Importance of Regular Eye Exams: Procedures and Concerns

Q: Importance of Regular Eye Exams: Procedures and Concerns

Hello： Turning off the lights to examine the fundus can make it easier for ophthalmologists to observe the details of the retina, but whether the lights are on or off usually does not significantly affect the examination results. <br>This is because ophthalmologists typically use

Regular eye examinations?

Hello, Doctor.
I have approximately 700 degrees of myopia, some mild presbyopia, and floaters.
Since the year before last, I have been going to an ophthalmology clinic for regular check-ups every year.
Each time, I undergo vision tests, intraocular pressure measurements, and dilated fundus examinations.
The results of the past two years have shown that my eyes are more fatigued and dry, but there are no other abnormalities.
However, I noticed that during the fundus examination, the doctor does not specifically dim the lights, which I found puzzling.
On one occasion, when my child's eyelid was injured, we went to a large hospital for a fundus examination, and they did dim the lights for that.
Does the lighting during the examination affect the assessment? Is it sufficient to have annual check-ups that include vision tests, intraocular pressure measurements, and dilated fundus examinations? Are there any additional tests I should request to detect glaucoma or cataracts early? Given my high degree of myopia and the long hours I spend using my eyes for work, I am quite concerned about my eye health.
Thank you, Doctor, for taking the time to respond.

Niming, 40~49 year old female. Ask Date: 2023/05/13

Dr. Gao Pilin reply Ophthalmology

Hello: Turning off the lights to examine the fundus can make it easier for ophthalmologists to observe the details of the retina, but whether the lights are on or off usually does not significantly affect the examination results.
This is because ophthalmologists typically use specialized equipment, such as microscopes and illumination, to observe the details of the fundus.
Regular annual checks of visual acuity, intraocular pressure, and dilated fundus examination are excellent practices, especially for individuals like you with high myopia.
Dilation can enlarge the pupils, allowing the ophthalmologist to more easily examine the fundus for any signs of retinal or optic nerve pathology.

In addition to annual check-ups, if you have concerns about your eye health, you can always inform your ophthalmologist about your condition.
For instance, the ophthalmologist can further assess parameters such as refractive error, corneal thickness, retinal thickness, and retinal nerve fiber layer thickness to evaluate the risk of conditions like glaucoma and cataracts.
Furthermore, if your work requires prolonged computer use, you may want to ask your doctor whether they recommend special glasses or reducing screen time to alleviate eye strain.
Lastly, it is advisable to maintain good lifestyle habits, such as regular exercise, a balanced diet, and adequate sleep, to promote eye health.

Reply Date: 2023/05/13

More Info

Regular eye exams are crucial for maintaining eye health, especially for individuals with high myopia, like yourself, who are at increased risk for various eye conditions. Your proactive approach to scheduling annual eye exams is commendable, as it allows for early detection and management of potential issues.
During a comprehensive eye exam, several procedures are typically performed, including visual acuity tests, intraocular pressure measurements, and dilated fundus examinations. The use of dilating drops is essential, as it allows the eye care professional to get a better view of the retina and optic nerve, which can help in identifying conditions like glaucoma, diabetic retinopathy, and macular degeneration.
Regarding your concern about whether the lights are turned off during the examination, it is important to note that the lighting conditions can indeed affect the quality of the examination. When the lights are dimmed, it allows the doctor to see the retina more clearly, as the contrast between the retina and the surrounding structures is enhanced. This is particularly important for detecting subtle changes or abnormalities. However, many practitioners may choose to keep the lights on for various reasons, including patient comfort and the use of specific equipment that may require ambient light.
Your current regimen of annual exams, including visual acuity, intraocular pressure, and dilated fundus examinations, is generally sufficient for monitoring your eye health. However, given your high myopia and the presence of floaters, it may be beneficial to discuss additional tests with your eye care provider. These could include:
1. Optical Coherence Tomography (OCT): This non-invasive imaging test provides detailed cross-sectional images of the retina, allowing for the detection of early signs of retinal diseases.

2. Visual Field Testing: This test assesses your peripheral vision and can help detect early signs of glaucoma.

3. Fundus Photography: This imaging technique captures detailed pictures of the retina, which can be useful for tracking changes over time.

4. Pachymetry: This test measures the thickness of the cornea, which is important in assessing the risk of glaucoma.

5. Amsler Grid Test: This simple test can help detect macular degeneration by assessing central vision.

Given your concerns about eye fatigue and dryness, it is also advisable to discuss these symptoms with your eye care provider. They may recommend artificial tears or other treatments to alleviate dryness, especially if you spend long hours in front of a computer screen.
In summary, regular eye exams are vital for early detection and management of eye conditions, particularly for individuals with high myopia. While your current examination routine is a good start, consider discussing additional tests with your eye care provider to ensure comprehensive monitoring of your eye health. Always feel free to voice your concerns and ask questions during your appointments, as this can help you feel more informed and engaged in your eye care.

Similar Q&A

Essential Eye Care: Regular Checkups and Important Tests for Vision Health

Hello, I have been nearsighted for the past five years, with my prescription ranging from -3.50 to -5.00 diopters, and I also have astigmatism (50, 100) and floaters. In my daily life, I can drive, read, and use electronic devices (which has a slight impact but is not severe). Du...

Dr. Gao Pilin reply Ophthalmology
Hello: Question 1: Regarding your vision condition, it is recommended that you have an eye examination annually, which includes a refraction test and a fundus examination. Additionally, glaucoma and cataract screenings will be conducted during the visit, and you can discuss wit...

Regular Eye Exams for High Myopia: Which Specialist to See?

Doctor He: Hello, I have high myopia, and I recently saw news reports stating that high myopia increases the risk of retinal detachment, macular degeneration, cataracts, and glaucoma. It is recommended to have a comprehensive eye examination every six months. I just learned that ...

Dr. He Jianxian reply Ophthalmology
You only need to schedule an appointment with a general ophthalmologist and communicate your needs; the appropriate specialist will perform the necessary examinations for you.

Regular Eye Exams: Key to Preventing Retinal Issues and Vision Loss

Does this mean that as long as I regularly undergo check-ups, if any issues with the retina are detected in time, I can receive treatment and avoid severe consequences like blindness? Also, should I just see an ophthalmologist at a major hospital, or is it necessary to consult a ...

Dr. Hu Yusheng reply Ophthalmology
Hello Mr. Hsiao-Feng: 1. Yes. 2. It is best to have an ophthalmic specialist who performs retinal surgeries. Sincerely, Dr. Hu Yu-Sheng, Attending Ophthalmologist.

Essential Eye Exams for High Myopia: Beyond Routine Fundus Checks

Hello, doctor. For individuals with high myopia (1200 degrees), is it sufficient to only have regular fundus examinations, or would you recommend additional tests such as OCT? Thank you.

Dr. Gao Pilin reply Ophthalmology
Hello JJ: Regular eye examinations are essential. As for other tests, you should consult your physician, who will arrange them based on your condition. If the physician does not provide specific recommendations, it is likely unnecessary. The Ophthalmology Department at Puzi Hospi...