Distorted Vision: Should I Revisit My Eye Doctor for High Myopia? - Ophthalmology

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The tiles appear to have a distorted grid pattern?


I feel like the tiles appear distorted, but the grid pattern seems fine.
I'm not sure if this is caused by my lenses.
I had a dilated eye exam in early April, and the doctor mentioned that the examination could only reveal about 90% of the condition, as I have high myopia.
Given this situation, should I consider getting another examination?

Xiao Zhi, 30~39 year old female. Ask Date: 2023/05/21

Dr. Gao Pilin reply Ophthalmology


Hello: If you perceive a distortion in the tiles but there are no issues with the grid pattern, this may be related to your visual condition rather than the lenses themselves.
During a dilated eye exam, the physician may not be able to fully assess the entire state of the eye, especially in cases of high myopia.
The sensation of distortion in the eyes can be associated with various factors, including changes in refractive error, corneal shape abnormalities, retinal issues, and more.
Given your high degree of myopia, further examination may help determine the underlying cause of your condition.
An ophthalmologist can further evaluate your eye health, including the status of the retina and cornea, and provide appropriate recommendations and treatment options based on the findings.

Reply Date: 2023/05/21

More Info


Distorted vision can be a concerning symptom, especially for individuals with high myopia. Given your situation, where you are experiencing distortion when looking at tiled floors but not with grid patterns, it is essential to consider several factors before deciding whether to revisit your eye doctor.

Firstly, high myopia (or severe nearsightedness) can lead to various complications, including retinal changes, which may contribute to visual distortions. The fact that you have already undergone a dilated eye exam in April, where the doctor mentioned that they could only see about 90% of your retina, indicates that there may be underlying issues that could be missed in a standard examination. This is particularly relevant for high myopia patients, as they are at a higher risk for retinal detachment, macular degeneration, and other retinal pathologies.

The distortion you are experiencing could potentially be related to several factors:
1. Lens Issues: If your glasses or contact lenses are not properly prescribed or if they have become scratched or damaged, this could lead to visual distortions. It is essential to ensure that your prescription is up-to-date and that your lenses are in good condition. If you suspect that your lenses might be the cause, consider having them checked or replaced.

2. Retinal Changes: As mentioned earlier, high myopia can lead to changes in the retina that may not be fully visible during a standard examination. If you are experiencing new or worsening symptoms, it is advisable to have a comprehensive eye exam, including a thorough retinal evaluation, to rule out any serious conditions.

3. Visual Processing: Sometimes, the brain may struggle to interpret visual information correctly, especially if there are discrepancies between the two eyes. This can lead to distortions in perception. If you have been experiencing other symptoms, such as headaches or eye strain, this could also be a factor.

4. Other Eye Conditions: Conditions such as astigmatism, cataracts, or even early signs of glaucoma can also contribute to distorted vision. If you have a history of these conditions or if they run in your family, it is crucial to discuss them with your eye care provider.

Given these considerations, it is advisable to revisit your eye doctor, especially since you have noticed a change in your vision. When you do, make sure to communicate all your symptoms clearly, including the specific nature of the distortion, when it occurs, and any other visual changes you have experienced. This information will help your eye doctor determine the best course of action.

In summary, while it is possible that your distorted vision could be related to your lenses, the risk factors associated with high myopia warrant a thorough examination to rule out any serious underlying conditions. Regular follow-ups with your eye care provider are essential for managing high myopia and ensuring your overall eye health. Don't hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your vision is invaluable, and proactive care is crucial in maintaining it.

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