Eye Health After Trauma: Insights from Dr. Wang - Ophthalmology

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Hello! Thank you for your questions regarding eye health after trauma. It’s understandable to have concerns about the long-term effects of head injuries on vision, especially when it comes to conditions like retinal tears or detachments. Let’s break down your questions one by one.

1. Post-Trauma Eye Health: It’s reassuring to hear that your wife has had normal eye examinations following her head injury. While it is true that a dilated fundus examination is the gold standard for detecting retinal tears or detachments, many eye care professionals can still assess the retina adequately without dilation, especially if there are no symptoms present. If her vision remains stable, and she has no symptoms such as flashes of light, floaters, or a shadow in her vision, it is a good sign. However, it is essential to remain vigilant. If she experiences any new symptoms, she should seek immediate evaluation. Regular check-ups are crucial, and if there are any concerns, discussing the possibility of a dilated exam with her eye doctor might be beneficial.

2. Engaging in Sports: Basketball is indeed considered a high-impact sport, and while it can pose risks to eye health, especially in individuals with pre-existing conditions, it is generally safe for those without any eye issues. Since you and your son have undergone dilated examinations and only have a thin retina, it’s important to monitor for any symptoms. If either of you experiences sudden changes in vision, such as flashes or floaters, it would be wise to avoid playing until evaluated by an eye care professional. Maintaining good eye protection, such as wearing sports goggles, can also help mitigate risks during play.

3. Impact of Retinal Tears or Detachments on Vision: Yes, both retinal tears and detachments can significantly affect vision. A retinal tear can lead to a detachment, which occurs when the retina lifts away from its normal position. This can result in vision loss, depending on the extent and location of the detachment. Early detection and treatment are crucial. Symptoms to watch for include sudden flashes of light, an increase in floaters, or a shadow or curtain effect over the visual field. If any of these symptoms occur, immediate medical attention is necessary.

In summary, while your wife’s current eye health appears stable, it’s essential to remain vigilant and proactive about her eye care. Regular check-ups, especially if any new symptoms arise, are crucial. For you and your son, continuing to play basketball is generally fine, but be mindful of any changes in vision and consider protective eyewear. Always consult with your eye care professional if there are any concerns regarding eye health, especially after trauma. Thank you for your thoughtful questions, and I hope this information helps ease your concerns!