the Risks of Vaccines for Retinal Health: Expert Insights - Ophthalmology

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Retinal issues?


Hello Director Gao, I received your reply, thank you.
Here’s the situation: I previously saw news reports that the AZ vaccine could cause blood clots.
There was a flight attendant who developed retinal issues and blurred vision after receiving it.
I have also seen reports of several cases where individuals experienced blurred vision after getting the AZ vaccine.
Therefore, I would like to ask you, Director Gao, since the AZ vaccine can cause blood clots, and I have undergone laser surgery for a retinal tear, would it be better for me not to receive the AZ vaccine or any vaccine that could potentially cause blood clots, to avoid any complications in my retinal area? I’m concerned about this, so I’m attaching our previous messages below:
Your question: Hello Director Gao, the pandemic is severe, and the government is currently encouraging everyone to get vaccinated against COVID-19.
There are various brands of COVID-19 vaccines.
Regarding my eyes: I have a retinal tear and have undergone laser surgery.
I would like to ask the doctor which brand of vaccine I can receive that will not harm my retina.
Which brands should I avoid? (I also have other eye conditions: over 1000 degrees of myopia in both eyes, astigmatism of 200, glaucoma, and floaters.)
Thank you for your response, Doctor: Ophthalmology, Dr.
Gao Pi-Lin advises: Thank you.
Currently, there are no reports of vaccines harming the retina, and there are no contraindications related to the retina.
Your situation does not fall under any contraindications.
If assessed by a physician and deemed appropriate, you should be able to receive the vaccine.
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 assist you.
Dr.
Gao Pi-Lin.

Gan'en, 40~49 year old female. Ask Date: 2021/06/11

Dr. Gao Pilin reply Ophthalmology


Thank you, hello: The occurrence of thrombosis is not related to the retina.
Individuals who experience thrombosis do not necessarily have retinal diseases.
Therefore, while there is a possibility of developing thrombosis after receiving the AZ vaccine, the risk is low.
However, this uncertainty cannot be predicted.
Online responses should only be used as a reference; it is essential to seek medical attention at healthcare facilities if necessary.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2021/06/11

More Info


When considering the risks associated with vaccines, particularly in relation to retinal health, it is essential to understand both the potential side effects of the vaccines and the specific health conditions of the individual. In your case, you have a history of retinal issues, including a retinal tear that required laser surgery, along with other ocular conditions such as high myopia, glaucoma, and floaters.
The concerns you raised regarding the AstraZeneca (AZ) vaccine and its association with blood clots are valid, as there have been reports linking the vaccine to rare cases of thrombosis. However, it is crucial to contextualize these risks. The incidence of vaccine-related thrombosis is extremely low, and the benefits of vaccination against severe COVID-19 often outweigh these risks, especially for individuals with underlying health conditions.
As for your specific situation, there is currently no evidence to suggest that any COVID-19 vaccine, including the AZ vaccine, directly harms the retina or exacerbates retinal conditions. The reports of vision problems following vaccination are anecdotal and do not establish a causal relationship. The medical community continues to monitor vaccine safety closely, and any serious adverse effects are thoroughly investigated.

Given your history of retinal surgery, it is prudent to consult with your ophthalmologist or a healthcare provider who understands your medical history before making a decision about vaccination. They can provide personalized advice based on your specific conditions and the latest medical guidelines.
In general, the following points should be considered when evaluating the safety of vaccines for individuals with retinal concerns:
1. Consultation with Healthcare Providers: Always discuss your medical history and concerns with your healthcare provider. They can help assess the risks and benefits of vaccination in your specific case.

2. Monitoring for Symptoms: After receiving a vaccine, be vigilant for any unusual symptoms, especially related to vision. If you experience any sudden changes in vision, such as blurriness, flashes of light, or new floaters, seek medical attention promptly.

3. Understanding Vaccine Risks: While there are risks associated with certain vaccines, the likelihood of severe complications is generally low. The risk of severe illness from COVID-19, particularly for individuals with pre-existing conditions, is significantly higher.

4. Alternative Vaccines: If you have concerns about specific vaccines, inquire about alternatives. Different vaccines have different safety profiles, and your healthcare provider can guide you on which might be the best option for you.

5. Stay Informed: Keep up to date with reliable sources of information regarding vaccine safety and efficacy. Health organizations like the CDC and WHO provide ongoing updates about vaccines and their side effects.

In conclusion, while it is understandable to have concerns about vaccination given your retinal history, the current evidence does not support the notion that vaccines, including the AZ vaccine, pose a significant risk to retinal health. Engaging in a thorough discussion with your healthcare provider will help you make an informed decision that prioritizes both your ocular health and overall well-being.

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