Retinal Issues: High Myopia and Flashing Lights - Ophthalmology

More Info

---

Hello! Thank you for your detailed questions regarding your eye health, particularly concerning your high myopia and the symptoms you are experiencing, such as flashing lights.
High myopia, or severe nearsightedness, can lead to various complications, including retinal issues. The symptoms you describe, particularly the flashing lights, can be concerning and may indicate changes in the vitreous gel or the retina itself.
1. Flashing Lights: The flashes you see, especially after using the computer and then moving to a darker environment, could be related to the vitreous gel pulling on the retina. This is known as posterior vitreous detachment (PVD), which is common in individuals with high myopia. While PVD itself is not necessarily dangerous, it can increase the risk of retinal tears or detachment, which are serious conditions that require immediate attention. Since you mentioned that multiple doctors have examined your eyes and found no holes or tears, this is reassuring. However, it is essential to monitor your symptoms closely. If the flashes increase in frequency or intensity, or if you notice a sudden increase in floaters or a shadow in your vision, you should seek immediate medical attention.

2. Living with Flashes: Many patients with similar symptoms learn to coexist with them, especially if they are not accompanied by other alarming signs. However, it is crucial to maintain regular follow-ups with your eye care provider. They may recommend periodic examinations to monitor the condition of your retina, particularly given your history of high myopia.

3. Preventive Laser Treatment: Some eye care professionals may suggest preventive laser treatment for patients at high risk of retinal tears or detachment, especially if there are signs of vitreous traction. This procedure can help to create a barrier around the retina and reduce the risk of future complications. If you are interested in this option, discuss it with your ophthalmologist, who can evaluate your specific situation and determine if it is appropriate for you.

4. Macular Health: Regarding your previous history of macular hemorrhage, it is essential to have regular eye examinations that include a thorough assessment of the macula. An eye doctor can evaluate the health of your macula during a comprehensive eye exam, which typically includes a dilated fundus examination. If there are concerns about the macula, additional imaging tests such as Optical Coherence Tomography (OCT) may be recommended to provide a detailed view of the retinal layers and identify any potential issues.

In summary, while your symptoms may be related to the changes associated with high myopia, it is crucial to remain vigilant and maintain regular check-ups with your eye care provider. They can provide tailored advice based on your specific condition and history. If you have any new or worsening symptoms, do not hesitate to seek medical attention. Your eye health is paramount, and proactive management is key to preserving your vision. Thank you for reaching out, and I hope this information helps clarify your concerns!