Macular issues?
Hello Dr.
Hu,
I would like to ask about an issue I've been experiencing.
I noticed that the center of my left eye has been somewhat cloudy since after the Lunar New Year.
Since it's only one eye, it was difficult to detect at first, and I’m unsure when this started.
However, during a check-up in September of last year, my left eye's vision was still normal, so I’m not sure when the cell degeneration occurred (as one doctor has currently suggested).
My fundus photography appeared normal, there are no signs of neovascularization, and my visual field test results were also normal.
I really can't understand why the center appears white and unclear, as the information I found indicates that macular degeneration typically presents as a dark spot in the center.
I previously had examinations at Cathay General Hospital in Taipei and at Maokong, where both visual field and fundus tests were normal.
The doctors seem to have difficulty explaining my condition.
Currently, only Dr.
Liu Kuan-yung from Cathay has described my issue as central vision loss due to macular cell degeneration.
I have a senior who has a similar condition, but theirs was caused by identifiable factors leading to cell death or degeneration.
My biggest concern is that I haven’t done anything unusual; I don’t stay up late, maintain a normal lifestyle, take good care of my health, and haven’t experienced any external trauma.
So, I find it very strange that the cells would suddenly degenerate.
I am particularly worried because the doctors cannot explain the reason for the degeneration.
I fear that if the cause remains unknown, the degeneration might continue.
Is it possible that there is an issue with another part of my body that I am unaware of, which could be affecting my eyes? Therefore, I would like to ask for your advice, Dr.
Hu, on what I should do next.
I am going to Cathay General Hospital in Taipei and Maokong because the doctor I saw in Hsinchu couldn't determine the cause and referred me there.
lujol, 20~29 year old female. Ask Date: 2005/03/24
Dr. Hu Yusheng reply Ophthalmology
Hello: Your symptoms require further differentiation to determine if they are indeed related to retinal issues.
The retina in the eye functions similarly to the film in a camera; however, the performance of a camera is influenced by more than just the quality of the film.
I recommend that you bring your fundus photography and visual field test reports to my clinic for further examination and diagnosis.
Thank you.
Sincerely, Dr.
Hu Yu-Sheng, Ophthalmologist.
Reply Date: 2005/03/24
More Info
Hello! Thank you for reaching out with your concerns regarding your eye health, specifically related to the symptoms you are experiencing with your left eye. It sounds like you are dealing with a complex situation, and I will do my best to provide you with a comprehensive understanding of macular degeneration, its potential causes, and what steps you can take moving forward.
Macular degeneration, particularly age-related macular degeneration (AMD), is a condition that affects the macula, the central part of the retina responsible for sharp, detailed vision. It can lead to a gradual loss of central vision, which may manifest as blurriness, dark spots, or distortion in the central field of vision. However, it’s important to note that not all cases of central vision loss are due to macular degeneration, and your symptoms may have different underlying causes.
From your description, it seems that you have experienced a sudden change in your vision, specifically a "foggy" area in the center of your left eye. This can be concerning, especially since you mentioned that your vision was normal during your last check-up in September. The fact that your eye examinations, including fundus photography and visual field tests, have returned normal results is reassuring, but it does not completely rule out the possibility of macular degeneration or other retinal issues.
There are several potential causes for the symptoms you are experiencing:
1. Macular Degeneration: While you mentioned that your symptoms do not align perfectly with typical macular degeneration (which often presents as dark spots), it is still a possibility. AMD can sometimes present with subtle changes before more pronounced symptoms develop.
2. Retinal Issues: Conditions such as retinal detachment or epiretinal membranes can lead to similar symptoms. These conditions may not always be evident in initial examinations, especially if they are in the early stages.
3. Other Health Conditions: Systemic health issues, such as diabetes or hypertension, can affect eye health and lead to changes in vision. It’s essential to consider your overall health and any other symptoms you may be experiencing.
4. Genetic Factors: Some individuals may have a predisposition to retinal conditions due to genetic factors, even if they lead a healthy lifestyle.
Given your concerns about the potential for ongoing degeneration, it is crucial to maintain regular follow-ups with your eye care professionals. Here are some steps you can take:
- Regular Eye Exams: Continue to have your eyes examined regularly, especially since you have been referred to specialists at a larger hospital. They may have access to advanced imaging techniques that can provide more insight into your condition.
- Monitor Symptoms: Keep track of any changes in your vision, including the size and clarity of the foggy area. Documenting these changes can help your doctors assess the progression of your condition.
- Healthy Lifestyle: Maintain a healthy diet rich in antioxidants (such as leafy greens, fish, and nuts), stay hydrated, and avoid smoking, as these factors can contribute to overall eye health.
- Discuss Concerns: Don’t hesitate to express your concerns with your healthcare providers. They can provide you with more information about your condition and potential treatment options.
- Consider Second Opinions: If you feel uncertain about the explanations provided by your current doctors, seeking a second opinion from another specialist may help clarify your situation.
In conclusion, while it can be distressing to experience sudden changes in vision, there are various potential explanations for your symptoms. By staying proactive about your eye health and maintaining open communication with your healthcare providers, you can work towards understanding and managing your condition effectively. Remember, early detection and intervention are key in preserving your vision and overall eye health.
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