How to Prevent Retinal Tears: Expert Answers to Your Concerns - Ophthalmology

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How can retinal tears be prevented?


Dear Doctor,
In September of this year, I discovered a hole in my retina, and the doctor immediately performed laser repair.
However, I later noticed that sometimes there are moving light spots in my field of vision, especially when looking at the sky.
After returning to the ophthalmologist for a dilated examination, the doctor said no new holes were found.
I am really worried about the possibility of another hole forming, and I feel anxious every day.
I would like to ask the doctor a few questions:
1.
During my last visit, the doctor mentioned that seeing flashes of light is due to something pulling inside the eye.
Could this pulling cause the retina to tear again?
2.
Will these light spots disappear?
3.
How can I prevent another retinal tear?
4.
Is there a way to eliminate or reduce floaters?
Thank you, Doctor!

Ruidi, 10~19 year old female. Ask Date: 2020/12/18

Dr. Gao Pilin reply Ophthalmology


Hello, Mr.
Reddy:
1.
During your last visit, the doctor mentioned that seeing flashes of light is due to something pulling inside the eye, which could potentially cause a retinal tear again.
Generally, the risk is low, but you should monitor your symptoms.
If you notice a significant increase in flashes or shadows, you should seek an examination promptly.
Please refer to: https://bit.ly/2VgzTZd
2.
Will these light spots disappear? They will disappear once the vitreous detaches from the retina.
3.
How can we prevent another retinal tear? If there is a possibility of a retinal tear, it is essential to reduce or avoid high-risk sports.
Activities such as diving, boxing, soccer, basketball, volleyball, jumping, weightlifting, and extreme sports like roller coasters, skydiving, and bungee jumping, which involve rapid changes in pressure, are not suitable for individuals with high myopia and retinal degeneration, as these activities can expose the already thin retina to external forces or high-speed impacts, making it more vulnerable.
4.
Is there a way to eliminate or reduce floaters? Currently, there is no method available.
For further assistance, you may visit the ophthalmology department at Puzi Hospital in Taiwan:
Monday, Tuesday, Thursday, and Friday: 8:00 AM – 12:00 PM
Wednesday: 2:00 PM – 4:30 PM
Please note that online responses are for reference only, and it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Best regards,
Gao Pilin

Reply Date: 2020/12/18

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding retinal health. I understand that experiencing a retinal tear can be a distressing event, and it’s completely normal to feel anxious about the possibility of recurrence. Let’s address your questions one by one.

1. Flashes of Light and Retinal Tears: The flashes of light you are experiencing, often described as "photopsia," can occur when the vitreous gel inside the eye pulls on the retina. This pulling can indeed lead to new retinal tears, especially if the vitreous is still in the process of detaching from the retina. However, not all flashes indicate a tear; they can also be a result of normal changes in the eye as we age. It’s crucial to monitor these symptoms and report any significant changes to your eye doctor immediately.

2. Will the Light Spots Disappear?: The light spots you see may diminish over time, especially if they are related to the vitreous gel's movement. However, some patients continue to experience these flashes intermittently. If they persist or worsen, it’s essential to follow up with your ophthalmologist for further evaluation.

3. Preventing Further Retinal Tears: While there’s no guaranteed way to prevent retinal tears, there are several steps you can take to reduce your risk:
- Regular Eye Exams: Keep up with your scheduled eye exams, especially if you notice any new symptoms.

- Protective Eyewear: If you engage in activities that could lead to eye injury, such as sports or certain hobbies, wearing protective eyewear can help prevent trauma to the eye.

- Manage Health Conditions: Conditions like diabetes and hypertension can affect retinal health. Managing these conditions through lifestyle changes and medication can help protect your vision.

- Avoid Straining Your Eyes: Limit activities that require intense focus for prolonged periods, and take regular breaks to reduce eye strain.

4. Managing Floaters: Floaters, or "muscae volitantes," are common and often harmless. They occur when tiny clumps of gel or cells form in the vitreous and cast shadows on the retina. While there is no definitive treatment to eliminate floaters, some strategies may help:
- Adaptation: Many people find that they become less aware of floaters over time as their brain learns to ignore them.

- Hydration and Nutrition: Staying hydrated and maintaining a diet rich in antioxidants (found in fruits and vegetables) may support overall eye health.

- Surgical Options: In severe cases where floaters significantly impair vision, a procedure called vitrectomy can be considered, but this is typically reserved for extreme cases due to the associated risks.

In conclusion, while it’s natural to feel anxious after experiencing a retinal tear, staying informed and proactive about your eye health can help alleviate some of that worry. Regular follow-ups with your ophthalmologist are essential, as they can monitor your condition and provide personalized advice based on your specific situation. If you notice any new symptoms or changes, don’t hesitate to reach out to your eye care provider.

Wishing you the best in your journey to maintain your eye health.

Sincerely,
Doctor Q&A Teams



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