Retinal Degeneration: Insights from an Eye Specialist - Ophthalmology

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Thank you for the doctor's response?


Thank you, doctor.
For a retina with degenerative changes, we don't need to worry about thinning due to traction from the vitreous, but we should be cautious to avoid excessive traction that could cause a tear, right?

Yi Yi, 20~29 year old female. Ask Date: 2015/03/15

Dr. Gao Pilin reply Ophthalmology


Hello Yi-Yi: You are correct that the traction force from the vitreous is vertical to the retina, which does not cause thinning of the retina but can lead to retinal tears.
Therefore, if there is thinning in the peripheral retina or if there are already tears, it is important to undergo laser treatment as soon as possible.
The ophthalmology department at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM, Monday evenings from 6:00 PM to 8:00 PM, and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2015/03/15

More Info


Retinal degeneration is a significant concern for individuals, especially those with high myopia or other predisposing factors. Understanding the nature of retinal degeneration, its potential complications, and management strategies is crucial for maintaining eye health.

Retinal degeneration refers to the progressive deterioration of the retina, the light-sensitive tissue at the back of the eye. This condition can manifest in various forms, including age-related macular degeneration (AMD), retinitis pigmentosa, and degenerative myopia, among others. Each type has distinct characteristics and implications for vision.

In high myopia, the risk of retinal degeneration increases due to the elongation of the eyeball, which can lead to thinning of the retina and the development of retinal tears or detachments. The vitreous gel, which fills the eye, can also change with age or due to myopia, leading to traction on the retina. This traction can potentially cause retinal tears, especially if there are pre-existing weaknesses in the retinal structure.

Your concern about the vitreous pulling on the retina is valid. While the vitreous can exert traction, it is essential to understand that not all vitreous changes lead to retinal tears. However, significant traction can indeed increase the risk of retinal breaks, particularly in individuals with retinal degeneration. Therefore, it is crucial to monitor any symptoms that may indicate a problem, such as flashes of light, sudden onset of floaters, or a shadow in your peripheral vision.

To manage the risk of retinal degeneration and its complications, regular eye examinations are vital. These exams can help detect any changes in the retina early on, allowing for timely intervention. If you experience any new symptoms, such as flashes of light or changes in vision, it is essential to seek immediate evaluation from an eye care professional.

In terms of prevention, maintaining overall eye health is crucial. This includes controlling systemic conditions such as diabetes and hypertension, avoiding smoking, and protecting your eyes from UV exposure. A healthy diet rich in antioxidants, vitamins, and minerals can also support retinal health. Nutrients such as omega-3 fatty acids, lutein, and zeaxanthin have been shown to benefit eye health.

In conclusion, while retinal degeneration can be concerning, understanding the nature of the condition and taking proactive steps can help manage the risks. Regular check-ups with an eye specialist, awareness of symptoms, and maintaining a healthy lifestyle are key components in safeguarding your vision. If you have specific concerns about vitreous traction and its effects on your retina, discussing these with your eye care provider can provide personalized insights and recommendations tailored to your situation.

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