Can Heated Eye Masks Cause Retinal Tears? Expert Insights for High Myopia

Q: Can Heated Eye Masks Cause Retinal Tears? Expert Insights for High Myopia

Hello： A warm compress eye mask generally does not directly cause retinal tears; however, if you apply excessive pressure while massaging the eyes during the warm compress, or if improper methods are used, such as prolonged duration or excessively high temperatures, it may cause

Will a heated eye mask cause retinal tears?

Hello, Dr.
Gao.
I am the engineer with high myopia (both eyes over -10.00 diopters, peripheral retinal thinning) who previously asked a question.
On March 24, I underwent a dilated eye examination at an ophthalmology clinic and discovered a hole in my right eye, which was subsequently treated with laser repair.
Today, I noticed some dryness and discomfort in my left eye, so I used a steam eye mask for warm compress: https://reurl.cc/DmYrd6.
However, I came across news reports indicating that warm compresses combined with massage can lead to retinal tears: https://health.ettoday.net/news/1383941.
During the warm compress, I did not apply any significant pressure to my eyes; I simply wore the mask, but I felt that the mask might have slightly pressed against my eyeball.
Given my condition, is it advisable for me to use this type of steam warm compress product? Should I undergo another dilated fundus examination? I have already had several checks in March...

Gao Du Jin Shi Gong Cheng Shi, 30~39 year old female. Ask Date: 2023/04/02

Dr. Gao Pilin reply Ophthalmology

Hello: A warm compress eye mask generally does not directly cause retinal tears; however, if you apply excessive pressure while massaging the eyes during the warm compress, or if improper methods are used, such as prolonged duration or excessively high temperatures, it may cause damage to the eyes.
You have already undergone a dilated fundus examination and received laser repair in your right eye.
Therefore, you may temporarily refrain from further dilated fundus examinations unless any abnormalities occur.

Reply Date: 2023/04/02

More Info

Using heated eye masks can be a soothing remedy for dry eyes, especially for individuals with high myopia. However, your concern about the potential risks associated with their use, particularly regarding retinal tears, is valid and deserves careful consideration.

Understanding Retinal Tears and High Myopia
High myopia, defined as a refractive error greater than -6.00 diopters, is associated with various ocular complications, including retinal tears and detachments. The risk of these complications increases with the degree of myopia due to the elongation of the eyeball, which can lead to thinning of the retina, especially in the peripheral regions. In your case, with a history of retinal holes and laser repair, it is crucial to be cautious with any activity that could potentially exert pressure on the eye.

Heated Eye Masks and Their Effects
Heated eye masks are designed to provide warmth and moisture to the eyes, which can help alleviate symptoms of dry eyes and improve comfort. However, if the mask exerts pressure on the eyeball, it could theoretically pose a risk, particularly for someone with existing retinal vulnerabilities. The concern arises from the fact that increased intraocular pressure or mechanical stress on the eye could contribute to retinal complications.

Recommendations for Use
1. Avoid Excessive Pressure: If you feel that the heated eye mask is applying pressure to your eyeball, it is advisable to discontinue its use. The mask should fit comfortably without pressing against the eyes.

2. Monitor Symptoms: After using the mask, pay attention to any changes in your vision or any new symptoms, such as flashes of light, floaters, or increased discomfort. If you experience any of these, seek immediate evaluation from an eye care professional.

3. Consult Your Eye Doctor: Given your history of retinal issues, it would be prudent to consult your ophthalmologist about the use of heated eye masks. They can provide personalized advice based on your specific condition and the current state of your eyes.

4. Regular Eye Examinations: Since you have already undergone multiple examinations, maintaining regular follow-ups is essential. Your doctor may recommend more frequent checks if they identify any changes in your retinal health.

5. Alternative Treatments: If heated eye masks are deemed unsuitable, consider other methods for managing dry eyes, such as artificial tears, warm compresses that do not apply pressure, or humidifiers to increase moisture in your environment.

Conclusion
While heated eye masks can provide relief for dry eyes, caution is warranted for individuals with high myopia and a history of retinal issues. The key is to ensure that any product used does not apply undue pressure to the eyes. Always prioritize communication with your eye care provider to ensure that your treatment choices align with your ocular health needs. If you have any doubts or experience discomfort, do not hesitate to seek further evaluation. Your vision is invaluable, and proactive management is essential in preserving it.

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