Macular Degeneration: Symptoms, Tests, and Eye Care - Ophthalmology

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Macular degeneration


Hello Doctor:
1.
I apologize for bothering you.
I previously researched a method to check for early eye diseases by "opening one eye and closing the other" to see if the straight lines on the ceiling appear distorted or interrupted.
After doing this, the lines seemed straight, but the walls appeared to be moving as if they were soft (similar to seeing things in the heat of a desert).
I also used the Amsler Grid test, and the lines still appeared normal and straight.
Does this indicate a problem with my eyes?
2.
Does frequent use of electronic devices lead to macular degeneration?
3.
Would undergoing dilation exams too close together harm my eyes? How often should these exams be conducted for optimal care? Thank you.

Kunhuo de ren, 20~29 year old female. Ask Date: 2021/01/29

Dr. Gao Pilin reply Ophthalmology


Hello, confused person:
1.
It is not macular degeneration; the sensation of the wall seeming to soften may simply be due to the movement of the vitreous body.

2.
The probability is very low unless there is a pre-existing eye condition.

3.
Dilated eye exams do not harm the eyes; however, if there are no issues, once a year is sufficient.

At Taiwan E-Hospital Puzi Hospital, the ophthalmology department is open:
Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.

Online responses can only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2021/01/29

More Info


Understanding macular degeneration is crucial, especially as it can significantly impact vision and quality of life. Macular degeneration, particularly age-related macular degeneration (AMD), is a common eye condition that affects the macula, the part of the retina responsible for central vision. Here, I will address your questions and provide additional insights into symptoms, tests, and eye care related to macular degeneration.

1. Visual Distortions and Testing: You mentioned performing a test by closing one eye and observing straight lines on the ceiling. The perception of wavy or distorted lines can be indicative of early signs of macular degeneration. However, since you reported that the lines appeared straight when using the Amsler grid, it suggests that your central vision may still be intact. The "soft" appearance of walls could be due to various factors, including lighting conditions or even visual fatigue. It's essential to monitor any changes in your vision and report them to your eye care professional.

2. Impact of Screen Time on Macular Health: Prolonged use of digital devices (3C products) can lead to digital eye strain, which may cause symptoms like dry eyes, blurred vision, and discomfort. While there is no direct evidence linking screen time to macular degeneration, excessive screen use can contribute to eye fatigue and discomfort. To mitigate these effects, consider the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. Additionally, ensure proper lighting and screen positioning to reduce glare.

3. Frequency of Eye Exams: Regular eye examinations are vital for early detection of macular degeneration and other eye conditions. The frequency of these exams can vary based on individual risk factors, such as age, family history, and existing eye conditions. Generally, adults should have a comprehensive eye exam every one to two years. However, if you have risk factors for macular degeneration or other eye diseases, your eye doctor may recommend more frequent visits. Regarding dilation exams, while they can cause temporary discomfort, they are essential for a thorough examination of the retina and do not cause long-term harm. If you have concerns about the frequency of these exams, discuss them with your eye care provider.


Additional Insights on Macular Degeneration:
- Symptoms: Early symptoms of macular degeneration can include blurred or distorted central vision, difficulty seeing in low light, and a gradual loss of color perception. As the condition progresses, individuals may experience a blind spot in their central vision.

- Risk Factors: Age is the most significant risk factor for AMD, with those over 50 being more susceptible. Other risk factors include smoking, obesity, high blood pressure, and a family history of the disease.

- Prevention and Management: While there is no cure for macular degeneration, certain lifestyle changes can help slow its progression. These include maintaining a healthy diet rich in leafy greens and fish, quitting smoking, managing blood pressure, and protecting your eyes from UV light with sunglasses. Additionally, some studies suggest that high doses of antioxidants and zinc may help reduce the risk of advanced AMD.

- Treatment Options: For those diagnosed with wet AMD, treatments such as anti-VEGF injections can help slow vision loss. Regular monitoring and follow-up with an eye care professional are crucial for managing the condition effectively.

In conclusion, while your current tests may not indicate immediate concerns, it is essential to remain vigilant about any changes in your vision. Regular eye exams and a proactive approach to eye health can help you maintain your vision and overall well-being. If you have further questions or concerns, do not hesitate to reach out to your eye care provider for personalized advice and care.

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