Retinal Detachment: Insights and Concerns for High Myopia Patients

Retinal detachment

Hello Doctor, I am highly myopic and have had floaters for about ten years.
At the end of July this year, I suddenly noticed an increase in the dark shadows and light spots in my eyes, so I went to National Taiwan University Hospital for a fundus examination.
The doctor told me that my retina would tear within a month and advised me to return for a follow-up in a month.
I was very anxious.
A few days later, I went to Chang Gung Memorial Hospital for another examination, and the doctor said that there were currently no signs of a tear and advised me to return in six months.
A few days later, I visited Shutian Clinic, and the doctor also told me not to worry too much.
Why do the doctors have different opinions? If there is indeed a tear, what would the flashes look like? If I really need to undergo retinal detachment surgery, will I be able to recover my original vision? I take lutein and vitamins A and E daily, and I also drink goji berry water; how effective are these really? Do I really not need to be too anxious? Lastly, thank you for taking the time to answer my questions.

Shou Shou, 20~29 year old female. Ask Date: 2006/08/05

Dr. Zhang Yanrui reply Ophthalmology

From your medical records, it is noted that during your examination at National Taiwan University Hospital, there were severe changes in your retina, possibly due to vitreous traction.
However, this condition is temporary.
If the vitreous and retina successfully separate without causing a tear, it will not lead to retinal detachment in the future.
Your examination at Chang Gung Memorial Hospital may reflect this situation, which is reassuring for now.
Nonetheless, it is still recommended to have retinal examinations every six months to detect any new changes early.
The nutrients you mentioned are very beneficial for retinal health and can help prevent degeneration, but they have little impact on retinal changes associated with high myopia.
Therefore, in addition to appropriate supplementation, regular check-ups remain essential.

Reply Date: 2006/08/05

More Info

Understanding retinal detachment is crucial, especially for individuals with high myopia, as they are at a higher risk for various retinal issues, including retinal tears and detachments. Your concerns are valid, and it’s important to address them comprehensively.

Firstly, the discrepancy in opinions from different doctors can be attributed to several factors. Each physician may have different levels of experience, diagnostic tools, and interpretations of the same findings. Retinal health can be complex, and subtle changes may not be immediately apparent. The presence of floaters (or "flying mosquitoes") is common in high myopia and can increase with age or changes in the vitreous gel of the eye. However, an increase in floaters, especially if accompanied by flashes of light or a shadow in your vision, can indicate potential retinal issues.

Flashes of light, often described as "lightning streaks," occur when the vitreous gel pulls on the retina. If you experience these flashes, it’s essential to monitor them closely. If they become more frequent or are accompanied by a sudden increase in floaters or a curtain-like shadow in your peripheral vision, it’s crucial to seek immediate medical attention, as these could be signs of a retinal tear or detachment.

Regarding the surgical intervention for retinal detachment, the success of restoring vision largely depends on the timing and extent of the detachment. If the detachment is caught early and treated promptly, many patients can regain a significant portion of their vision. However, if the detachment is extensive or has been present for a longer duration, the prognosis may be less favorable. It’s essential to have open discussions with your ophthalmologist about your specific situation and the potential outcomes of surgery.

As for the supplements you mentioned—lutein, vitamin A, and vitamin E—these are often promoted for eye health. Lutein is known for its role in protecting the retina from oxidative stress and may help in maintaining overall eye health. Vitamins A and E are also important for vision, particularly in maintaining the health of the retina. However, while these supplements can contribute to general eye health, they are not a substitute for regular eye examinations or treatments prescribed by your eye care professional. Their effectiveness can vary from person to person, and they should be viewed as part of a broader approach to eye health, which includes a balanced diet, proper hydration, and regular check-ups.

In conclusion, while it’s natural to feel anxious about your eye health, especially with conflicting medical opinions, it’s crucial to stay vigilant and proactive. Continue to monitor your symptoms, adhere to follow-up appointments, and maintain open communication with your healthcare providers. If you ever feel uncertain or if your symptoms change, don’t hesitate to seek a second opinion or further evaluation. Your vision is invaluable, and taking these steps can help ensure that you maintain the best possible eye health.

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