Amsler Grid: Assessing Macular Health and Vision Changes - Ophthalmology

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Amsler grid?


Hello Doctor, last year I felt that my floaters had worsened, so I went to a clinic for a fundus examination and also underwent an Amsler grid test.
At that time, there were no significant issues with my retina, and the doctor did not specifically mention any macular degeneration.
However, tonight when I got home and looked at the Amsler grid on my phone, I noticed that the straight lines appeared slightly wavy.
I would like to ask, as I just turned 20 years old and have myopia of -4.50 and -4.25 diopters in both eyes, is there a possibility of macular degeneration in this situation? Additionally, can eye fatigue affect the results of the Amsler grid test? If it is macular degeneration, what is the fastest time frame in which one could experience vision loss? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2024/02/29

Dr. Cai Wenyuan reply Ophthalmology


Observe the symptoms, and if they persist, seek medical evaluation.

Reply Date: 2024/02/29

More Info


Hello! Thank you for your questions regarding the Amsler grid and your concerns about macular health. It's great that you're taking an active role in monitoring your vision, especially given your history of floaters and myopia.

First, let's address your observation of the Amsler grid. The Amsler grid is a valuable tool for detecting changes in the macula, which is the central part of the retina responsible for sharp, detailed vision. When you notice slight waviness in the lines of the grid, it can be concerning, but it does not automatically indicate macular degeneration or other serious conditions.
At the age of 20 with myopia of 450 and 425 degrees, the likelihood of having significant macular degeneration is relatively low, especially if your previous eye examinations, including the Amsler grid test, showed no abnormalities. However, it's important to note that myopia can lead to changes in the retina over time, including the potential for retinal detachment or other complications, but these are typically more common in higher degrees of myopia.

Regarding your question about eye fatigue, yes, it can significantly affect your perception of the Amsler grid. Prolonged screen time, especially on mobile devices, can lead to visual fatigue, which may cause temporary distortions in your vision, including waviness or blurriness. This is often due to the strain on the eye muscles and can be exacerbated by factors such as poor lighting, glare, or improper viewing distances. Taking regular breaks and practicing the 20-20-20 rule—looking at something 20 feet away for 20 seconds every 20 minutes—can help alleviate this strain.

As for your concern about the progression of macular degeneration and the potential for vision loss, it is essential to understand that the progression of such conditions varies widely among individuals. If macular degeneration were to occur, it typically progresses slowly, and many people maintain good vision for years. However, in some cases, it can lead to significant vision loss over time. Regular monitoring and follow-up with your eye care professional are crucial for early detection and management of any potential issues.

If you continue to notice changes in your vision, such as the waviness in the Amsler grid, or if you experience any new symptoms, it is advisable to schedule a follow-up appointment with your eye doctor. They may recommend further testing or monitoring to ensure your eye health remains stable.

In summary, while your current symptoms may be related to eye fatigue rather than macular degeneration, it is always best to err on the side of caution and consult with your eye care provider if you have any concerns. Regular eye exams and being proactive about your eye health are key to maintaining good vision, especially with myopia. Thank you for your questions, and I hope this information helps clarify your concerns!

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