Managing High Myopia: When to Seek Further Eye Care and Tips for Eye Health

High myopia issues

Hello Doctor, I have high myopia, with approximately -1150 degrees in both eyes after dilation.
Recently, I visited a general ophthalmology clinic for a dilated fundus examination, and the doctor there indicated that there is no need for concern as there are currently no retinal tears, but my retina is relatively thin (this was checked around mid-May).

1.
Lately, I have been frequently worried about whether I need to go to a larger hospital for further examination, or if I should seek a second opinion from a different clinic to confirm the findings.
Alternatively, would it be sufficient to have regular check-ups at the same clinic? I would like to know if it is necessary to visit a larger hospital or another clinic for further examination, or if regular check-ups every six months at the same ophthalmology clinic would be adequate.
If needed, could you recommend doctors at Chang Gung Memorial Hospital or other hospitals in the northern region?
2.
Additionally, I am experiencing more severe floaters, and occasionally I have a sensation of light passing through my eye sockets (this has been happening for over six months).
Sometimes, I notice slight flickering of the night light before sleep, but it doesn't last long.
However, I had a dilated fundus examination at a general ophthalmology clinic in May, and no issues were found, although they did not provide detailed explanations.
Should I go to a larger hospital or another clinic for another examination, or would regular check-ups every six months suffice?
3.
Finally, I would like to inquire about eye care beyond the regular six-month check-ups (as mentioned in the first question).
What kind of foods should I consume, and what lifestyle habits should I adopt to maintain my vision health? Thank you.

Dong, 20~29 year old female. Ask Date: 2018/06/15

Dr. Cai Wenyuan reply Ophthalmology

Hello, qualified hospitals and clinics are all acceptable.
Minimize eye strain and take more breaks; just schedule the necessary examinations.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/06/15

More Info

Managing high myopia, especially at a level of around 1150 degrees, requires careful attention to eye health and regular monitoring. Here’s a comprehensive response to your questions based on the information provided and general medical knowledge.

1. Need for Further Eye Care
Given your high myopia and the fact that your retina is thinner, it is wise to be vigilant about your eye health. While your current eye care provider has indicated that there are no retinal tears, regular follow-ups are essential. Here are some considerations:
- Regular Check-ups: If your eye doctor has recommended six-month check-ups, it is generally sufficient for monitoring your condition, especially if there are no immediate concerns. However, if you experience new symptoms, such as increased floaters, flashes of light, or any changes in vision, you should seek an appointment sooner.

- Seeking a Second Opinion: If you have persistent concerns about your eye health, seeking a second opinion from another ophthalmologist, particularly one who specializes in retinal diseases, can provide peace of mind. It’s important to find a doctor who understands the complexities of high myopia.

- Referral to a Tertiary Care Center: If your current doctor feels that your case requires more specialized care, they may refer you to a larger hospital or a specialist in retinal surgery. This is particularly important if there are any signs of complications that could arise from high myopia, such as retinal detachment.

2. Management of Symptoms like Floaters and Light Flashes
The presence of floaters and occasional light flashes can be concerning, especially in the context of high myopia. While these symptoms can be benign, they can also indicate potential retinal issues. Here’s what you should consider:
- Monitoring Symptoms: Since you have already had a thorough examination in May, and no problems were found, it may not be necessary to rush for another check-up unless your symptoms worsen. However, if you notice a sudden increase in floaters or flashes, or if you experience a curtain-like shadow over your vision, you should seek immediate medical attention.

- Regular Follow-ups: Continuing with your scheduled follow-ups is crucial. If your symptoms persist or worsen, don’t hesitate to discuss this with your eye care provider, who may recommend more frequent examinations.

3. Eye Health Maintenance
Maintaining eye health is particularly important for individuals with high myopia. Here are some tips for eye care and dietary recommendations:
- Nutrition: A diet rich in antioxidants can help support eye health. Foods high in vitamins C and E, omega-3 fatty acids, and zinc are beneficial. Consider incorporating leafy greens, fish (like salmon), nuts, and citrus fruits into your diet.

- Hydration: Staying well-hydrated is essential for overall health, including eye health. Aim to drink plenty of water throughout the day.

- Screen Time Management: Given the prevalence of digital screens in daily life, practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

- Sleep Hygiene: Ensure you get adequate sleep, as rest is crucial for eye recovery and overall health. Aim for 7-9 hours of quality sleep each night.

- Protective Eyewear: If you engage in activities that could risk eye injury, such as sports, consider wearing protective eyewear. Additionally, sunglasses that block UV rays can help protect your eyes from sun damage.

- Avoid Eye Rubbing: As you may already know, avoid rubbing your eyes, as this can increase the risk of retinal issues, especially in high myopia.

Conclusion
In summary, while your current management plan seems adequate, staying vigilant about any changes in your symptoms is crucial. Regular check-ups, a healthy diet, and good eye care practices will help you maintain your eye health. If you have any doubts or new symptoms arise, don’t hesitate to consult with your eye care provider or seek a second opinion. Your proactive approach to managing your high myopia is commendable and essential for preserving your vision.

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