Eye Health: Post-Fundus Exam Insights and Concerns - Ophthalmology

Share to:

After a fundus examination?


I have been experiencing flashes and an increase in floaters lately, so I went to an ophthalmology clinic for a fundus examination.
After the examination, the doctor said that there were no issues with my retina, but that some areas were slightly thinner.

1.
Would you recommend laser treatment to prevent retinal tears?
2.
If the doctor is confident that there are no problems, can I be completely reassured?
3.
Will the issue of flashes improve?
4.
Additionally, I have been experiencing double vision, and the doctor mentioned it could be due to eye strain, but it has been a month.
Could it possibly be an astigmatism issue?
Thank you for addressing these four points.

Mr. Bai, 10~19 year old female. Ask Date: 2020/10/24

Dr. He Jianxian reply Ophthalmology


Dear Mr.
Bai,
1.
If there is a significant thinning of the retina, it is recommended to proceed with laser treatment.
2.
A check-up showing no issues indicates that there are no problems at that moment; however, if you experience any of the following symptoms, it is advisable to have a re-examination: a significant increase in the frequency of flashes, a substantial increase in floaters, loss of visual field, or distortion of vision.
3.
The issue with flashes will noticeably improve over time.
4.
The likelihood of a serious issue is low; it is more likely due to fatigue.
Sincerely,
Director He Jianxian
Ophthalmology Department, Nantou Hospital

Reply Date: 2020/10/24

More Info


Understanding eye health is crucial, especially after experiencing symptoms like flashes and floaters. It’s good to hear that you’ve already consulted an eye care professional and had a fundus examination. Here’s a comprehensive response to your questions based on the information provided and general medical knowledge.

1. Should I consider laser treatment to prevent retinal tears?
The decision to undergo laser treatment, such as laser photocoagulation, is typically based on the specific findings of your eye examination. If your doctor noted that certain areas of your retina are thin but did not indicate any tears or holes, they may not recommend immediate laser treatment. The purpose of laser treatment is to create a barrier around areas of concern to prevent potential tears from developing. However, if your retina is stable and there are no active issues, your doctor may suggest monitoring the situation instead. It’s essential to have a thorough discussion with your eye care provider about the risks and benefits of laser treatment in your specific case.

2. Can I fully trust the doctor’s assessment?
If your doctor has conducted a comprehensive examination and has reassured you that there are no significant issues with your retina, you can generally feel more at ease. However, it’s important to remain vigilant. If you notice any changes in your symptoms, such as an increase in flashes or floaters, or if you experience a sudden loss of vision, you should seek immediate medical attention. Regular follow-ups with your eye care provider are also advisable to monitor any changes over time.

3. Will the flashes improve?
Flashes and floaters can be concerning, but they are often benign, especially if they are related to age-related changes in the vitreous gel of the eye. In many cases, people report that the frequency and intensity of flashes diminish over time as the brain adapts to the visual changes. However, if the flashes persist or worsen, it’s essential to keep your eye doctor informed. They may want to reassess your condition to ensure that no new issues have developed.

4. Could my double vision be related to astigmatism or eye strain?
Double vision (diplopia) can indeed be caused by various factors, including astigmatism, eye fatigue, or even muscle imbalances in the eyes. If your doctor has attributed your diplopia to eye strain, it may be beneficial to implement strategies to reduce fatigue, such as taking regular breaks during prolonged tasks, ensuring proper lighting while reading or using screens, and practicing good ergonomics. If your symptoms persist despite these measures, further evaluation may be necessary to rule out other underlying conditions.

In summary, it’s essential to maintain open communication with your eye care provider regarding your symptoms and any concerns you may have. Regular check-ups and monitoring are key to ensuring your eye health remains stable. If you experience any new or worsening symptoms, don’t hesitate to seek further evaluation. Remember, while some changes in vision can be alarming, many are manageable with the right approach and care.

Similar Q&A

Essential Eye Care: Regular Checkups and Important Tests for Vision Health

Hello, I have been nearsighted for the past five years, with my prescription ranging from -3.50 to -5.00 diopters, and I also have astigmatism (50, 100) and floaters. In my daily life, I can drive, read, and use electronic devices (which has a slight impact but is not severe). Du...


Dr. Gao Pilin reply Ophthalmology
Hello: Question 1: Regarding your vision condition, it is recommended that you have an eye examination annually, which includes a refraction test and a fundus examination. Additionally, glaucoma and cataract screenings will be conducted during the visit, and you can discuss wit...

[Read More] Essential Eye Care: Regular Checkups and Important Tests for Vision Health


Understanding the Importance and Frequency of Fundus Exams for Eye Health

Hello, Doctor. Regarding the fundus examination performed with mydriatic agents, theoretically, should I not need to worry too much about retinal diseases for about six months after each examination? Since I have high myopia, I am very sensitive about eye care. Whenever I feel so...


Dr. Cai Wenyuan reply Ophthalmology
To determine if there is high myopia, or based on what symptoms are present.

[Read More] Understanding the Importance and Frequency of Fundus Exams for Eye Health


Impact of Frequent Fundus Examinations on Macula Health in Myopia Patients

Hello Dr. Wang, I apologize for asking you another question. Due to my high myopia and peripheral retinal degeneration, I have been returning for fundus examinations approximately every two months. The light used during the examination is quite strong, and sometimes, to check for...


Dr. Wang Zhangji reply Ophthalmology
Excessive bright light can cause strain on the eyes, but if the medical condition requires it, the benefits may outweigh the drawbacks. It is advisable to discuss with your physician whether, if the condition is stable, the interval between examinations can be extended.

[Read More] Impact of Frequent Fundus Examinations on Macula Health in Myopia Patients


Persistent Eye Pressure and Blurred Vision: Seeking Answers After Multiple Exams

Hello, doctor. I have high myopia (over 600 degrees in both eyes). In May 2021, I started experiencing frequent eye fatigue, floaters, and blurred vision. I delayed seeking help until September when I visited a small clinic. Due to my work environment, I often use a computer and ...


Dr. Liang Ce reply Ophthalmology
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

[Read More] Persistent Eye Pressure and Blurred Vision: Seeking Answers After Multiple Exams


Related FAQ

Fundus Examination

(Ophthalmology)

Eye Examination

(Ophthalmology)

Retinal Exam

(Ophthalmology)

Retina

(Ophthalmology)

Retinal Degeneration

(Ophthalmology)

Eyeball

(Ophthalmology)

Visual Afterimages

(Ophthalmology)

Vision Care

(Ophthalmology)

Post-Lasik Surgery

(Ophthalmology)

Nearsightedness

(Ophthalmology)