Concerns About Retinal Thinning and Air Travel Safety - Ophthalmology

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Regarding retinal thinning and flying issues?


Good evening, Director.
I apologize for interrupting your busy time! I have referred to previous questions from others, but it seems there are no similar inquiries, so I would like to ask you—my father has a history of two retinal tears in his left eye due to high myopia, both of which have been treated with laser therapy.
During a follow-up in February of this year, it was found that the retina in his right eye is thinning.
The doctor advised him to be cautious about the potential for retinal tears.
He also experiences floaters but has not noticed a sudden increase in them.
He is scheduled to fly to Japan in July.
Is it necessary for him to undergo a re-examination? Could the high pressure in the airplane affect his thinning retina and lead to a retinal tear? Additionally, what should he be particularly mindful of in his daily activities? He has a habit of playing golf!

Tou E, 50~59 year old female. Ask Date: 2019/06/09

Dr. He Jianxian reply Ophthalmology


Basically, if there are issues with the retina, an annual follow-up examination once or twice is sufficient.
If a recent follow-up has been done, there is no need to have another examination specifically for flying.
Air travel should not cause retinal tears.
Generally, just be cautious and avoid high-impact activities, such as diving or jumping rope.

Reply Date: 2019/06/09

More Info


When it comes to concerns about retinal thinning and air travel, it is essential to consider several factors related to eye health, particularly for individuals with a history of retinal issues. Your father's situation, involving previous retinal tears due to high myopia and recent findings of retinal thinning, requires careful attention, especially as he prepares for air travel.

Firstly, regarding the necessity of a follow-up examination before his trip, it is generally advisable for individuals with a history of retinal problems to have regular check-ups. Since your father has already had laser treatment for retinal tears and has been monitored for retinal thinning, if his last examination did not indicate any sudden changes or worsening of his condition, it may not be strictly necessary to have another check-up solely for the purpose of flying. However, if there are any new symptoms, such as an increase in floaters or flashes of light, or if he has concerns about his vision, it would be prudent to consult with his ophthalmologist before traveling.

Air travel itself typically does not pose a significant risk for individuals with retinal thinning. The cabin pressure in commercial airplanes is regulated and does not usually fluctuate to levels that would cause harm to the retina. However, it is essential to be aware that changes in altitude can affect the body in various ways, and individuals with pre-existing eye conditions should be cautious. While the pressure changes during takeoff and landing are generally safe, any sudden changes in pressure can potentially exacerbate existing conditions. Therefore, if your father experiences any discomfort or changes in vision during the flight, he should seek medical attention promptly.

In terms of daily activities, it is crucial for your father to avoid high-impact sports or activities that could lead to trauma to the eyes, such as diving or contact sports. Since he enjoys playing golf, he should ensure that he is cautious and avoids any situations where he might be at risk of eye injury. Regular eye examinations are vital, and he should continue to monitor his symptoms, especially any changes in floaters or flashes, which could indicate a more serious issue.

Additionally, maintaining a healthy lifestyle can contribute to overall eye health. This includes a balanced diet rich in antioxidants, regular exercise, and protecting the eyes from UV exposure by wearing sunglasses. Staying hydrated is also important, as dehydration can affect the eyes.

In summary, while your father may not need an immediate follow-up examination if there are no new symptoms, it is always best to err on the side of caution. Air travel is generally safe for individuals with retinal thinning, but he should remain vigilant about any changes in his vision and avoid high-impact activities. Regular check-ups and a healthy lifestyle will help him manage his eye health effectively. Always consult with his ophthalmologist for personalized advice tailored to his specific condition.

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