Eye Issues: Insights on Retinal Checks and Fatigue - Ophthalmology

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Eye problems


Hello Dr.
Wang.
I am the gentleman who inquired about seeing slight flashes of light when looking at the sky or dark areas a couple of days ago.
Today, I visited an ophthalmologist.
The doctor had an assistant turn off the lights and then used an instrument to examine both eyes (the instrument had something resembling an orange fluorescent stick that moved side to side) and asked me to look in various directions.
The examination results showed no abnormalities in the retina, and there were no signs of macular degeneration, cataracts, or glaucoma.
The diagnosis was eye fatigue, and I was prescribed eye drops and artificial tears.
I feel much more at ease now.
I would like to ask if that was a non-dilated fundus examination? If there are no abnormalities, is it still necessary to perform a dilated fundus examination? Thank you for taking the time to respond.

Mr. Lin, 30~39 year old female. Ask Date: 2022/02/04

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Lin: It is possible to have a non-dilated fundus examination.
If the examination shows no issues, you should be able to feel reassured.

Reply Date: 2022/02/04

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your eye health. Based on your description, it seems that you have undergone a thorough examination by your eye doctor, which is a crucial step in addressing your symptoms. The fact that your retina appears normal and that there are no signs of macular degeneration, cataracts, or glaucoma is reassuring.
To address your question about the type of examination you received, it sounds like you underwent a non-dilated fundus examination. This type of exam allows the doctor to assess the health of your retina and optic nerve without the use of dilating drops. The use of a device with a moving light, as you described, is common in these assessments. While this method can provide valuable information, it may not reveal all potential issues, particularly those that could be detected with a dilated examination.

Regarding the necessity of a dilated eye exam, it is generally recommended for a comprehensive evaluation of the retina, especially if you have risk factors for eye diseases or if your symptoms persist. Dilating the pupils allows the doctor to get a better view of the peripheral retina and can help in identifying conditions that may not be visible during a non-dilated exam. If your symptoms of light flashes or fatigue continue, discussing the option of a dilated exam with your eye care provider would be prudent.

As for your symptoms of eye fatigue, it is important to consider several factors that could contribute to this condition. Eye fatigue, also known as asthenopia, can result from prolonged screen time, inadequate lighting, or improper viewing distances. In today's digital age, many individuals experience eye strain due to excessive use of computers, tablets, and smartphones. Here are some strategies to help alleviate eye fatigue:
1. Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps relax the eye muscles and reduces strain.

2. Adjust Your Workspace: Ensure that your computer screen is at eye level and about an arm's length away. Proper ergonomics can significantly reduce eye strain.

3. Use Artificial Tears: If you are experiencing dryness, using artificial tears can help keep your eyes lubricated and comfortable.

4. Limit Screen Time: Try to reduce the amount of time spent on screens, especially before bedtime. This can help your eyes rest and recover.

5. Stay Hydrated: Drinking enough water can help maintain overall eye health and reduce dryness.

6. Regular Eye Exams: Continue to have regular check-ups with your eye care provider to monitor your eye health and update your prescription if necessary.

If your symptoms persist despite these measures, or if you notice any new symptoms such as changes in vision, increased light sensitivity, or persistent headaches, it is essential to follow up with your eye doctor. They may recommend further testing or treatment options tailored to your specific needs.

In summary, while your recent examination has provided some peace of mind, it is essential to remain vigilant about your eye health. Regular check-ups, proper eye care practices, and open communication with your healthcare provider will help ensure that any potential issues are addressed promptly.

Take care of your eyes, and don't hesitate to reach out if you have further questions or concerns.

Best regards.

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