Is It Macular Degeneration or Just Visual Fatigue? - Ophthalmology

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Is it macular degeneration?


Today, while taking notes on my tablet, I noticed that straight lines appeared uneven, distorted, and seemed to float.
However, when I look at straight lines in a book, I don't experience this issue.
I would like to ask the doctor if this could be a symptom of macular degeneration, or is it just visual fatigue? Thank you, doctor.

Miss Lin, 20~29 year old female. Ask Date: 2021/06/15

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Lin: It is possible that the issue is caused by the tablet display, as the screen forms images from many light points, which can sometimes lead to such situations.
Straight lines in books should not exhibit this problem, so it is likely unrelated.
You can test yourself using the Amsler grid at https://reurl.cc/ZG15mQ.
Please note that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Best regards, Gao Pi-Lin.

Reply Date: 2021/06/15

More Info


When experiencing visual distortions such as waviness, variations in line thickness, or floating sensations while looking at straight lines, it is understandable to be concerned about potential underlying conditions like macular degeneration. However, it's important to consider several factors before jumping to conclusions.

Firstly, the symptoms you describe—distorted lines that appear wavy or uneven—can indeed be associated with macular degeneration, particularly if these distortions are persistent and occur consistently when viewing straight lines. Macular degeneration primarily affects the central vision and can lead to visual distortions, making straight lines appear curved or wavy. This condition is often age-related and can be exacerbated by risk factors such as smoking, obesity, and prolonged exposure to sunlight without protection.

However, it is also crucial to consider the possibility of visual fatigue or strain, especially if these symptoms occur primarily during specific activities like using a tablet or computer. Visual fatigue, often referred to as digital eye strain or computer vision syndrome, can manifest as blurred vision, dry eyes, and visual distortions after prolonged screen use. This condition is increasingly common in our digital age, where many people spend extended periods looking at screens without adequate breaks.

To differentiate between macular degeneration and visual fatigue, consider the following:
1. Duration and Consistency of Symptoms: If the distortions are temporary and primarily occur during screen use, it may suggest visual fatigue. If they persist regardless of activity or worsen over time, further evaluation for macular degeneration may be warranted.

2. Associated Symptoms: Are there other symptoms accompanying the visual distortions, such as difficulty reading, changes in color perception, or blind spots? These could indicate a more serious condition like macular degeneration.

3. Response to Rest: If taking breaks from screen time alleviates the symptoms, it may indicate visual fatigue. Conversely, if symptoms persist despite rest, it may require further investigation.

4. Age and Risk Factors: Consider your age and any risk factors for macular degeneration. If you are over 50 or have a family history of eye diseases, it is advisable to seek a comprehensive eye examination.

Given your symptoms, it would be prudent to schedule an appointment with an eye care professional for a thorough examination. They may perform tests such as an Amsler grid test, optical coherence tomography (OCT), or a comprehensive eye exam to assess the health of your retina and macula.

In conclusion, while your symptoms could be indicative of macular degeneration, they may also be a result of visual fatigue, especially if they are linked to screen use. A professional evaluation is essential to determine the underlying cause and to establish an appropriate treatment plan. Regular eye exams are crucial, particularly as you age or if you notice any changes in your vision. Taking proactive steps in eye care can help maintain your visual health and address any concerns early on.

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