Essential Eye Care Tips for Managing Myopia and Retinal Health

Vision care

Hello Doctor: Recently, I heard from a friend that high myopia can lead to retinal detachment, and I suddenly became very sensitive to the floaters I have been accustomed to.
I am afraid I might experience the same issue.
Over the past three months, I have visited clinics and teaching hospitals for retinal examinations, and everything is fine.
Currently, my right eye is -800/300 and my left eye is -600/500, and there has been no change for three years.
My BMI is normal, but I am still a bit worried about the possibility of experiencing the same situation.
I would like to ask the doctor: 1.
Is retinal detachment and other diseases sudden, or can early signs be observed during regular retinal examinations? How often should I have these examinations? 2.
Since I will be using a computer in an office setting for a long time in the future, what are some health maintenance methods I can follow? I am currently taking lutein and consuming dark-colored fruits and vegetables.
3.
Will this degree of myopia stabilize after adulthood? I used to use the computer and read at close distances very little during college, and I am concerned that it may increase in the future.
Thank you.

Mr. Li, 20~29 year old female. Ask Date: 2020/02/13

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Lee,
1.
Is retinal detachment sudden, or can it be observed during regular eye examinations as a precursor? How often should one be checked? Retinal detachment is usually sudden; however, during regular examinations, if areas of the retina appear thinner or if there are any tears, these at-risk areas can be treated in advance to prevent retinal detachment.
If there are no issues, an annual examination is sufficient.
2.
Since I will be using a computer in the office for a long time in the future, what health care methods do you recommend? I am currently taking lutein and consuming dark-colored fruits and vegetables.
It is important to take appropriate breaks.
You can use the 20-20-20 rule: every 20 minutes of computer use, look away from the screen for 20 seconds and focus on something 20 feet (6 meters) away.
If you can blink 20 times during that time, it would be even better.
3.
Will this prescription stabilize after adulthood? I rarely used a computer or read at close distances during college, and I am concerned it may increase later.
If there have been no changes in the past few years, it is unlikely to change unless there are other conditions, such as corneal disease or cataracts, that may cause a change.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/02/13

More Info

Managing myopia and maintaining retinal health are crucial for individuals with high myopia, especially given the potential risks associated with retinal detachment. Here are some essential eye care tips and answers to your questions regarding myopia and retinal health.

1. Understanding Retinal Detachment and Its Warning Signs
Retinal detachment can occur suddenly, but there are often warning signs that may precede it. Symptoms to watch for include:
- Flashes of light: Sudden flashes can indicate that the retina is being pulled.

- Floaters: An increase in floaters, especially if they appear suddenly, can be a sign of retinal issues.

- Shadow or curtain effect: A shadow or curtain-like effect over your vision can indicate that the retina is detaching.

Regular eye exams are essential for monitoring retinal health. For individuals with high myopia, it is generally recommended to have a comprehensive eye exam at least once a year. However, if you notice any of the warning signs mentioned above, you should seek immediate medical attention.

2. Eye Care for Computer Use
Given that you will be spending long hours in front of a computer, here are some strategies to help protect your eyes:
- Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce eye strain.

- Proper Lighting: Ensure your workspace is well-lit to avoid glare on your screen. Use adjustable lighting to minimize strain.

- Screen Position: Position your computer screen about an arm's length away and slightly below eye level to reduce strain on your eyes.

- Blink Regularly: When staring at a screen, people tend to blink less. Make a conscious effort to blink more often to keep your eyes moist.

- Use Artificial Tears: If you experience dryness, consider using preservative-free artificial tears to keep your eyes lubricated.

3. Nutritional Support for Eye Health
You mentioned that you are taking lutein and consuming dark leafy greens, which is excellent. Lutein and zeaxanthin are antioxidants that can help protect the retina from damage caused by blue light and oxidative stress. Additionally, consider incorporating foods rich in omega-3 fatty acids (like fish), vitamin C (citrus fruits), and vitamin E (nuts and seeds) into your diet, as these nutrients are beneficial for overall eye health.

4. Myopia Progression
Regarding your concern about whether your myopia will stabilize after adulthood, it is common for myopia to stabilize in early adulthood, but some individuals may experience progression later in life due to factors such as increased screen time or prolonged near work. Regular eye exams will help monitor any changes in your prescription. If you notice any significant changes, discuss them with your eye care professional.

Conclusion
In summary, maintaining eye health, especially with high myopia, requires vigilance and proactive care. Regular eye exams, awareness of warning signs for retinal detachment, proper ergonomics while using computers, and a nutrient-rich diet are all essential components of eye care. If you have any concerns or notice changes in your vision, do not hesitate to consult with an eye care professional for personalized advice and treatment options. Taking these steps can help you manage your myopia effectively and protect your retinal health.

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