Retinal Health: Risks and Precautions After Eye Trauma - Ophthalmology

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Retinal issues


Hello Doctor: Due to my high myopia and astigmatism (both eyes -1000, astigmatism -400), I had a retinal examination a few days ago at the age of 31.
The doctor said my retinal condition is normal, but the peripheral retina has become thinner, and I was advised to have regular follow-ups once a year.
This morning, while washing fruits in the kitchen, I accidentally bumped my head against the upper cabinet.
I felt pain at the moment, but it disappeared after a short while (probably less than 5 minutes).
Later, I saw news about someone experiencing retinal detachment due to a head injury, which made me very anxious.
I would like to ask the doctor, could my head bump (just above the occipital region) potentially lead to retinal detachment? Do I need to undergo another dilated eye exam, or am I overreacting?

Gao Du Jin Shi Gong Cheng Shi, 30~39 year old female. Ask Date: 2023/03/09

Dr. Gao Pilin reply Ophthalmology


Hello: Your eye condition has progressed to high myopia and astigmatism, and the peripheral retina has become thinner.
Therefore, any impact to the head should be taken seriously.
Head trauma can lead to retinal detachment, especially if there are pre-existing issues with your eyes.
When the head is impacted, the internal structures of the eye may be affected, potentially causing tears or detachment of the retina.
A detached retina can result in vision loss or even blindness.
Therefore, if you experience any head trauma, it is advisable to seek medical attention promptly for an examination, and only proceed with peace of mind if the examination shows no issues.

Reply Date: 2023/03/09

More Info


It's understandable to feel anxious after experiencing any form of eye trauma, especially given your history of high myopia and astigmatism. Your concern about the potential for retinal detachment following a head impact is valid, as such injuries can indeed pose risks to retinal health. However, let's break down your situation and provide some guidance on how to proceed.

First, it's important to recognize that while trauma to the head can lead to retinal detachment, not all impacts will result in such severe outcomes. The fact that your eye doctor recently assessed your retina and found it to be in a normal condition is reassuring. However, the observation that your peripheral retina is thinning does warrant some caution. Thinning of the retina can increase the risk of detachment, particularly in individuals with high myopia, as the eye is often elongated and more susceptible to such issues.

Regarding the incident where you bumped your head, the transient pain you experienced is not uncommon and may not necessarily indicate a serious injury. However, it is crucial to monitor for any new symptoms that could arise following the impact. Symptoms to watch for include:
1. Sudden onset of floaters or flashes of light: These can be signs of retinal tears or detachment.

2. A shadow or curtain effect in your vision: This could indicate that the retina is being pulled away from the underlying tissue.

3. Blurry vision or a sudden decrease in vision: Any significant changes in your vision should be taken seriously.

Given your concerns and the recent trauma, it would be prudent to schedule a follow-up appointment with your eye care provider. A dilated eye exam can help assess the condition of your retina more thoroughly. While it may feel like an overreaction, it's better to err on the side of caution, especially considering your pre-existing conditions.

In terms of preventative measures, here are some recommendations to help maintain your retinal health:
- Regular Eye Exams: Continue with your annual check-ups, especially since you have high myopia. Your eye doctor can monitor any changes in your retina and provide early intervention if necessary.

- Protective Eyewear: If you engage in activities that pose a risk to your eyes, consider wearing protective eyewear to prevent injuries.

- Healthy Lifestyle Choices: Maintain a diet rich in antioxidants (like leafy greens, fruits, and fish) and stay hydrated. Regular exercise can also improve overall eye health.

- Limit Screen Time: Given the prevalence of digital eye strain, ensure you take regular breaks when using screens. The 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help reduce strain.

In conclusion, while your recent head bump may not necessarily lead to retinal detachment, it is essential to remain vigilant and proactive about your eye health. Scheduling a follow-up with your eye doctor for a thorough examination is a wise decision. Your peace of mind is important, and addressing any concerns promptly can help ensure your vision remains clear and healthy.

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