Macular Issues: When to Seek Urgent Eye Care - Ophthalmology

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Macular issues


Hello Dr.
Gao, I would like to ask you a question.
Previously, I went to a clinic for an OCT scan due to another eye condition, and the doctor focused on other issues, so they did not pay attention to other parts of the OCT.
Recently, I reviewed the OCT data and noticed that my images are somewhat different from those of typical individuals.
It seems to be in the macular area, and I found very few similar images online.
Therefore, I would like to ask if this is something that requires immediate attention or if it can be monitored over time.
The OCT image is as follows: https://reurl.cc/n1E56e1.

Regarding the area indicated by the arrow, is it caused by the process of vitreous liquefaction pulling on the internal limiting membrane? If not, could you please explain what this situation is? Is it serious? Should I report to the hospital immediately during the pandemic?
2.
If it is currently a matter of observation, is it possible to maintain stability through care, or must I simply wait for the development of the pulling effect? (I have high myopia.)
3.
Given the current situation, will it affect my visual field? Will it impact peripheral vision? Currently, I do not see any distortion in the macular area, and I do not experience flashes when I close my eyes and move my eyes.

Thank you, Dr.
Gao, for taking the time to respond during this busy pandemic period.
I also appreciate your previous responses regarding eye drops on this platform a couple of years ago, which greatly reassured me.
Thank you very much!

c123, 40~49 year old female. Ask Date: 2022/05/02

Dr. Gao Pilin reply Ophthalmology


Hello c123: It seems that there are some differences, and it may be necessary to return for a follow-up examination.
We should take another look to see if there are any changes.
As for whether there is any visual field loss, that also requires testing to determine.
I recommend scheduling a follow-up appointment.

Reply Date: 2022/05/02

More Info


Hello! Thank you for reaching out with your concerns regarding your OCT results and potential macular issues. It's understandable to feel anxious when you notice something unusual in your eye health, especially when it involves the macula, which plays a crucial role in your central vision.

1. Understanding Your OCT Findings: The area indicated by the arrow in your OCT image may indeed suggest some form of vitreous detachment or traction on the inner limiting membrane. This is not uncommon as we age, and the vitreous gel can undergo changes, leading to liquefaction and potential pulling on the retina. However, without seeing the actual OCT image, it’s difficult to provide a definitive interpretation. If the findings are consistent with vitreous traction, it may not be an immediate cause for alarm, but it does warrant careful monitoring. If there are signs of retinal tears or detachment, that would be more urgent.

2. Observation vs. Urgency: If your eye care provider has not indicated an urgent need for intervention, it may be appropriate to monitor the situation. However, if you experience any new symptoms such as flashes of light, a sudden increase in floaters, or any changes in your vision, you should seek immediate care. In terms of "maintenance," while there are no specific treatments to prevent changes in the vitreous or macula, maintaining overall eye health through regular check-ups, a balanced diet rich in antioxidants (like lutein and zeaxanthin), and protecting your eyes from UV light can be beneficial.

3. Impact on Vision: The current findings may not necessarily lead to peripheral vision loss, especially if you are not experiencing distortion or other symptoms. The macula is primarily responsible for central vision, and if you are not noticing any changes in your central vision, that is a positive sign. However, it’s essential to keep monitoring for any changes. Regular follow-ups with your eye care provider will help ensure that any developments are caught early.

In summary, while it’s good to be proactive about your eye health, it’s equally important to remain calm and seek professional advice based on your specific situation. If your eye care provider has recommended observation, follow their guidance, but do not hesitate to reach out if you notice any new symptoms. Regular eye exams and being aware of your vision changes are key components in maintaining eye health, especially as we age. Thank you for your kind words regarding past consultations, and I wish you the best in your eye health journey!

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