Can I Wear Contact Lenses with Early Macular Fold Diagnosis? - Ophthalmology

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Can contact lenses be worn in the early stages of macular folds?


Hello, doctor.
I am 22 years old and have just been diagnosed with macular folds.
During my visit to the hospital, the doctor indicated that it is currently in the early stage, and there is no significant vision loss, so I only need to return for follow-up examinations every three to six months to monitor the situation.
I forgot to ask the doctor during my appointment, so I would like to confirm a few points: 1.
Can I wear regular contact lenses during this six-month follow-up period? (My myopia is -600 to -650.) 2.
What methods can I use to care for my eyes or prevent deterioration during this six-month period?

Kennis, 20~29 year old female. Ask Date: 2024/07/15

Dr. He Jianxian reply Ophthalmology


Dear Ms.
Kennis:
1.
Macular folds are a retinal issue and have no correlation with the use of corrective lenses.

2.
Macular folds cannot be prevented from worsening through other means; they can only be monitored and followed up.

Director He Jian-xian, Ophthalmology Department, Nantou Hospital

Reply Date: 2024/07/15

More Info


When it comes to wearing contact lenses with an early diagnosis of macular fold, there are several important considerations to keep in mind. First, it is essential to understand the nature of your condition and how it may interact with the use of contact lenses.

1. Wearing Contact Lenses: Generally, wearing contact lenses should not pose a significant risk if you have been diagnosed with an early macular fold, especially if your vision remains stable and you are not experiencing significant visual impairment. However, it is crucial to consult with your eye care professional before making any decisions. They can provide personalized advice based on the specifics of your condition and overall eye health. If your doctor has not advised against wearing contact lenses, and you are comfortable doing so, you may proceed with caution.
2. Eye Care and Prevention: During the next six months, while you are monitoring your condition, there are several strategies you can adopt to help maintain your eye health and potentially prevent further deterioration:
- Regular Follow-ups: Adhering to your follow-up appointments is crucial. Regular monitoring allows your eye care provider to track any changes in your macular fold and adjust your treatment plan as necessary.

- Protect Your Eyes: Protecting your eyes from UV light is essential. Wearing sunglasses that block 100% of UVA and UVB rays can help reduce the risk of further damage to your retina.

- Healthy Diet: A diet rich in antioxidants, omega-3 fatty acids, and vitamins C and E can support eye health. Foods such as leafy greens, fish, nuts, and fruits are beneficial for maintaining retinal health.

- Manage Screen Time: If you spend a lot of time on screens, take regular breaks to reduce eye strain. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Stay Hydrated: Proper hydration is essential for overall health, including eye health. Ensure you drink enough water throughout the day.

- Avoid Smoking: If you smoke, consider quitting. Smoking is a significant risk factor for various eye diseases, including macular degeneration.

- Monitor Symptoms: Be vigilant about any changes in your vision. If you notice new symptoms, such as increased distortion, flashes of light, or sudden changes in vision, contact your eye care provider immediately.

3. Contact Lens Care: If you decide to wear contact lenses, ensure you practice good hygiene. Always wash your hands before handling your lenses, follow the recommended cleaning and storage procedures, and never wear lenses longer than prescribed. If you experience discomfort or changes in vision while wearing contacts, remove them and consult your eye care professional.

In conclusion, while wearing contact lenses with an early diagnosis of macular fold is generally permissible, it is vital to consult with your eye care provider for tailored advice. Regular monitoring, a healthy lifestyle, and protective measures can help maintain your eye health and potentially prevent further complications. Always prioritize communication with your healthcare provider regarding any concerns or changes in your condition.

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