Can I Dive with a History of Retinal Tear Repair? - Ophthalmology

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Can a person with a history of retinal tears go diving?


I have myopia of about 800 degrees and astigmatism of about 200 degrees.
I have previously undergone repair for a retinal tear.
Can I go scuba diving?

En, 20~29 year old female. Ask Date: 2018/09/23

Dr. Cai Wenyuan reply Ophthalmology


Hello: Yes, I can.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/09/23

More Info


Diving after a history of retinal tear repair is a topic that requires careful consideration due to the potential risks involved. Given your history of myopia (high nearsightedness) and previous retinal surgery, it is crucial to consult with your ophthalmologist or a specialist in diving medicine before making any decisions. Here are several factors to consider regarding your situation:
1. Understanding Retinal Tear Repair: After a retinal tear repair, the eye may be more susceptible to complications, especially under conditions of increased pressure, such as those experienced while diving. The repair process typically involves the use of laser treatment or cryotherapy to seal the tear and prevent further detachment. While many patients recover well, the structural integrity of the retina can be compromised, making it essential to assess your specific case.

2. Pressure Changes Underwater: Diving subjects the body, including the eyes, to increased pressure. For individuals with a history of retinal issues, this pressure can pose risks. The increased pressure can potentially lead to complications such as further retinal tears or detachment, especially if the retina has not fully healed or if there are underlying vulnerabilities due to high myopia.

3. Consultation with a Specialist: Before considering diving, it is imperative to have a thorough examination by an ophthalmologist who is familiar with your medical history. They will assess the current state of your retina, the success of the repair, and any other factors that may influence your ability to dive safely. They may perform tests such as a dilated eye exam or imaging studies to evaluate the health of your retina.

4. Diving Guidelines: Many diving organizations have specific guidelines regarding medical conditions. Generally, individuals with a history of retinal surgery may be advised against diving, particularly if there are any residual issues or if the surgery was recent. Some divers with a history of retinal tears may be able to dive safely after a thorough evaluation and clearance from their eye doctor, but this is highly individualized.

5. Alternative Activities: If diving is deemed unsafe, consider alternative activities that do not involve the same risks to your eyes. There are many enjoyable water-related activities, such as snorkeling or swimming in a controlled environment, that may not pose the same risks as diving.

6. Ongoing Eye Care: Regardless of your decision about diving, it is essential to maintain regular follow-up appointments with your eye care provider. Monitoring your eye health is crucial, especially after a history of retinal issues. They can provide guidance on how to protect your vision and manage any changes that may occur over time.

In summary, while diving can be a thrilling experience, your history of retinal tear repair necessitates a cautious approach. Always prioritize your eye health and safety by consulting with a qualified medical professional before engaging in activities that could potentially jeopardize your vision.

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