Retinal Issues: Laser Treatment and Eye Health Concerns - Ophthalmology

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Recently, I have experienced an increase in floaters and flashes.
After undergoing a fundus examination today, the doctor said there were no issues, but 1.
there is some thinning of the retina, and would you recommend laser treatment? 2.
Since the doctor said there are no problems, can I feel reassured? I've been having trouble sleeping for several days.
3.
I also have double vision, and the doctor mentioned eye fatigue, but it has been a month already.
Could it be that my astigmatism is too high? Thank you for your response, doctor.

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

Dr. Gao Pilin reply Ophthalmology


Hello Tardigrades: 1.
The need for thinning will depend on the situation, and if necessary, the physician will recommend it.
2.
You should be able to feel reassured now.
3.
For double vision, we need to determine whether it is monocular or binocular.
If it's monocular, it may be due to astigmatism.
Binocular double vision could indicate a strabismus issue.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is available: 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 can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/10/24

More Info


It sounds like you are experiencing a range of eye health issues, including increased floaters, flashes of light, and concerns about your retinal health. Let’s break down your concerns and provide some clarity on each point.

1. Retinal Thinning and Laser Treatment: When a doctor mentions retinal thinning, it indicates that a part of your retina is becoming less thick than normal. This condition can be a precursor to more serious issues, such as retinal tears or detachment. Laser treatment is often recommended in cases where there is a risk of these complications. The laser can help to create a barrier around the area of thinning, potentially preventing further issues. However, the decision to proceed with laser treatment should be based on a thorough evaluation of your specific situation, including the extent of the thinning and your overall eye health. If your doctor has not recommended laser treatment, it may be because they believe the risk is currently low.

2. Reassurance from Your Doctor: If your doctor has conducted a comprehensive examination and stated that there are no immediate concerns, this is generally a positive sign. However, it is understandable to feel anxious, especially when dealing with vision-related issues. It may help to discuss your concerns with your doctor further, perhaps asking for more detailed explanations or even a second opinion if you feel it would provide you with more peace of mind. Sleep disturbances due to anxiety about your eye health are common, and addressing these feelings is important for your overall well-being.

3. Double Vision and Eye Fatigue: Double vision (diplopia) can arise from various causes, including eye strain, misalignment of the eyes, or issues with the muscles that control eye movement. Given that your doctor has attributed this to fatigue, it could be related to prolonged screen time or other visual stressors. If you have high astigmatism, it can contribute to visual distortion and discomfort, which might exacerbate feelings of fatigue and lead to double vision. It would be wise to have your prescription checked to ensure that your glasses or contact lenses are adequately correcting your vision. Sometimes, adjustments in your prescription can significantly alleviate symptoms.


Additional Considerations:
- Eye Rest and Breaks: If you spend a lot of time on screens, remember to take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

- Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, which are beneficial for eye health.

- Follow-Up Appointments: Keep regular follow-up appointments with your eye care provider to monitor any changes in your condition. If your symptoms persist or worsen, do not hesitate to reach out to your doctor for further evaluation.

- Mental Health: Anxiety about health issues can be overwhelming. Consider discussing your feelings with a mental health professional if you find that anxiety is significantly impacting your daily life.

In summary, while your current situation may feel concerning, it is essential to rely on the expertise of your eye care provider and maintain open communication with them. They can guide you through your treatment options and help you manage your symptoms effectively.

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