Overcoming the Fear of Retinal Detachment: Common Concerns and Symptoms - Ophthalmology

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Fear of retinal detachment?


Last year, I sought medical attention due to seeing floaters in my vision, and upon examination, a retinal tear was discovered in my right eye.
It was successfully treated with laser therapy and has healed well.
However, since then, I have been fearful of retinal detachment and have frequently visited doctors for various eye issues.
They have all reassured me that there are no problems but advised me to stay vigilant.
Currently, I have the following concerns:
1.
I sometimes notice that the corner of my right eye appears dark when I turn my head, but it returns to normal immediately after turning.
Additionally, I occasionally perceive light in that same area when my eyes are closed.
Should I be particularly concerned about this? I also experience floaters, so I feel this may not be related to them, and I hope the doctor can explain this to me.
2.
What is the typical time frame from the onset of symptoms to complete retinal detachment? I am very anxious about the possibility of symptoms appearing in situations where I cannot seek help, such as late at night.
3.
Additionally, I occasionally experience eye fatigue and headaches at night.
Could this be a symptom of high intraocular pressure? My eye pressure has always been normal during ophthalmology visits, so I assume I should not have issues with glaucoma, which leaves me feeling confused.
I would appreciate the doctor's insights on these questions.
Thank you.

Niming, 20~29 year old female. Ask Date: 2023/04/08

Dr. He Jianxian reply Ophthalmology


Hello, Anonymous: Since you regularly undergo dilated fundus examinations, you don't need to be overly anxious about retinal detachment.
The related precursor symptoms include a sudden increase in floaters or frequent occurrences of "flashes" in your vision.
If you experience any of these symptoms, it's important to get checked promptly.
Additionally, having symptoms does not necessarily mean that detachment will occur.
Unless the intraocular pressure is elevated to 30-40 mmHg, we typically cannot perceive it.
Your symptoms are likely due to eye fatigue.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2023/04/08

More Info


Your concerns about retinal detachment and its associated risks are completely understandable, especially given your recent experiences with eye issues. Retinal detachment can indeed lead to severe vision loss if not addressed promptly, but it's important to remember that not every symptom or concern indicates an impending detachment. Let's address your questions one by one.

1. Black Spots in Peripheral Vision: The phenomenon of seeing a dark area in your peripheral vision when turning your head could be related to several factors. It might be a transient visual disturbance, which can occur due to changes in blood flow or pressure in the eye, particularly if you have a history of retinal issues. However, if this happens frequently or is accompanied by flashes of light or a significant increase in floaters, it would be prudent to consult your eye doctor for a thorough examination. The sensation of light when your eyes are closed could be related to the way your retina is processing visual information, but again, if it’s concerning you, it’s best to have it checked.

2. Timeframe from Symptoms to Retinal Detachment: The time from the onset of symptoms (like flashes of light or an increase in floaters) to a complete retinal detachment can vary significantly from person to person. In some cases, it can happen within days, while in others, it may take weeks or longer. Symptoms such as a sudden increase in floaters, flashes of light, or a shadow or curtain over your vision should be treated as emergencies. If you experience these symptoms, seek immediate medical attention, regardless of the time of day.

3. Eye Fatigue and Headaches: Experiencing eye fatigue and headaches, especially after prolonged periods of focusing (like working on a computer), is common and often related to digital eye strain or fatigue rather than high intraocular pressure. While elevated eye pressure can lead to glaucoma, your regular eye exams showing normal pressure are reassuring. However, if you continue to experience these symptoms, it may be beneficial to discuss them with your eye care provider. They might suggest strategies for managing eye strain, such as the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) or adjusting your workspace ergonomics.


Additional Considerations
Given your history of retinal issues, it’s essential to maintain regular follow-ups with your ophthalmologist. They can monitor your eye health and address any new symptoms promptly. It's also important to manage anxiety related to your eye health. Here are some strategies to help you cope:
- Education: Understanding your condition can reduce fear. Knowing the signs of retinal detachment and what to do can empower you.

- Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep-breathing exercises can help manage anxiety.

- Support Groups: Connecting with others who have similar experiences can provide comfort and practical advice.

- Professional Help: If your anxiety about your vision is overwhelming, consider speaking with a mental health professional who can help you develop coping strategies.

In conclusion, while your concerns about retinal detachment are valid, it’s crucial to focus on the facts and maintain open communication with your healthcare providers. Regular check-ups and being aware of your symptoms will help you manage your eye health effectively. Remember, many people live with similar conditions and lead fulfilling lives.

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