Retinal Checkups: Concerns and Safety for Eye Health - Ophthalmology

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Retinal examination issues?


Hello Doctor: Due to a retinal hole many years ago, I underwent retinal laser surgery.
I have been regularly returning for dilated eye examinations.
Between January and February 21 of this year, I had multiple visits (5 times) due to black shadows in my peripheral vision and other incidents.
I would like to ask: 1.
Does undergoing multiple dilated retinal examinations in a short period pose any harm to the eyes? 2.
After the examination on February 21, I noticed starbursts around streetlights, car headlights, and traffic lights.
Could this be due to astigmatism caused by the bright light exposure during the dilated examination? 3.
I am quite anxious about potential eye injuries.
What level of force is necessary to cause harm to the eyes? Would a towel being whipped or a hand pressing against the eye be sufficient to cause retinal damage? 4.
After yesterday's examination, I accidentally bumped my eye again this morning.
If the impact was near the cheekbone close to the eye socket (I'm not entirely sure of the exact point of impact, but there was no severe pain), should I seek another examination? Thank you for your patient responses!

Xiao Mi, 30~39 year old female. Ask Date: 2022/02/22

Dr. Gao Pilin reply Ophthalmology


Hello, Xiaomi: 1.
No, schoolchildren use dilating drops daily for myopia prevention.
2.
The pupil may not constrict back, which can happen.
3.
It depends on the strength, direction, and duration of the effect.
It cannot be generalized.
Therefore, if there is an injury, it should be examined.
4.
You can first observe for any abnormalities.

Reply Date: 2022/02/22

More Info


Hello! Thank you for your questions regarding retinal checkups and your eye health concerns. It's understandable to feel anxious, especially after having undergone retinal laser surgery and experiencing various symptoms. Let’s address your questions one by one.

1. Frequent Dilated Eye Exams: Having multiple dilated eye exams in a short period, such as five times in a couple of months, is generally safe and should not cause harm to your eyes. The dilation process allows the ophthalmologist to get a better view of the retina and other internal structures of the eye. While some patients may experience temporary discomfort or light sensitivity after dilation, it does not lead to any long-term damage. However, if you have specific concerns or experience unusual symptoms, it’s always best to discuss them with your eye care provider.

2. Starburst Effect After Dilation: The starburst effect you’re noticing when looking at bright lights, such as street lamps or traffic signals, can indeed be a result of the dilation and the bright light exposure during your exam. Dilation can temporarily change the way your eyes focus and how they perceive light, leading to symptoms like glare and halos around lights. This effect usually diminishes as the dilation wears off, but if it persists or worsens, you should consult your eye doctor.

3. Impact on the Retina: Regarding your concern about the force required to injure the retina, it’s important to note that the retina is quite delicate. Minor impacts, such as a towel snapping or light pressure from a hand, typically do not cause retinal damage. However, more significant trauma, such as a direct blow to the eye or a fall, can potentially lead to retinal tears or detachments. If you experience sudden changes in vision, such as flashes of light, an increase in floaters, or a shadow in your vision, it’s crucial to seek immediate medical attention.

4. Post-Impact Examination: After your recent checkup, if you experienced another impact to the area around your eye, even if it was minor and without severe pain, it’s wise to err on the side of caution. If you notice any changes in your vision, such as increased floaters, flashes of light, or any new symptoms, you should definitely return for a follow-up examination. It’s better to have peace of mind and ensure that everything is okay with your retina.

In summary, while frequent dilated exams are generally safe, it’s essential to monitor your symptoms closely. The starburst effect is likely temporary, but any significant trauma to the eye area warrants further evaluation. Always trust your instincts regarding your eye health, and don’t hesitate to reach out to your eye care provider with any concerns. Regular checkups and open communication with your doctor are key to maintaining your eye health, especially after previous retinal issues. Stay proactive about your eye care, and I wish you the best in your ongoing health journey!

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