Can People with High Myopia and Floaters Safely Skydive? - Ophthalmology

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Can individuals with high myopia and floaters go skydiving? Is there a risk of retinal detachment?


Hello, doctor: I have myopia in both eyes of about 600 diopters.
Last year, I experienced discomfort in my eyes and was diagnosed with seasonal allergies, elevated intraocular pressure (23 mmHg in the left eye and 27 mmHg in the right eye), physiological floaters, and mild dry eye.
1.
I have undergone several fundus examinations, confirming that there are no issues with the retina or macula.
2.
Since I was in a nearly dark environment at the time, the brightness in my left eye was less than in my right eye, so I also had a glaucoma test (the nurse asked me to focus on a perfect circle, and then a very bright instrument flashed).
The doctor initially told me not to worry about glaucoma and prescribed eye drops to lower the intraocular pressure.
Currently, my intraocular pressure is maintained between 17 and 20 mmHg.
After using the drops for a year, I couldn't help but ask the doctor how long I would need to continue.
He then mentioned, "The optic nerve seems to have a very slight flattening; it's uncertain whether there is any damage.
It appears to be on the borderline of having glaucoma, but to prevent unnecessary risks, we will continue the eye drops." Should I undergo more in-depth examinations? By the way, there is no family history of retinal detachment, glaucoma, or macular diseases.
3.
Regarding the dry eye, I initially experienced a foreign body sensation, which later turned into itching, but now I have no symptoms.
Does this mean I have recovered? Can I still go skydiving? Is there a risk of retinal detachment at an altitude of about 10,000 feet?

Jiao lü de ren, 20~29 year old female. Ask Date: 2023/11/18

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Regarding the issues of elevated intraocular pressure and optic nerve abnormalities: Maintaining stable intraocular pressure is crucial in preventing the progression of glaucoma.
Continuous monitoring of eye health is essential, and the physician will conduct appropriate examinations based on the situation.
2.
Improvement of dry eye symptoms: When dry eye symptoms lessen and disappear, it usually indicates signs of treatment effectiveness or natural healing.
However, even if symptoms resolve, regular follow-ups and check-ups are still recommended to ensure the stability of eye health.
3.
The risks of skydiving and retinal detachment: Skydiving itself does not directly cause retinal detachment.
However, if you have any underlying issues with your eyes, such as optic nerve abnormalities or other retinal-related problems, changes in altitude and pressure may increase the potential risk.

Reply Date: 2023/11/18

More Info


When considering whether individuals with high myopia and floaters can safely skydive, several factors must be taken into account. High myopia, defined as a refractive error greater than -6.00 diopters, can increase the risk of retinal complications, including retinal detachment. Additionally, the presence of floaters, which are often benign but can indicate underlying retinal issues, adds another layer of concern.

1. Risk Assessment: For individuals with high myopia, the risk of retinal detachment during activities that involve rapid changes in pressure or intense physical exertion, such as skydiving, is a valid concern. The forces experienced during free fall and the sudden changes in altitude can potentially exacerbate existing retinal vulnerabilities. However, if you have undergone thorough eye examinations, including assessments of the retina and macula, and have been cleared by an ophthalmologist, the risk may be comparable to that of individuals without high myopia. It is crucial to communicate your specific eye condition to the medical professional conducting the assessment before participating in such activities.

2. Precautions: If you receive medical clearance to skydive, there are several precautions you should consider. First, ensure that you are using appropriate eye protection, such as goggles, to shield your eyes from wind and debris during the jump. Additionally, it may be wise to avoid any activities that could lead to excessive strain on your eyes, such as holding your breath or straining during the jump. Staying hydrated and maintaining overall health can also contribute to reducing the risk of complications.

3. Future Extreme Sports: Regarding participation in other extreme sports, the same principles apply. Each activity should be evaluated based on its specific risks and your individual eye health. Activities that involve high impact or rapid changes in altitude should be approached with caution. Always consult with your ophthalmologist or a healthcare provider familiar with your eye condition before engaging in new sports or activities.

4. Ongoing Monitoring: Given your history of elevated intraocular pressure and the potential for subtle changes in your optic nerve, it is advisable to continue regular follow-ups with your eye care provider. If you notice any new symptoms, such as an increase in floaters, flashes of light, or changes in vision, seek immediate medical attention. Regular monitoring will help ensure that any potential issues are addressed promptly.

5. Dry Eye Management: Regarding your dry eye symptoms, it appears that your condition may have improved since you no longer experience discomfort. However, it is essential to maintain good eye hygiene and consider using artificial tears or other lubricating agents as needed, especially in environments that may exacerbate dryness.

In conclusion, while individuals with high myopia and floaters can potentially skydive, it is imperative to undergo a thorough evaluation by an eye care professional. If cleared, taking appropriate precautions and maintaining ongoing monitoring of your eye health will help mitigate risks associated with skydiving and other extreme sports. Always prioritize communication with your healthcare providers to ensure your safety and well-being.

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