Retinal Proliferation: Concerns and Treatment Options

Q: Retinal Proliferation: Concerns and Treatment Options

Hello： Proliferative retinopathy is more commonly seen in patients with diabetes. <br>Fluorescein angiography is not a surgical procedure; it is a diagnostic test that uses a contrast agent. <br>Although there is a potential for serious side effects, the likelihood is very low. <

Retinal proliferation?!

Hello Dr.
Wang, my mother has been experiencing frequent falls while walking and has always felt that her vision is poor.
Last week, she sought medical attention due to redness and swelling in her eyes, and during a vision check, it was found that her corrected vision in the right eye is only 0.2.
After further examinations, the doctor mentioned a possibility of "retinal proliferation" and that she needs to undergo a type of "fluorescein angiography" for further evaluation.
However, the appointment for this test is scheduled for next week, and we will have to wait another two weeks for the results.
I am very worried and would like to ask the doctor a few questions (as eye problems can have significant impacts, and my mother loves to paint, so her vision is very important).
Thank you in advance for your responses!
1.
Does this condition require surgery? What is the likelihood of success? Are there other treatment options? Is there a chance of recurrence?
2.
My mother mentioned that when she looks at things with her left eye, everything appears normal, but when she uses her right eye, the objects appear distorted.
Could this be due to retinal proliferation? Could her frequent falls or tripping be related to this? (She previously suspected it might be due to ear imbalance, but all tests came back normal.)
3.
My mother has had myopia of about 700-800 degrees since she was young, and now at 63 years old, she also has presbyopia.
Is there a connection to her current condition, and how can it be prevented?
Thank you again for your guidance, and I wish you good health and happiness!

danxin mama, 30~39 year old female. Ask Date: 2004/02/25

Dr. Wang Zhangji reply Ophthalmology

Hello: Proliferative retinopathy is more commonly seen in patients with diabetes.
Fluorescein angiography is not a surgical procedure; it is a diagnostic test that uses a contrast agent.
Although there is a potential for serious side effects, the likelihood is very low.
Retinal distortion often leads to image distortion, and high myopia indeed increases the risk of retinal disease.
Only through regular examinations and early treatment can we prevent more severe complications.
Sincerely, Dr.
Wang Zhang-ji, Department of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/02/25

More Info

Understanding retinal proliferation, particularly in the context of your mother's situation, is crucial for addressing her vision concerns and overall eye health. Retinal proliferation, often associated with conditions like diabetic retinopathy or age-related macular degeneration, can lead to significant visual impairment if not managed appropriately.
1. Surgical Intervention and Treatment Options: Whether surgery is necessary depends on the severity and specific characteristics of the retinal proliferation. In many cases, treatments may include laser therapy, intravitreal injections of medications, or surgical procedures like vitrectomy. The success rates for these treatments can be quite high, especially when the condition is diagnosed early. However, the potential for recurrence exists, particularly if the underlying causes (like diabetes or hypertension) are not controlled. Regular follow-ups with an ophthalmologist are essential to monitor the condition and adjust treatment as necessary.

2. Visual Distortion and Falls: The visual distortion your mother experiences when using her right eye could indeed be linked to retinal proliferation. This condition can cause changes in how images are processed, leading to symptoms like blurriness or distortion. Additionally, her frequent falls may be related to her compromised vision. Poor visual acuity can significantly impact balance and spatial awareness, increasing the risk of falls. It’s important to address these visual issues promptly, as they can lead to further complications, including injuries.

3. Myopia and Age-Related Changes: Your mother's history of high myopia (nearsightedness) and presbyopia (age-related difficulty in focusing on close objects) can contribute to her current eye issues. High myopia is a known risk factor for various retinal problems, including retinal detachment and proliferative vitreoretinopathy. While age-related changes are inevitable, maintaining regular eye exams can help catch any developing issues early. Preventive measures include managing systemic health conditions (like diabetes and hypertension), maintaining a healthy diet rich in antioxidants, and protecting the eyes from UV light with appropriate eyewear.

In summary, it is essential to follow up with the recommended fluorescein angiography to get a clearer picture of the retinal condition. This test will help determine the extent of the proliferation and guide treatment decisions. Encourage your mother to maintain a healthy lifestyle and adhere to her follow-up appointments. Early intervention can make a significant difference in preserving her vision and quality of life. If you have further concerns or questions, don’t hesitate to reach out to her ophthalmologist for more personalized advice.

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