Retinal Spots: What You Need to Know About Eye Health - Ophthalmology

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There are small spots on the retina?


Hello, doctor.
Thank you for your previous response.
Today, I suddenly thought about my visit to the ophthalmology clinic for a fundus examination.
In the past, the doctors would say there were no issues, just that my retina was a bit thin.
However, today the doctor mentioned that there is a small spot on the edge of my right eye that doesn't seem to be a hole but appears to have some scabbing (or possibly a scar).
I didn't hear everything clearly.
Then the doctor said it's okay and that I should just have regular check-ups.
When I heard about the small spot, I panicked and kept asking the doctor if it was really okay.
This has made me feel quite down today.
I recalled that my last fundus examination was two months ago, and at that time, another clinic's doctor said there were no problems, but now, two months later, an issue has arisen.
I haven't exerted my eyes unusually during these two months.
Doctor, is this really nothing to worry about? Should I seek another clinic or a larger hospital for further examination? Lastly, will this condition eventually disappear like a wound? Thank you.

lovefo, 20~29 year old female. Ask Date: 2011/12/15

Dr. He Jianxian reply Ophthalmology


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Generally, the presence of scarring indicates that the retina has adhered more firmly to the underlying tissue.
This is somewhat similar to the effects of laser treatment, so you need not worry too much.
Additionally, once scarring has formed, it will not disappear.
Finally, I wish you peace and happiness.

Reply Date: 2011/12/15

More Info


It’s understandable to feel anxious after hearing about a new finding in your eye examination, especially when it involves something like a retinal spot. First, let’s break down what you’ve been told and what it might mean for your eye health.

When your eye doctor mentioned a small spot on the edge of your retina that appears to be a bit of a scab or scar, it’s important to recognize that not all retinal spots are indicative of serious problems. The retina is a delicate structure, and changes can occur for various benign reasons. The fact that your doctor reassured you that it is not a hole and suggested regular monitoring is a positive sign. Regular check-ups are crucial in managing eye health, especially if you have a history of retinal issues or other eye conditions.

Retinal spots can arise from several causes, including:
1. Retinal Tears or Detachments: These are more serious conditions that require immediate attention. However, your doctor indicated that this is not the case for you.

2. Scar Tissue: Sometimes, previous injuries or conditions can lead to the formation of scar tissue on the retina, which might appear as a spot.

3. Age-Related Changes: As we age, our retinas can undergo changes that may not necessarily indicate a serious problem.
4. Vitreous Changes: The gel-like substance in the eye (vitreous) can pull away from the retina, leading to spots or floaters.

5. Other Conditions: Conditions like diabetic retinopathy or hypertensive retinopathy can also lead to changes in the retina.

Given that your previous examination just two months ago showed no issues, it’s understandable to be concerned about the sudden appearance of this spot. However, it’s also worth noting that retinal changes can occur relatively quickly, and not all changes are harmful.

What Should You Do Next?
1. Follow-Up Appointments: Continue with your regular eye examinations as recommended by your doctor. If they suggested monitoring, it’s likely they believe it’s not an immediate concern.

2. Seek a Second Opinion: If you’re feeling particularly anxious or uncertain, it’s completely reasonable to seek a second opinion from another eye care professional or a larger hospital. This can provide you with additional reassurance.

3. Monitor Symptoms: Pay attention to any changes in your vision, such as increased floaters, flashes of light, or any significant changes in your eyesight. If you notice any of these, contact your eye doctor immediately.

4. Lifestyle Considerations: Ensure you are taking care of your overall eye health. This includes protecting your eyes from UV light, maintaining a healthy diet rich in antioxidants (like lutein and zeaxanthin), and managing any systemic health issues (like diabetes or hypertension) that could affect your eyes.


Will the Spot Disappear?
Whether the spot will disappear or remain depends on its nature. If it is indeed scar tissue, it may not change significantly. However, if it is related to a transient condition, it might resolve over time. Regular monitoring will help determine if any changes occur.


Conclusion
In summary, while it’s natural to feel worried about new findings in your eye health, it’s essential to approach the situation with a balanced perspective. Regular check-ups, being aware of your symptoms, and maintaining a healthy lifestyle are key components of eye health management. If you continue to feel anxious, don’t hesitate to seek further evaluations to ensure your peace of mind. Your vision is important, and staying proactive about your eye health is the best approach.

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