Does Weightlifting Increase the Risk of Retinal Detachment?

Does weightlifting cause retinal detachment?

Thank you, Dr.
Wang, for your detailed response.
I would like to ask a few more questions regarding your explanation:
1.
Is a retinal examination equivalent to a routine dilated eye exam performed by an ophthalmologist?
2.
What does it mean to have an allergic constitution? It's quite frightening that even activities like running or sneezing could potentially trigger issues.
My mother's colleague enjoys playing online mahjong, and after playing for too long, it resulted in retinal detachment; it seems there are many possible causes.

3.
Does retinal detachment manifest as a complete loss of vision or a darkening of the visual field? How severe is it? Could you provide more specific information? Is it possible to treat it through surgery, and what are the expected outcomes post-surgery? Is the surgical cost high?
4.
If someone like me gradually increases the intensity of weight training over time rather than lifting heavy weights all at once, could that still lead to retinal detachment? I have a habit of lifting weights and I lift quite heavy, and I am also highly myopic, with one eye around -600 diopters and the other around -700 diopters.
Additionally, I have floaters.
I am unsure if weightlifting could cause retinal detachment.

1.
I consulted an eye doctor who informed me that weightlifting, straining the head, or sneezing does not cause retinal detachment, but external trauma could lead to it.

2.
Recently, I underwent a dilated eye exam at a clinic in Taipei, and while there are no major issues, there are signs of degeneration, which the doctor mentioned is common among individuals with high myopia like myself.
I asked this doctor if weightlifting could cause retinal detachment, and he mentioned that there have been cases.

3.
Regarding this issue, I have also consulted other ophthalmologists, but they did not provide a definitive answer, possibly due to individual differences in constitution or anatomy.

4.
However, I have searched online for related articles, and some state that weightlifting can lead to retinal detachment, which has left me confused.
Ultimately, I enjoy exercising and lifting heavy weights, but I also want to ensure my eyes remain unharmed.
Is there a way to balance both, or a better explanation to clarify this issue? Thank you for your assistance.
Response Date: August 16, 2009
Doctor: Dr.
Wang Chang-chi, Ophthalmology, Taoyuan Hospital
Although there is currently no strong evidence proving that weightlifting causes retinal detachment, there have indeed been cases reported.
This may be related to increased intraocular pressure during lifting or sudden exertion.
Therefore, individuals with myopia greater than -600 diopters and over the age of 40 should avoid activities such as racing, intense amusement rides, running, and bungee jumping.
If you have an allergic constitution, it is important to manage it properly, avoid frequent straining from sneezing, and have a retinal examination at least once a year.

Aixie Jiankang De Ren, 20~29 year old female. Ask Date: 2009/08/17

Dr. Wang Zhangji reply Ophthalmology

1.
After dilation, the area of the retina that can be examined is larger.

2.
If you experience skin itching, sneezing, runny nose, and itchy eyes due to temperature changes, poor air quality, or certain foods, you may have an allergic constitution; it is best to consult an immunologist for further details.

3.
Retinal detachment usually begins in a localized area, so the initial symptoms often present as fixed shadows in a specific location.
However, severe detachment can lead to blindness.
Surgery is available and covered by health insurance, although some materials may require out-of-pocket expenses.
The prognosis depends on the severity of the detachment prior to surgery.

4.
Even with a gradual increase in exercise intensity, lifting a heavy object suddenly can still cause an increase in intraocular pressure and lead to vitreous movement, especially if you are highly myopic.

Reply Date: 2009/08/17

More Info

Weightlifting and its potential relationship with retinal detachment is a topic of significant concern, especially for individuals with high myopia (nearsightedness) or other pre-existing eye conditions. Retinal detachment occurs when the retina, a thin layer of tissue at the back of the eye, separates from its underlying supportive tissue. This condition can lead to permanent vision loss if not treated promptly.

1. Retinal Examination: A retinal examination, often performed during a routine eye check-up, typically includes dilating the pupils to allow the doctor to view the retina more clearly. This is similar to a "scatter" test, where the doctor looks for any signs of retinal tears or detachment. Regular eye exams are crucial, especially for individuals with high myopia, as they are at a higher risk for retinal issues.

2. Allergic Reactions: The term "allergic constitution" refers to individuals who are more prone to allergic reactions, which can manifest in various ways, including sneezing or other physical exertions that may increase intraocular pressure. While sneezing or straining can temporarily elevate eye pressure, it is generally not a direct cause of retinal detachment. However, for those with a predisposition to retinal issues, it is advisable to manage allergies effectively to minimize any potential risks.

3. Symptoms and Severity of Retinal Detachment: Symptoms of retinal detachment can include sudden flashes of light, floaters, or a shadow over the visual field. In severe cases, individuals may experience a complete loss of vision in the affected eye. The severity of retinal detachment can vary, and while some cases may be treated successfully with surgery, others may lead to permanent vision loss. Surgical options include laser therapy or vitrectomy, and the success of these procedures can depend on the extent of the detachment and the timing of the intervention. The cost of surgery can vary widely based on the healthcare system and specific circumstances.

4. Weightlifting and Retinal Detachment: While there is no definitive evidence linking weightlifting directly to retinal detachment, it is known that heavy lifting can increase intraocular pressure. This pressure spike, combined with the physical strain of lifting, may pose a risk for individuals with high myopia or other eye conditions. Gradually increasing the weight you lift, rather than making sudden jumps, may help mitigate some risks. However, it is essential to listen to your body and consult with a healthcare professional regarding your specific situation.

In conclusion, while weightlifting does not have a universally established link to retinal detachment, individuals with high myopia or other risk factors should exercise caution. Regular eye examinations, managing allergies, and being mindful of physical exertion are critical steps in maintaining eye health. If you have concerns about your eye condition or the impact of weightlifting on your vision, it is advisable to discuss these with an eye care professional who can provide personalized guidance based on your health history and current condition.

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