Does Physical Activity Affect Retinal Health? Expert Insights - Ophthalmology

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Does daily activity affect the retina?


Dear Director Hu,
I underwent retinal reattachment surgery and laser treatment for my left eye in 2007, and I also had laser treatment for my right eye in the same year.
I would like to ask you the following questions:
1.
During sexual activity with my girlfriend, I feel that the muscles near the upper left area of my left eye (around the temple) are more tense.
Could this affect the retina or other parts of my left eye? Should I avoid excessive excitement during sexual activity with my girlfriend?
2.
You previously advised me to avoid pressing or rubbing my eyes.
Sometimes when I sleep, my body and head lie on the side, causing the outer corner or the eyeball to press against the pillow.
Could this impact the retina of my eye? Should I avoid this position?
Thank you for your assistance.

Xiao Lai, 30~39 year old female. Ask Date: 2010/03/29

Dr. Hu Yusheng reply Ophthalmology


Hello Mr.
Lai: 1.
Relax, there's no need to worry too much.
2.
It's okay to apply pressure at the outer corners of the eyes, but try to avoid putting pressure on the eyeball itself.

Reply Date: 2010/03/29

More Info


Physical activity can indeed have an impact on retinal health, especially for individuals with a history of retinal surgery or other ocular conditions. In your case, having undergone retinal reattachment surgery and laser treatment, it is crucial to be mindful of activities that may exert undue stress on your eyes.

1. Sexual Activity and Eye Strain: Engaging in sexual activity can lead to increased heart rate and blood pressure, which may cause temporary changes in the eye, including muscle tension around the eyes. If you are experiencing tightness in the muscles near your left eye during these activities, it is essential to monitor this sensation. While moderate excitement during sexual activity is generally safe, excessive strain or excitement could potentially lead to increased intraocular pressure or other complications, especially if you have a predisposition to retinal issues. It is advisable to maintain a relaxed state and avoid any positions or movements that exacerbate the tightness or discomfort in your eye area. If you notice any significant changes in your vision or if the tightness persists, it would be prudent to consult with your ophthalmologist.

2. Pressure on the Eyes While Sleeping: It is common for individuals to inadvertently place pressure on their eyes while sleeping, especially when lying on their side. This pressure can lead to temporary discomfort and may affect the eye's surface, but it is less likely to cause direct harm to the retina. However, given your history of retinal surgery, it is wise to be cautious. If you find that sleeping in certain positions causes discomfort or if you notice any changes in your vision upon waking, it may be beneficial to adjust your sleeping position. Using a softer pillow or ensuring that your head is elevated may help reduce pressure on your eyes.

In general, individuals with a history of retinal surgery should avoid activities that involve significant head movement, heavy lifting, or any actions that could lead to increased intraocular pressure, such as straining during physical exertion. Regular follow-ups with your eye care provider are essential to monitor your retinal health and address any concerns that may arise from your daily activities.

Additionally, it is important to be aware of symptoms that may indicate a problem, such as flashes of light, an increase in floaters, or changes in vision. If you experience any of these symptoms, seek immediate medical attention. Maintaining a healthy lifestyle, including a balanced diet rich in antioxidants, staying hydrated, and protecting your eyes from UV light with sunglasses, can also contribute positively to retinal health.

In conclusion, while physical activity is beneficial for overall health, individuals with specific eye conditions must approach it with caution. Always prioritize your comfort and safety, and do not hesitate to reach out to your healthcare provider for personalized advice based on your medical history.

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