Issues related to the retina?
Hello Doctor, I looked directly at the sun during the solar eclipse at the end of June, and afterwards, I developed a large white spot in my vision, about the size of a basketball.
Since early July, I've noticed the presence of floaters in one eye.
I read online that it wasn't a big deal, so I didn't pay much attention to it.
Recently, the floaters have increased, and I occasionally see flashes of light.
Should I have a dilated eye exam to check the retina and macula, or is there anything else I should be concerned about? Are these types of examinations accurate at general clinics? Thank you for your response!
Chen, 20~29 year old female. Ask Date: 2020/08/28
Dr. Gao Pilin reply Ophthalmology
Hello Chen: If you experience this phenomenon, it is best to have your retina examined, which can typically be done at a general clinic.
In Taiwan, the ophthalmology department at Puzi Hospital is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin
Reply Date: 2020/08/28
More Info
It sounds like you are experiencing a range of concerning visual symptoms following direct exposure to sunlight during a solar eclipse. The symptoms you describe, including the appearance of a large white spot in your vision, the onset of floaters, and occasional flashes of light, could indicate potential retinal damage, specifically from solar retinopathy.
Understanding Solar Retinopathy:
Solar retinopathy occurs when the retina is damaged due to direct sunlight exposure, particularly when looking at the sun without proper eye protection. The intense light can cause photochemical damage to the retinal cells, leading to permanent changes in vision. The white spot you mentioned could be a result of this damage, as it may represent an area of the retina that has been affected.
Symptoms and Their Implications:
The floaters you are experiencing are often associated with changes in the vitreous gel of the eye, which can occur due to aging or other factors. However, in your case, they may also be related to the retinal damage caused by the solar exposure. The flashes of light (photopsia) can occur when the retina is irritated or when there is traction on the retina, which can happen if the vitreous gel is pulling away from the retina.
Recommended Actions:
Given your symptoms and the history of direct sun exposure, it is crucial to seek a comprehensive eye examination from an ophthalmologist. Here are some steps you should consider:
1. Dilated Fundus Examination: A dilated eye exam is essential to assess the health of your retina and macula. This examination allows the doctor to look for any signs of damage, such as retinal tears, detachments, or changes in the macula.
2. Optical Coherence Tomography (OCT): This imaging test provides detailed images of the retina and can help identify any structural changes or damage that may not be visible during a standard examination.
3. Visual Field Testing: This test can help determine if there are any areas of vision loss that may be associated with retinal damage.
4. Follow-Up Care: Depending on the findings, your ophthalmologist may recommend monitoring your condition or specific treatments if any significant damage is detected.
Accuracy of General Clinics vs. Specialized Care:
While general clinics can perform basic eye examinations, specialized ophthalmology clinics are better equipped to conduct comprehensive assessments, including advanced imaging techniques. If you have concerns about the accuracy of the diagnosis or if your symptoms worsen, it is advisable to seek care from a specialized eye care center.
Conclusion:
In summary, your symptoms following solar exposure warrant immediate attention from an eye care professional. Early detection and intervention are critical in preventing further damage and preserving your vision. Please do not delay in scheduling an appointment for a thorough examination. Your eye health is paramount, and understanding the implications of your symptoms will help guide appropriate management and care.
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