Retinal Detachment Symptoms: What to Look For - Ophthalmology

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Symptoms of retinal detachment?


Hello Doctor, I have high myopia.
Five months ago, I had a dilated retinal examination and my eyes were fine, showing only general degeneration.
However, recently I have noticed brief flashes of light.
What are the symptoms of retinal detachment? I haven't seen any flashes when I close my eyes and move them.
A couple of days ago, I was rubbing my eyes a lot because I was worried about detachment.
What do the flashes look like?

Chen, 10~19 year old female. Ask Date: 2018/06/21

Dr. Gao Pilin reply Ophthalmology


Hello Chen: The most prominent symptom of retinal detachment is a decrease in vision, followed by issues with the visual field, such as partial blurriness.
Flashes of light may sometimes be caused by vitreous degeneration pulling on the retina, and do not necessarily indicate retinal detachment.
A dilated fundus examination is the best way to confirm the diagnosis.
If the examination results are normal, you can be reassured.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2018/06/21

More Info


Retinal detachment is a serious eye condition that can lead to permanent vision loss if not treated promptly. Understanding its symptoms is crucial, especially for individuals with high myopia, as they are at a higher risk for this condition. Here’s a comprehensive overview of the symptoms of retinal detachment, what to look for, and additional insights into your concerns.


Symptoms of Retinal Detachment
1. Sudden Appearance of Floaters: Many people report seeing an increase in floaters, which are small specks or strands that drift through your field of vision. If you notice a sudden increase in floaters, it could be a warning sign.

2. Flashes of Light: Flashes of light, or photopsia, can occur when the retina is irritated or pulled. These flashes may appear as brief bursts of light, similar to what you might see after a camera flash. They can be more noticeable in dim lighting.

3. Shadow or Curtain Effect: A significant symptom of retinal detachment is the sensation of a shadow or curtain descending over your field of vision. This can feel like a dark veil obstructing part of your sight.

4. Distorted Vision: You may experience changes in your vision, such as straight lines appearing wavy or distorted. This can be particularly concerning if it affects your ability to read or recognize faces.

5. Sudden Blurred Vision: If you experience a sudden decrease in vision clarity, it may indicate that the retina is detaching.

6. Loss of Peripheral Vision: You might notice a decrease in your peripheral vision, which can be a sign of a more serious issue.


Your Specific Concerns
You mentioned experiencing bright spots in your vision and that you have not noticed flashes when closing your eyes and moving them. Bright spots can sometimes be related to the vitreous gel in the eye pulling away from the retina, which is common in individuals with high myopia. However, if these symptoms are new or have changed in nature, it’s essential to consult an eye care professional.

Flashes of light typically occur when the retina is being tugged or pulled, and they can vary in appearance. Some people describe them as streaks or arcs of light, while others may see them as brief bursts. If you are not experiencing these flashes but are concerned about your symptoms, it’s still important to seek a thorough examination.


Recommendations
1. Regular Eye Exams: Given your history of high myopia, regular eye exams are crucial. Your eye care professional can monitor any changes in your retina and vitreous.

2. Avoid Eye Rubbing: Rubbing your eyes can exacerbate issues with the retina and vitreous. If you feel the urge to rub your eyes, try to resist it.

3. Immediate Consultation: If you notice any sudden changes in your vision, such as an increase in floaters, flashes of light, or any shadowing effect, seek immediate medical attention. Early detection and treatment are vital in preventing permanent vision loss.

4. Protect Your Eyes: Consider wearing sunglasses to protect your eyes from UV light, which can contribute to retinal damage over time.

5. Stay Informed: Educate yourself about the symptoms of retinal detachment and other eye conditions. Being aware of what to look for can help you act quickly if symptoms arise.

In conclusion, while some symptoms you are experiencing may be benign, it is essential to remain vigilant, especially with your history of high myopia. Regular check-ups and being aware of the signs of retinal detachment can help ensure your vision remains healthy. If you have any further concerns or notice any changes, do not hesitate to reach out to your eye care provider.

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