, dry eyes, or even migraines. The fact that your distortions are not constant and can change may suggest that they are not related to macular degeneration but could still warrant further investigation.
3. Regular Eye Exams: It’s great that you are proactive about your eye health by undergoing regular dilated eye exams. These exams are crucial for monitoring the health of your retina and macula. During these exams, your eye doctor can assess for any signs of macular degeneration or other retinal issues. If your doctor has indicated that your retina appears healthy, that is reassuring. However, if you continue to experience symptoms like the ones you described, it’s important to communicate these to your doctor. They may recommend additional tests or a referral to a retinal specialist for further evaluation.

4. Understanding Macular Degeneration: Macular degeneration primarily affects the central part of the retina (the macula), leading to a gradual loss of central vision. Early symptoms can include blurred or distorted vision, difficulty seeing in low light, and changes in color perception. Since you are experiencing some visual distortions but have not been diagnosed with macular degeneration, it’s essential to keep monitoring your symptoms and report any changes to your eye care provider.

In summary, while your current symptoms may not directly indicate macular degeneration, they should not be ignored. Continue to have regular check-ups, and don’t hesitate to discuss any new or worsening symptoms with your eye doctor. They can provide the best guidance tailored to your specific situation.
If you have any further questions or concerns, please feel free to ask. Your eye health is important, and staying informed is a key part of maintaining it.

Best regards.

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