Retinal and floaters issues?
Dear Doctor,
Recently, due to my father's retinal detachment, I have started to pay more attention to eye diseases, which has caused me a lot of worry and anxiety.
I have high myopia in both eyes (approximately 500-600 degrees, and potentially up to 600-700 degrees if tested for pseudomyopia) along with astigmatism (175 degrees) and have been experiencing floaters for about 3-4 years.
I recently had a retinal examination, and the doctor mentioned that there were no significant issues, but the upper right area of my left retina is thinner, and he recommended laser treatment.
I would like to ask the doctor if I need to undergo the treatment immediately or if I can wait a bit longer.
I found information online stating that vigorous exercise should be avoided as it may lead to retinal detachment or an increase in floaters.
I would like to inquire if I can engage in activities such as jogging, aerobics, swimming, or cycling.
Will these exercises increase the number of floaters?
Additionally, I would like to ask how fragile the retina is.
I often worry that even minor incidents could lead to retinal detachment.
Thank you for taking the time to respond; I truly appreciate it!
Cai Xiaojie, 20~29 year old female. Ask Date: 2020/11/27
Dr. Gao Pilin reply Ophthalmology
Hello Ms.
Tsai: I cannot determine if you need to undergo laser treatment immediately, but the doctor recommends it, so you should consider his opinion.
The exercise you mentioned should not increase the number of floaters, as long as you do not make any sudden head movements, it should be fine.
The retina is actually not easy to detach, but if there are holes, it becomes more susceptible, so please do not worry too much.
At Taiwan E-Hospital Puzi, the ophthalmology department is available: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses can only serve as a reference; it is still necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2020/11/27
More Info
Dear Patient,
Thank you for reaching out with your concerns regarding retinal issues and floaters, especially in light of your father's recent retinal detachment. It's completely understandable to feel anxious about your own eye health, particularly given your history of high myopia and the presence of floaters.
First, let's address your current situation. High myopia (or nearsightedness) can indeed increase the risk of retinal problems, including retinal detachment. This is because the elongated shape of the eye in myopia can lead to thinning of the retina, making it more susceptible to tears and detachments. The fact that your eye doctor has noted that your retina is thinner in a specific area is significant, and their recommendation for laser treatment is likely aimed at preventing potential complications.
Regarding the timing of the laser treatment, it is essential to follow your eye doctor's advice. If they have recommended the procedure, it is generally because they believe it is necessary to reduce your risk of retinal detachment. However, if you have concerns or feel uncertain, it is always a good idea to seek a second opinion from another qualified ophthalmologist. They can provide additional insights and help you make an informed decision.
As for your concerns about physical activity, it is true that certain high-impact or strenuous activities can increase the risk of retinal detachment, especially in individuals with high myopia. However, moderate exercise such as jogging, swimming, or cycling is typically considered safe. These activities can actually be beneficial for your overall health and may help reduce stress, which is important for managing anxiety about your eye condition. It is best to avoid activities that involve heavy lifting or high-impact movements until you have discussed your specific situation with your eye doctor.
Regarding floaters, they are often a common occurrence, especially in individuals with myopia. While they can be bothersome, they are usually harmless. However, if you notice a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, you should seek immediate medical attention, as these could be signs of a retinal tear or detachment.
Your concern about the fragility of the retina is valid, but it's important to remember that while certain factors can increase the risk of retinal issues, many people with high myopia live healthy lives without experiencing serious complications. Regular eye examinations are crucial, as they allow for early detection and management of any potential problems.
In summary, I recommend the following steps:
1. Consult Your Eye Doctor: Discuss the urgency of the recommended laser treatment and any concerns you have about your retina's condition.
2. Engage in Moderate Exercise: Activities like jogging, swimming, and cycling are generally safe, but avoid high-impact sports until you have further guidance from your doctor.
3. Monitor Your Symptoms: Keep track of any changes in your vision, especially an increase in floaters or flashes of light, and report these to your doctor immediately.
4. Stay Informed: Educate yourself about your condition, but be cautious of information found online. Always verify with a healthcare professional.
Your health and peace of mind are paramount, so don't hesitate to reach out to your healthcare provider with any further questions or concerns. Wishing you the best in managing your eye health!
Warm regards,
Doctor Q&A Teams
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