Vision Problems: Astigmatism and Retinal Holes Explained - Ophthalmology

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Vision problems


Hello, doctor.

1.
I would like to ask about my previous glasses.
One of the lenses has started to cause light sources, such as desk lamps, car headlights, and streetlights, to appear scattered and blurry when I wear them.
However, with my new glasses, this issue is less pronounced.
Could this be due to astigmatism?
2.
I would like to inquire about my retinal tear issue.
Is laser surgery the only option for treating a retinal tear? Can this condition be cured? Because of this issue, I am unable to participate in certain physical activities, and I worry when I go running.
When I visited the doctor, he advised me to stick to walking and avoid other forms of exercise.
I'm only 23 years old, and I feel like I'm being treated like an elderly person.
I'm very concerned about the possibility of losing my vision.
Is there hope for recovery in this situation?

Xiao K, 20~29 year old female. Ask Date: 2009/03/26

Dr. Hu Yusheng reply Ophthalmology


Hello: 1.
The prescription for your glasses is insufficient for your myopia.
2.
It is only a partial fixation.
If you have high myopia, intense exercise is not advisable.
Regular check-ups are important; you will not go blind, so there is no need to worry.
Wishing you peace and health.

Reply Date: 2009/03/26

More Info


Hello! Thank you for your questions regarding astigmatism and retinal holes. Let's address your concerns one by one.

1. Astigmatism and Blurred Vision: The symptoms you describe, such as seeing lights (like lamps or car headlights) as blurry or scattered, can indeed be related to astigmatism. Astigmatism is a common refractive error caused by an irregular shape of the cornea or lens, which prevents light from focusing properly on the retina. This irregularity can lead to distorted or blurred vision at all distances, particularly when looking at point sources of light. When you switched to a new pair of glasses, the lenses may have been better suited to correct your specific degree of astigmatism, which is why you noticed an improvement. It’s essential to have regular eye exams to ensure your prescription is up to date, as changes in vision can occur over time.

2. Retinal Holes and Treatment Options: Regarding your concern about retinal holes, these can be serious and may lead to retinal detachment if not treated properly. Laser surgery is indeed one of the most common treatments for retinal holes. The procedure involves using a laser to create a scar around the hole, which helps to seal it and prevent fluid from entering underneath the retina. This treatment is generally effective, and many patients experience positive outcomes.

It's understandable to feel anxious about your vision, especially at a young age. However, it's important to remember that many people with retinal holes can lead normal lives after treatment. Your doctor’s advice to avoid certain activities, like running, is likely a precaution to prevent any strain on your eyes that could exacerbate the condition. Following your doctor's recommendations is crucial for your eye health.

In terms of whether your condition can be "cured," while laser surgery can effectively treat retinal holes, ongoing monitoring is essential. Regular follow-ups with your eye care professional will help ensure that your retina remains healthy and that any potential issues are caught early.

Additionally, it's worth noting that while you may feel restricted in your activities now, many patients return to their normal routines after treatment. It’s essential to maintain a positive outlook and focus on your recovery.
If you have any further questions or concerns, don’t hesitate to reach out to your eye care provider. They can give you the most personalized advice based on your specific situation. Remember, taking care of your eyes is a lifelong commitment, and staying informed about your condition is a significant part of that process.
In conclusion, both astigmatism and retinal holes are manageable with the right care and treatment. Regular check-ups and following your doctor's advice will help you maintain your vision and overall eye health. Stay proactive about your eye care, and you'll be on the right path to preserving your vision for years to come.

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