Regarding macular degeneration examination?
Hello Doctor, I would like to ask if I have undergone a dilated fundus examination of the retina (I have high myopia).
Can macular degeneration be detected during the dilated fundus examination? Since I have this examination done once a year, I would like to know if the retinal examination can also check for any macular changes, or if macular degeneration requires a different method of examination.
Thank you for your help.
Xunwenren, 20~29 year old female. Ask Date: 2022/06/12
Dr. Gao Pilin reply Ophthalmology
Hello, the dilated fundus examination can reveal most macular diseases.
If there are no symptoms, this examination is sufficient.
However, if symptoms are present, the physician may arrange for additional tests, such as fundus fluorescein angiography or optical coherence tomography (OCT).
Reply Date: 2022/06/12
More Info
Yes, retinal dilation exams can indeed detect macular degeneration. During a dilated eye exam, an eye care professional uses special drops to widen the pupils, allowing for a better view of the retina, including the macula, which is the central part of the retina responsible for sharp vision. This examination is crucial for identifying various eye conditions, including macular degeneration, which is a leading cause of vision loss, particularly in older adults.
In your case, since you have high myopia (nearsightedness), it is essential to monitor your eye health closely. High myopia can increase the risk of developing complications such as retinal detachment, macular degeneration, and other retinal issues. Regular dilated eye exams are vital for early detection of these conditions. During the exam, the eye doctor will look for signs of macular degeneration, such as drusen (yellow deposits under the retina), pigment changes, or any abnormalities in the macula that could indicate the onset of the disease.
While a dilated eye exam is effective for assessing the health of the retina and macula, additional tests may be recommended if the doctor suspects macular degeneration or if there are any abnormalities noted during the examination. One such test is Optical Coherence Tomography (OCT), which provides cross-sectional images of the retina, allowing for a more detailed view of the macula and any potential damage or changes that may not be visible during a standard eye exam.
It is also important to note that macular degeneration can be classified into two types: dry and wet. The dry form is more common and progresses slowly, while the wet form is less common but can lead to rapid vision loss. Early detection through regular eye exams can help manage these conditions effectively. If you notice any changes in your vision, such as distortion or difficulty seeing fine details, it is crucial to report these symptoms to your eye care provider promptly.
In summary, your regular dilated eye exams are a critical part of monitoring your eye health, especially given your high myopia. These exams can detect signs of macular degeneration, but if there are any concerns, further testing like OCT may be warranted. Always communicate any changes in your vision to your eye doctor, as early intervention can significantly impact the management of eye diseases.
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