Using Mydriatic Eye Drops for Myopia and Retinal Concerns - Ophthalmology

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1) Is it beneficial for myopia (approximately -700°) to use the aforementioned dilating drops before bedtime for vision maintenance?
2) For a small retinal tear (left eye), can the aforementioned dilating drops still be used? If laser treatment has already been performed, is it still safe to use?
3) Is B12 eye drops beneficial for the eyes?
Thank you for your kind reply, and may God bless you in both work and health.

Hsu Pei-hsiung, 40~49 year old female. Ask Date: 2014/03/27

Dr. He Jianxian reply Ophthalmology


Pupil-dilating eye drops are generally recommended for use primarily during dilated eye examinations in adults and are not advised for routine vision maintenance.
As for whether vitamin B12 is beneficial for the eyes, opinions may vary, but it should at least be harmless.

Reply Date: 2014/03/27

More Info


Using mydriatic eye drops, particularly for individuals with high myopia (around -700 degrees) and retinal concerns, requires careful consideration and should always be guided by a healthcare professional. Here’s a detailed response to your questions:
1) Using Mydriatic Eye Drops for Myopia: Mydriatic eye drops are primarily used to dilate the pupils for diagnostic purposes or to treat certain eye conditions. While there is some evidence suggesting that mydriatic drops may help in reducing the progression of myopia in children, their use in adults, especially those with high myopia, is less clear. For adults, using these drops before sleep could potentially lead to discomfort or visual disturbances upon waking, as the effects of the drops can linger. Therefore, while they may not directly harm your vision, their use should be monitored by an eye care professional to ensure they do not exacerbate any existing conditions.

2) Retinal Concerns and Mydriatic Eye Drops: If you have a small retinal tear, the use of mydriatic drops should be approached with caution. Dilation can sometimes increase the risk of complications, especially if there are existing retinal issues. If you have already undergone laser treatment for the retinal tear, your eye care provider may have specific recommendations regarding the use of mydriatic drops. It is crucial to follow up with your ophthalmologist to discuss the safety and appropriateness of using these drops in your particular situation. They may recommend alternative treatments or monitoring strategies that are more suitable given your retinal health.

3) B12 Eye Drops: Vitamin B12 is known for its role in maintaining nerve health and may have some benefits for eye health, particularly in conditions related to nerve damage or degeneration. However, the efficacy of B12 eye drops specifically for improving vision or treating eye conditions is not well-established in clinical studies. If you are considering B12 eye drops, it is essential to discuss this with your eye care provider to determine if they are appropriate for your specific needs and to ensure they do not interfere with any other treatments you may be receiving.

In summary, while mydriatic eye drops can have specific uses, their application in individuals with high myopia and retinal concerns should be carefully evaluated by an eye care professional. Regular check-ups and open communication with your ophthalmologist are vital to managing your eye health effectively. Additionally, while B12 may offer some benefits, its use should also be discussed with your healthcare provider to ensure it aligns with your overall treatment plan. Always prioritize professional guidance when it comes to eye care, especially with pre-existing conditions.

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