Retinal Wrinkles: Can They Improve on Their Own? - Ophthalmology

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Retinal folds


Hello Doctor, a few days ago I asked you the following question: (Hello Doctor, in March I noticed that when I looked at the Amsler grid with my left eye, straight lines appeared slightly distorted when gazing to the side.
I later visited an ophthalmologist who mentioned a small retinal fold, and I underwent laser treatment at that time.
Subsequently, I had a brain CT scan which showed no abnormalities.
Three days ago, during a follow-up visit with dilation, the doctor said the laser treatment had stabilized and there were no additional tears.
However, after returning home and looking at the grid again, I noticed that there is still some distortion when looking to the left with my left eye (though it hasn't worsened).
Is this normal? Response from Dr.
Gao Pi-Lin, Ophthalmologist: Hello, first of all, even though the retinal fold has been treated and stabilized with laser therapy, the structure of the retina may still have some underlying pathology, as the laser only fixes it rather than restoring it to its original state.
This may lead to continued perception of some distortion or metamorphopsia.
In summary, it is not uncommon to experience slight distortion after treatment, but it is important to continue monitoring these changes.
If there are any significant changes, please consult an ophthalmologist for further evaluation to ensure your eye health.) I would like to ask the doctor if it is possible for the retinal fold to improve on its own?

Huan, 20~29 year old female. Ask Date: 2024/05/15

Dr. Gao Pilin reply Ophthalmology


Hello: Retinal folds will not improve on their own, and if they significantly affect vision, surgery may be necessary for improvement.

Reply Date: 2024/05/15

More Info


Retinal wrinkles, also known as retinal folds or retinal distortions, can be a concerning issue for many patients. These wrinkles can occur due to various reasons, including age-related changes, trauma, or underlying eye conditions. In your case, it seems that you have already undergone laser treatment to stabilize the retinal condition, which is a positive step in managing the issue.

To address your question about whether retinal wrinkles can improve on their own, it is important to understand the nature of these changes. Once a retinal wrinkle has formed, it is often a sign of underlying structural changes in the retina. While some minor distortions may stabilize or even improve slightly over time, significant improvement without intervention is less common. The laser treatment you received is designed to prevent further complications, such as retinal detachment, but it does not necessarily restore the retina to its original state.

In many cases, patients may continue to experience some degree of distortion or visual changes even after treatment. This is because the laser procedure helps to secure the retina but does not reverse the existing structural changes. Therefore, it is not unusual for you to still perceive some distortion in your vision, particularly when looking at straight lines, such as those on an Amsler grid.

It is crucial to maintain regular follow-ups with your eye care provider to monitor the condition of your retina. If you notice any significant changes in your vision, such as an increase in distortion, new flashes of light, or a sudden increase in floaters, you should seek immediate medical attention. These could be signs of complications that may require further intervention.

In terms of self-management, there are a few strategies you can consider to help cope with the visual distortions:
1. Visual Rehabilitation: Working with a low-vision specialist can help you adapt to changes in your vision. They can provide tools and techniques to improve your daily functioning despite the distortions.

2. Lighting and Contrast: Adjusting your environment to enhance lighting and contrast can help improve your ability to see clearly. Using brighter lights and high-contrast materials may reduce the impact of visual distortions.

3. Eye Exercises: While there is limited evidence that eye exercises can directly improve retinal conditions, some patients find that practicing relaxation techniques or visual exercises can help reduce eye strain and improve overall comfort.

4. Healthy Lifestyle: Maintaining a healthy diet rich in antioxidants, such as leafy greens and fish, can support overall eye health. Regular exercise and avoiding smoking are also beneficial.

5. Stress Management: Anxiety about your vision can exacerbate your perception of distortions. Engaging in stress-reducing activities, such as yoga or meditation, may help you cope better with your condition.

In conclusion, while retinal wrinkles may not improve significantly on their own, ongoing monitoring and appropriate management can help you adapt to the changes. It is essential to stay in close contact with your eye care provider to ensure that any potential complications are addressed promptly. Remember, your vision is vital, and taking proactive steps to manage your eye health is crucial for maintaining your quality of life.

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