Retinal Changes: What You Need to Know About Your Eye Health - Ophthalmology

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Retinal examination


Hello Doctor, I am #159849.
During a previous dilated eye exam, a small area of my right eye's fundus appeared deep red, but there were no tears or retinal detachment.
When I returned for a follow-up yesterday, the doctor mentioned that the color observed during the last exam was actually lighter than what was noted during the first discovery in June.
Since it is not due to vascular bleeding, it is likely a change in tissue color.
We will wait for the results of the next visual field test (scheduled for the end of December) to determine if further examination is necessary.
I would like to ask you, could this condition be related to retinal pigmentary degeneration (which I read online is irreversible and a progressive genetic disease)? However, the images I found online show large black spots and usually affect both eyes.
Currently, I do not experience night blindness, and my prescription has been stable, with visual acuity of 1.0 while wearing glasses.
I also do not feel any constriction in my visual field (the last exam was normal).
Thank you, Doctor.

Wei, 20~29 year old female. Ask Date: 2020/09/12

Dr. Gao Pilin reply Ophthalmology


Hello Wei: This presentation is likely not due to retinal pigment degeneration.
Please continue to monitor the situation.
The Ophthalmology Department at Puzi Hospital in Taiwan is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/09/12

More Info


Hello! Thank you for your question regarding your eye health and the changes observed in your retina. It’s understandable to feel anxious about any changes in your vision, especially when it involves the retina, which plays a crucial role in our overall eyesight.

From your description, it seems that during your last examination, the doctor noted a small area in your right eye that appeared deep red but did not show signs of bleeding or retinal detachment. The fact that the color was described as lighter than in June suggests that there may not be an immediate cause for concern, especially since it is not associated with vascular bleeding. Changes in the color of retinal tissue can occur for various reasons, including inflammation, changes in blood flow, or even benign variations in the retinal pigment.

You mentioned the possibility of retinal pigmentary degeneration, which is indeed a hereditary condition that can lead to progressive vision loss. However, your current symptoms do not align with this condition, especially since you have not experienced night blindness and your visual acuity remains stable at 1.0 with no significant visual field loss. Typically, retinal pigmentary degeneration presents with more pronounced symptoms, including night blindness and peripheral vision loss, and often affects both eyes symmetrically.

The deep red color you observed could be due to several benign factors, such as changes in the retinal pigment epithelium or even a benign condition known as a retinal pigment epithelium (RPE) change. These changes can occur without leading to significant vision impairment and may not require treatment. It’s also worth noting that the retina can undergo various changes due to aging, environmental factors, or even previous eye injuries.

Your doctor’s recommendation to wait for the next visual field test in December is prudent. This follow-up will provide more information about the stability of your condition and whether any further investigation is necessary. Regular monitoring is essential in eye health, especially when there are observed changes in the retina.

In the meantime, it’s important to maintain a healthy lifestyle to support your eye health. This includes protecting your eyes from excessive UV exposure by wearing sunglasses, eating a balanced diet rich in antioxidants (like leafy greens, carrots, and fish), and managing any systemic health issues, such as diabetes or hypertension, which can affect retinal health.

If you experience any new symptoms, such as sudden changes in vision, flashes of light, or an increase in floaters, it is crucial to seek immediate medical attention. These could be signs of more serious conditions that require prompt intervention.

In conclusion, while it’s natural to be concerned about changes in your eye health, the current findings do not suggest an immediate threat to your vision. Continue to follow your doctor’s advice, keep your scheduled appointments, and maintain a healthy lifestyle to support your eye health. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. They are your best resource for personalized medical advice.

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