Is My Eye Condition a Sign of Tractional Retinal Detachment? - Ophthalmology

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Your concern regarding the possibility of tractional retinal detachment is understandable, especially given your history of high myopia and the recent changes in your vision. Let's break down your symptoms and the potential implications based on current medical knowledge.

Firstly, it's important to clarify what tractional retinal detachment is. This condition occurs when the vitreous gel that fills the eye pulls on the retina, causing it to detach from the underlying tissue. This can happen due to various factors, including previous eye surgery, trauma, or conditions that cause abnormal vitreous adhesion to the retina, such as diabetic retinopathy.

In your case, you have mentioned a history of high myopia and the presence of floaters, which are common in individuals with this condition. High myopia can lead to changes in the vitreous and retina, increasing the risk of retinal issues, including detachment. The symptoms you describe, such as seeing flashes of light or a flickering sensation in your vision, can indeed be associated with retinal problems. However, these symptoms can also arise from other conditions, such as migraines or even visual disturbances related to eye strain.

You noted that your recent visual disturbances resemble a "flickering" or "jumping" sensation, which can be alarming. It is crucial to differentiate between various types of visual phenomena. For instance, flashes of light (photopsia) can occur when the retina is stimulated, either due to traction or other causes. However, if your eye examinations, including retinal assessments, have shown no signs of detachment or significant retinal pathology, this is a reassuring sign.

The fact that you previously engaged in improper eye massage could potentially lead to vitreous changes, but it is good to hear that you have ceased this practice. The vitreous can become more liquefied and may pull on the retina, especially in myopic eyes, but without direct evidence from your eye doctor indicating a problem, it is difficult to conclude that you are experiencing tractional retinal detachment.

Given your anxiety about the situation, it is advisable to maintain regular follow-ups with your ophthalmologist. They can monitor your condition closely and perform necessary imaging tests, such as optical coherence tomography (OCT) or ultrasound, to evaluate the vitreous and retina more thoroughly. If you experience any new symptoms, such as a sudden increase in floaters, a shadow or curtain over your vision, or significant changes in your visual field, you should seek immediate medical attention.

In summary, while your symptoms warrant careful observation, the absence of findings during your recent examinations is a positive sign. Continue to communicate openly with your eye care provider about your concerns and symptoms, and ensure that you have regular check-ups to monitor your eye health. Remember that managing anxiety about your vision is also important; consider discussing your feelings with your doctor, who may provide additional support or resources.