Retinal Degeneration: Monitoring and Activity Guidelines - Ophthalmology

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Retinal degeneration


Hello Doctor, I have approximately -11.00 diopters of myopia in both eyes and undergo fundus examinations every six months.
However, during today's check-up, the doctor mentioned that there is a small area of degeneration at the 3 o'clock position in both eyes, but there are no signs of holes, tears, or thinning.
I would like to ask if it is sufficient to continue with regular follow-ups? Also, can I continue practicing judo during training? Thank you, Doctor!

Mr. Chen, 20~29 year old female. Ask Date: 2021/11/15

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Chen: If there is only a slight degeneration without any tears or thinning, it can be monitored.
Judo training should be acceptable, but it is best to consult your attending physician next time.

Reply Date: 2021/11/15

More Info


Hello! It's great that you're being proactive about your eye health, especially with your high myopia and recent findings of retinal degeneration. Let's break down your concerns regarding retinal degeneration, monitoring, and activity guidelines.


Understanding Retinal Degeneration
Retinal degeneration refers to the gradual deterioration of the retina, which can lead to vision problems. In your case, the fact that your doctor noted a small area of degeneration at the 3 o'clock position in both eyes without any holes or thinning is a positive sign. This suggests that while there is some change, it is not currently severe. Regular monitoring is crucial, especially for individuals with high myopia, as they are at a higher risk for retinal issues.


Monitoring Guidelines
Given your situation, continuing with your semi-annual eye exams is advisable. These check-ups allow your ophthalmologist to monitor any changes in the retina and ensure that no new issues arise. If your doctor has not recommended any immediate intervention, it is likely that they believe the degeneration is stable at this time. However, you should remain vigilant for any new symptoms, such as sudden flashes of light, an increase in floaters, or any changes in your vision, and report these to your doctor immediately.


Activity Guidelines
Regarding your question about participating in judo training, it is essential to consider the physical demands of the sport. High-impact activities or those that involve rapid head movements can pose risks for individuals with retinal degeneration, especially if there is a chance of trauma to the eye. While your current examination did not reveal any significant issues, it would be prudent to discuss this with your ophthalmologist. They can provide personalized advice based on the specifics of your condition and the nature of your training.


General Eye Care Tips
1. Protect Your Eyes: Always wear protective eyewear during sports or activities that could potentially cause eye injury.

2. Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (like vitamins A, C, and E) and omega-3 fatty acids, which are beneficial for eye health.

3. Limit Eye Strain: Take regular breaks when using screens or reading to reduce eye fatigue.

4. Stay Hydrated: Proper hydration can help maintain eye moisture and overall health.


Conclusion
In summary, continue with your regular eye examinations, and maintain open communication with your ophthalmologist about any changes in your vision or concerns regarding activities like judo. They will provide the best guidance tailored to your specific condition. Remember, being proactive and informed is key to managing your eye health effectively. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Take care!

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Hello Doctor, thank you for your response. I would like to ask you further, my eyesight is approximately -2.00 diopters in both eyes; is it possible that this could lead to retinal degeneration? What are the causes of retinal degeneration? Is regular monitoring sufficient? Thank ...


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Hello, the chances are slim. Regular follow-up is sufficient. Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

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