High Myopia and Retinal Detachment: Essential Eye Care Tips - Ophthalmology

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High myopia and retinal detachment?


Hello, Doctor.
I am highly myopic (1000 degrees) and also have astigmatism (200-300).
In the past, I didn't take care of my eyes, and now I find myself in this situation.
Recently, I have been visiting the ophthalmologist every three months for retinal examinations; the doctor might find me bothersome.
Although no retinal tears have been detected so far, I am very worried that with my condition, I might lose my vision completely by the time I reach 30 or 40.
I often hear that lifting heavy objects can lead to retinal detachment.
Is it possible to have a detachment without any retinal tears? Especially since my job as a software engineer requires me to stare at a screen for nearly 10 hours a day.
I have considered whether I should change careers to protect my eyes, but I have been in this field for so long that I don't know what else I could do.
Could you please give me some advice on how I can maintain my vision at least until I am 60? The only things I know to do are taking lutein and having regular check-ups.
Thank you.

lovefo, 20~29 year old female. Ask Date: 2011/12/13

Dr. He Jianxian reply Ophthalmology


Hello, sir: Thank you for your inquiry.
I would like to address your question and provide the following advice: The retina does not detach simply due to prolonged eye use.
Retinal detachment caused by high myopia typically requires the presence of a tear.
Therefore, regular fundus examinations every three months are sufficient.
Based on my knowledge, long hours of work do not lead to retinal detachment, so you can work with peace of mind.
As for lutein, I do not have any specific recommendations.
Lastly, I wish you safety and happiness.

Reply Date: 2011/12/13

More Info


Hello! Thank you for reaching out with your concerns regarding high myopia and retinal detachment. As a high myopia patient, it’s understandable to feel anxious about your eye health, especially given the potential complications associated with this condition. Let’s address your concerns and provide some essential eye care tips.


Understanding High Myopia and Retinal Detachment
High myopia, defined as a refractive error greater than -6.00 diopters, significantly increases the risk of various ocular complications, including retinal detachment, macular degeneration, and glaucoma. The elongation of the eyeball in high myopia can lead to thinning of the retina, making it more susceptible to tears and detachment. While the presence of retinal tears is a common precursor to detachment, it is indeed possible for retinal detachment to occur without any visible tears, especially in cases of advanced myopia.


Regular Eye Examinations
You are already doing the right thing by having your eyes checked every three months. Regular eye examinations are crucial for early detection of any changes in your retinal health. Your eye doctor can monitor the condition of your retina and recommend appropriate interventions if necessary. If you have not yet discussed it with your doctor, consider asking about the possibility of Optical Coherence Tomography (OCT) scans, which provide detailed images of the retina and can help detect subtle changes that might not be visible during a standard examination.


Eye Care Tips for High Myopia Patients
1. Limit Screen Time: As a software engineer, you spend a significant amount of time in front of a computer screen. It’s essential to take regular breaks to reduce eye strain. The 20-20-20 rule is a great practice: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps relax the eye muscles and reduce fatigue.

2. Proper Lighting: Ensure that your workspace is well-lit to minimize glare and strain on your eyes. Use task lighting if necessary, and avoid working in dimly lit environments.

3. Ergonomic Setup: Position your computer screen at eye level and about an arm's length away. This can help reduce strain on your eyes and neck.

4. Stay Hydrated: Drink plenty of water throughout the day to keep your body and eyes hydrated. Dehydration can lead to dry eyes, which can exacerbate discomfort.

5. Nutritional Support: While you mentioned taking lutein, consider a diet rich in antioxidants, omega-3 fatty acids, and vitamins A, C, and E. Foods like leafy greens, fish, nuts, and fruits can support overall eye health.

6. Avoid Eye Rubbing: Rubbing your eyes can cause additional strain and may lead to complications, especially in high myopia. If your eyes feel itchy or irritated, consider using lubricating eye drops instead.

7. Protective Eyewear: If you engage in activities that could potentially harm your eyes, such as sports or certain hobbies, wearing protective eyewear is essential.

8. Monitor Symptoms: Be vigilant about any changes in your vision, such as sudden flashes of light, new floaters, or a curtain-like shadow over your vision. If you notice any of these symptoms, seek immediate medical attention.


Managing Anxiety About Vision Loss
It’s natural to worry about the future of your vision, especially with a family history of eye issues or if you’ve heard alarming stories about retinal detachment. However, staying proactive about your eye health can significantly mitigate these risks. Engaging in regular check-ups, maintaining a healthy lifestyle, and following your eye care provider's recommendations can help you maintain your vision well into your later years.


Conclusion
While high myopia does come with its risks, many individuals lead fulfilling lives with proper management and care. It’s commendable that you are taking steps to protect your vision. If you ever feel overwhelmed, consider discussing your concerns with your eye care provider, who can offer reassurance and tailored advice based on your specific situation. Remember, you are not alone in this journey, and there are many resources available to help you maintain your eye health.

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