Retinal Issues: When to Seek Eye Care After Solar Eclipse - Ophthalmology

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Retinal issues?


I apologize for the inconvenience, but I would like to ask a question.
After directly viewing the solar eclipse at the end of June, I noticed a white spot in my vision, which disappeared after resting for five minutes and returned to normal.
I didn't think much of it.
However, at the beginning of July, I started to notice the presence of floaters, but they were small and limited to one area.
When I went to the beach in early August, I noticed an increase in the floaters.
Last week, I visited a clinic, and the doctor asked if I was experiencing only floaters.
He did not recommend any further examinations.
I confirmed that I was only experiencing floaters, and he prescribed eye wash and two types of eye drops to relieve eye redness.
After using the drops, the floaters did not increase, but I occasionally see flashes of light.
I'm not sure if this is a side effect of reading too many articles about retinal detachment online or if I am genuinely seeing flashes.
Should I undergo a dilated eye exam to check for retinal issues or anything else? Also, will there be any out-of-pocket expenses for the examination, or will it only require the co-pay for the health insurance outpatient visit?

Yo You, 20~29 year old female. Ask Date: 2020/08/26

Dr. He Jianxian reply Ophthalmology


Hello Yo: Based on your condition, it is recommended that you undergo a dilated eye exam at an ophthalmology department.
This procedure is covered by health insurance, so you will not need to pay out of pocket.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2020/08/26

More Info


When it comes to understanding retinal issues, especially after an event like viewing a solar eclipse, it is crucial to be vigilant about any changes in your vision. Directly looking at the sun, even during an eclipse, can cause significant damage to the retina, leading to conditions such as solar retinopathy. This condition can manifest as visual disturbances, including the appearance of spots or flashes of light, which you have described as "flying mosquitoes" (floaters) and occasional flashes.

The symptoms you are experiencing, such as the appearance of floaters and flashes of light, warrant further investigation. Floaters are often benign and can be a normal part of the aging process, particularly in individuals with myopia (nearsightedness). However, an increase in floaters, especially when accompanied by flashes of light, can indicate potential issues with the retina, such as retinal tears or detachment. These conditions can lead to serious vision loss if not addressed promptly.

Given your history of looking directly at the sun during the eclipse and the subsequent visual changes, it is advisable to seek a comprehensive eye examination. A dilated fundus examination (often referred to as a "dilated eye exam") is essential in this case. This procedure allows the eye care professional to thoroughly examine the retina and the vitreous gel for any abnormalities. It is particularly important to check for any signs of retinal damage or detachment, which can be serious if left untreated.

Regarding your question about costs, in the United States, the cost of a dilated eye exam can vary based on whether you have insurance and the specific policies of your healthcare provider. Typically, a standard office visit may be covered by insurance, but additional tests, such as OCT (Optical Coherence Tomography) or specialized imaging, may incur extra charges. It is best to check with your insurance provider to understand what is covered under your plan and what out-of-pocket expenses you may face.

In summary, it is crucial to take your symptoms seriously, especially after an incident of direct sun exposure. Seeking a thorough examination from an eye care professional is the best course of action to ensure your retinal health. Early detection and intervention can make a significant difference in preserving your vision. If you experience any worsening of symptoms, such as increased flashes or floaters, or if you notice a curtain-like shadow over your vision, seek immediate medical attention. Your eye health is paramount, and proactive care is essential in preventing potential complications.

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