Eye Trauma in High Myopia: Symptoms and Next Steps - Ophthalmology

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Hello! Thank you for reaching out with your concerns regarding your eye trauma, especially considering your high myopia and the recent incident while playing badminton. I understand that dealing with eye issues can be quite stressful, and I will do my best to provide you with comprehensive information regarding your symptoms and the necessary steps to take.

1. Should You Visit a Major Hospital?
Given your history of high myopia and the recent trauma to your eye, it is advisable to seek a thorough examination at a specialized eye hospital or clinic. High myopia increases the risk of retinal issues, including retinal tears or detachments, especially after trauma. The presence of a fixed black shadow in your vision, particularly one that does not move with your eye, can be a sign of a serious condition such as a retinal tear or detachment. Therefore, a detailed examination, including a dilated fundus examination, is crucial to rule out these possibilities.

2. Waiting and Recovery Options
While your doctor has suggested observing your condition for a week, it is essential to remain vigilant for any changes in your symptoms. If you experience any worsening of your vision, increased floaters, flashes of light, or a curtain-like shadow over your vision, you should seek immediate medical attention. In terms of recovery, there are no specific home remedies that can expedite healing from trauma; however, ensuring that you rest your eyes and avoid strenuous activities can help. If your symptoms persist or worsen, further intervention may be necessary.

3. Understanding the Black Shadow
The black shadow you are experiencing, especially if it appears in your central vision and disappears when you stop moving your eyes, could be indicative of a vitreous detachment or a more serious retinal issue. In high myopia, the vitreous gel can pull away from the retina, leading to symptoms like floaters or shadows. However, if this shadow is new and persistent, it warrants further investigation to rule out any retinal pathology.

4. Follow-Up on the Greenish Light
The greenish light you observe when moving your eyes could be related to the way light interacts with the vitreous gel or the retina. However, it is essential to discuss this symptom with your eye care provider. If you have already undergone a fundus examination and no abnormalities were detected, it may still be prudent to have a follow-up appointment, especially given your recent trauma. Persistent symptoms should not be ignored, and further imaging or tests may be warranted to ensure your retina is healthy.

In summary, while your initial examination did not reveal any immediate issues, your symptoms and history of high myopia necessitate careful monitoring and possibly further evaluation. It is always better to err on the side of caution when it comes to eye health. If you have any doubts or if your symptoms change, do not hesitate to seek further medical advice. Your vision is invaluable, and ensuring its health should be a priority. Please take care, and I hope you find relief and clarity soon!