Retinal issues
Based on your description, you originally had a prescription of -6.50 diopters for your glasses.
Now, during a health check in high school, your vision was measured at 0.6 in the right eye and 0.5 in the left eye.
This indicates that your vision has worsened, but to determine your current refractive error, an eye examination by an optometrist or ophthalmologist is necessary, as visual acuity alone does not directly translate to specific diopter measurements.
Regarding laser eye surgery, such as LASIK, it can correct refractive errors, potentially allowing you to see clearly without glasses.
However, the risk of retinal detachment can still exist, especially if you had high myopia (nearsightedness) prior to surgery.
While many athletes, including NBA players, have successfully undergone laser surgery and returned to their sports, it is essential to have a thorough evaluation by an eye care professional to assess your individual risks and benefits before proceeding with any surgical options.
Thank you for your inquiry.
A Cheng, 10~19 year old female. Ask Date: 2020/09/25
Dr. He Jianxian reply Ophthalmology
Hello, A-Cheng:
1.
The actual prescription can only be determined through measurement; it cannot be assessed solely by visual acuity.
2.
After undergoing laser surgery for myopia, the structure of the retina does not change, and the eyeball will not return to normal.
Additionally, laser surgery can only be performed after the age of 18.
Director He Jian-Xian, Ophthalmology Department, Nantou Hospital
Reply Date: 2020/09/25
More Info
Understanding myopia changes and the risks associated with laser surgery, especially for teenagers, is crucial for making informed decisions about eye health.
Firstly, regarding your current myopia status, if you originally had a prescription of -6.50 diopters (D) and your vision has changed to 0.6 in the right eye and 0.5 in the left eye while wearing glasses, it indicates that your myopia may have worsened. The visual acuity of 0.6 and 0.5 corresponds to approximately -2.50 D to -3.00 D, depending on the specific conversion used. This suggests that your myopia has indeed changed, and it would be advisable to consult with an eye care professional for a comprehensive eye examination to determine your exact current prescription.
Now, concerning laser eye surgery, such as LASIK or PRK, it is essential to understand both the benefits and the risks involved. Laser surgery aims to reshape the cornea to correct refractive errors, potentially reducing or eliminating the need for glasses or contact lenses. Many athletes, including NBA players, have undergone these procedures successfully and returned to their sports without significant issues. However, it is important to note that the outcomes can vary based on individual circumstances, including the severity of myopia, corneal thickness, and overall eye health.
One of the primary concerns after laser surgery is the risk of complications, such as dry eyes, glare, halos, or, in rare cases, more severe issues like retinal detachment. Retinal detachment is a serious condition where the retina separates from the back of the eye, which can lead to vision loss if not treated promptly. While laser surgery does not inherently increase the risk of retinal detachment, individuals with high myopia (greater than -6.00 D) are already at a higher risk for this condition due to the structural changes in the eye associated with severe myopia. Therefore, if you have a history of high myopia, it is crucial to discuss this with your ophthalmologist before considering surgery.
Moreover, it is essential to consider the timing of the surgery. For teenagers, the eyes are still developing, and it is generally recommended to wait until your vision has stabilized, which usually occurs in the late teens to early twenties. This is to ensure that the results of the surgery are long-lasting and that any changes in vision due to natural growth or development do not negate the benefits of the procedure.
In conclusion, while laser surgery can be a viable option for correcting myopia and many individuals, including athletes, have had successful outcomes, it is vital to weigh the risks and benefits carefully. Consulting with an experienced ophthalmologist who can evaluate your specific situation, including the degree of myopia, eye health, and lifestyle, will provide you with the best guidance. They can also help you understand the potential risks, including the likelihood of retinal detachment, and whether you are a suitable candidate for laser surgery. Always prioritize your eye health and make informed decisions based on professional advice.
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