Retinal highlights
Hello, I am a high myope and experienced macular hemorrhage about a year ago.
I would like to ask about my right eye, which has developed a bright spot that is only visible on white walls under light.
Could this be a sign of re-bleeding? My last fundus examination was in February of this year.
I am currently abroad, so I would greatly appreciate your assistance.
Thank you very much.
Jasshand, 30~39 year old female. Ask Date: 2015/11/28
Dr. Wang Zhishun reply Ophthalmology
Hello, I recommend that you first check the Amsler Grid Test online for any abnormalities.
If you notice any issues, please seek medical attention as soon as possible.
Reply Date: 2015/11/28
More Info
Hello! Thank you for reaching out with your concerns regarding your eye health, particularly the bright spot you are noticing in your right eye. Given your history of high myopia and previous macular hemorrhage, it is understandable that you are feeling anxious about any new visual symptoms.
The bright spot you describe, which is only visible against a white wall and under certain lighting conditions, could potentially be related to several factors. One possibility is that it could be a manifestation of a visual phenomenon known as a "floaters" or "visual disturbances." These can occur due to changes in the vitreous gel that fills the eye, especially in individuals with high myopia. In some cases, these floaters can appear as spots or flashes of light, particularly when looking at a bright background.
However, given your history of macular hemorrhage, it is crucial to consider that any new visual changes should be evaluated by an eye care professional. While it may not necessarily indicate a new hemorrhage, it could be a sign of other underlying issues, such as retinal tears or detachment, which are more common in individuals with high myopia. These conditions can lead to serious complications if not addressed promptly.
Since you mentioned that your last eye examination was in February and you are currently abroad, I strongly recommend that you seek an eye care professional in your area for a thorough examination. They can perform a dilated fundus examination to assess the retina and vitreous for any abnormalities. This is particularly important given your medical history, as early detection and treatment of retinal issues can significantly improve outcomes.
In the meantime, it is essential to monitor your symptoms closely. If you experience any sudden changes in your vision, such as an increase in the number of floaters, flashes of light, or a shadow or curtain effect in your peripheral vision, you should seek immediate medical attention. These symptoms could indicate a more serious condition that requires urgent care.
Regarding your concerns about the potential for recurrent bleeding or other complications, it is important to maintain regular follow-ups with your eye care provider, especially considering your history of retinal issues. They can provide personalized advice on managing your eye health and any necessary interventions.
In summary, while the bright spot you are seeing may not necessarily indicate a new hemorrhage, it is crucial to have it evaluated by a professional, especially given your history of macular hemorrhage and high myopia. Regular eye examinations and prompt attention to any new symptoms are key to maintaining your eye health. Please take care and do not hesitate to seek help from a local eye care provider. Your vision is invaluable, and proactive management is essential.
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