Should I See a Specialist for My Worsening Myopia and Floaters? - Ophthalmology

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If you are experiencing worsening myopia (nearsightedness) and floaters, it is advisable to see a specialist, particularly an ophthalmologist, who can provide a comprehensive evaluation of your eye health. Given that you have a history of high myopia (around -1000), which is considered severe, and you are noticing an increase in your myopia along with floaters, it is essential to take these symptoms seriously.

High myopia can lead to various complications, including retinal detachment, macular degeneration, and other serious eye conditions. Floaters, while often benign, can sometimes indicate underlying issues, especially in the context of high myopia. They can be a sign of changes in the vitreous gel of the eye or even retinal problems. Therefore, your recent experience of worsening vision and the presence of floaters warrants further investigation.

You mentioned that you had an eye examination at a clinic earlier this year, and the doctor reported no issues. However, since you are now experiencing changes, it would be prudent to seek a second opinion or further evaluation. Here are some steps you can consider:
1. Visit an Ophthalmologist: Schedule an appointment with an ophthalmologist, preferably one who specializes in retinal diseases or myopia management. They can perform a thorough examination, including a dilated fundus exam, to assess the health of your retina and vitreous.

2. General Eye Clinic vs. Specialist: While you can start with a general eye clinic, if you have specific concerns about your retina or if your myopia is worsening significantly, it may be more beneficial to go directly to a specialist. This can save you time and ensure that you receive the most appropriate care.

3. Discuss Symptoms: When you see the ophthalmologist, be sure to discuss all your symptoms in detail, including the duration and nature of your floaters, any changes in your vision, and your extensive computer use. This information will help the doctor understand your situation better.

4. Consider Additional Tests: Depending on the findings, the ophthalmologist may recommend additional tests, such as optical coherence tomography (OCT) or a visual field test, to get a clearer picture of your eye health.

5. Follow-Up Care: If the ophthalmologist finds no immediate issues, they may still recommend regular follow-up appointments to monitor your condition, especially given your high myopia.

6. Lifestyle Adjustments: In addition to seeking medical advice, consider making lifestyle adjustments to reduce eye strain, such as taking regular breaks from the computer (following the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds), ensuring proper lighting, and using anti-reflective coatings on your glasses.

In summary, given your history of high myopia and the recent changes in your vision, it is advisable to see a specialist for a thorough evaluation. Early detection and management of any potential issues can help preserve your vision and prevent complications. Don't hesitate to seek the care you need; your eye health is important.