Retinal and Optic Nerve Issues: Key Questions Answered

Q: Retinal and Optic Nerve Issues: Key Questions Answered

Hello Jessie： 1. The doctor should have mentioned that the peripheral retina is thinner when looking downward, not the macula. 2. There may be a loss of central vision. If this leads to retinal detachment, vision can deteriorate significantly. 3. Avoid eye

Retinal and optic nerve issues?

Hello, Doctor Gao! Two years ago, I underwent retinal repair, and the doctor also performed a fundus examination using other instruments.
Since then, I have been regularly monitoring my retinal condition approximately every six months, but I haven't had specific fundus examinations.
I recently completed both retinal and fundus checks and have some questions for you.
I have a habit of taking lutein, and my myopia is -4.25 diopters in the left eye and -5.00 diopters in the right eye, with both eyes having flashes within 100 degrees, although I forgot the exact measurements.
1.
I understand that the center of the retina is the macula.
The doctor mentioned that the peripheral and central retina is thin when looking down.
Does this indicate that my macula may also be at risk of developing a hole?
2.
If the macula were to tear, would I lose my vision?
3.
What symptoms would occur if the macula were to tear?
4.
How can I delay or prevent further deterioration?
5.
The doctor noted that compared to the fundus photos from two years ago, my eyes have deteriorated, and my optic nerve appears weaker.
Does continuous deterioration increase the risk of retinal tears or vision loss?
6.
Given these eye conditions, I sometimes feel eye fatigue.
Is it okay to use a warm compress eye mask?
7.
My current job involves working in an office, requiring me to constantly look at a computer.
Would considering a job change be better for my eyes?
I apologize for the numerous questions and look forward to your response! Thank you!

Jessie, 20~29 year old female. Ask Date: 2022/06/19

Dr. Gao Pilin reply Ophthalmology

Hello Jessie: 1.
The doctor should have mentioned that the peripheral retina is thinner when looking downward, not the macula.
2.
There may be a loss of central vision.
If this leads to retinal detachment, vision can deteriorate significantly.
3.
Avoid eye strain, prevent worsening of myopia, maintain a balanced diet, and have regular check-ups.
4.
Degeneration does not necessarily lead to holes, but it can affect vision.
5.
It is possible.
6.
Normal use of the eyes should still be fine.
Whether to change jobs depends on your decision.

Reply Date: 2022/06/19

More Info

Hello! Thank you for your detailed questions regarding your retinal and optic nerve health. It's understandable to feel anxious about your eye condition, especially after previous treatments and ongoing symptoms. Let’s address your concerns one by one.

1. Risk of Macular Hole: The macula is indeed the central part of the retina responsible for sharp, detailed vision. If your doctor noted that the peripheral and central retina is thinner, it could indicate a potential risk for a macular hole. However, not all thinning leads to a hole. Regular monitoring is essential, and your eye care professional will be able to assess the risk based on your specific situation.

2. Consequences of a Macular Hole: If a macular hole develops, it can lead to significant vision loss in the affected eye. You may experience a central blind spot or distortion in your vision. Early detection and treatment are crucial, so maintaining regular check-ups is vital.

3. Symptoms of a Macular Hole: Common symptoms include blurred or distorted central vision, a dark or empty area in your central vision, and difficulty reading or recognizing faces. If you notice any of these symptoms, it’s important to contact your eye doctor immediately.

4. Preventing Further Deterioration: To help maintain your eye health, consider the following:
- Regular Eye Exams: Continue your routine check-ups to monitor any changes in your retina.

- Healthy Diet: A diet rich in antioxidants (like leafy greens, fish, and nuts) can support eye health.

- Protective Eyewear: Use sunglasses that block UV rays when outdoors.

- Manage Screen Time: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

5. Ongoing Degeneration: If your doctor has noted that your eyes are degenerating, it doesn’t necessarily mean you will develop a macular hole or lose vision. However, it does indicate that you should be vigilant about your eye health. Regular follow-ups will help catch any changes early.

6. Using Warm Compresses: Applying a warm compress can help relieve eye strain and fatigue. It can improve circulation and provide comfort, especially if you spend long hours in front of a computer. Just ensure that the compress is not too hot to avoid burns.

7. Work Environment Considerations: If your job requires prolonged screen time, it may contribute to eye fatigue. While changing jobs might not be necessary, consider implementing ergonomic practices:
- Adjust your screen to eye level.

- Use proper lighting to reduce glare.

- Take regular breaks to rest your eyes.

In conclusion, your concerns about retinal health are valid, and it's crucial to stay proactive about your eye care. Regular check-ups, a healthy lifestyle, and being mindful of your work environment can significantly contribute to maintaining your vision. If you experience any new symptoms or changes in your vision, don’t hesitate to reach out to your eye care provider. They can provide tailored advice and treatment options based on your specific needs. Stay vigilant and take care!

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