Treatment for Adult Pseudomyopia
Hello Dr.
Gao, I recently went for an eye examination and found that there is a difference of over 125 degrees between the refractive measurements of my left and right eyes before and after dilation.
Before dilation: Left eye - 9.00 with astigmatism of 200; Right eye - 8.50 with astigmatism of 175.
After dilation: Left eye - 7.25 with astigmatism of 150; Right eye - 7.00 with astigmatism of 125.
Currently, my vision is 1.0 in both eyes, and I wear glasses with a prescription of 8.5 for the left eye and 8.25 for the right eye.
Under bright light, I can see some faint floaters (no more than 4 strands in the left eye and about 2 spots in the right eye).
I would like to ask Dr.
Gao: 1.
Is there a possibility of treating this pseudomyopia? 2.
If treatment is successful, can it reduce the risk of retinal tears or detachment? 3.
Given my age, if I use my eyes normally, is it possible for my myopia to increase to over 1000 degrees? 4.
During the retinal examination, the doctor noted that the lower part of my left eye's retina is thinner due to high myopia, but there are currently no abnormalities.
Does a thinner retina necessarily indicate that I will develop a tear in the future? I have been troubled by these issues recently, causing stress in my life and mental well-being.
I would greatly appreciate your assistance in answering these questions.
Thank you very much.
Xiao Luo, 20~29 year old female. Ask Date: 2016/02/29
Dr. Gao Pilin reply Ophthalmology
Hello, Xiao Luo:
1.
Your myopia is likely caused by the strain on the ciliary muscles from wearing glasses that may be too strong.
You can use the prescription obtained after dilation to wear glasses, which will help relax your eyes and prevent further increase in myopia.
2.
This is not significantly related to reducing the risk of retinal tears or detachments.
3.
If you do not overuse your eyes, it may not increase significantly.
4.
It is not certain; regular follow-up examinations are recommended, and laser treatment can be considered if necessary.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical care at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2016/02/29
More Info
Understanding pseudomyopia and its treatment options is crucial, especially for adults experiencing significant refractive errors. Pseudomyopia, often referred to as "false myopia," occurs when the eye's focusing mechanism is overly strained, leading to temporary nearsightedness. This condition can be particularly common among individuals who spend extensive time on near-vision tasks, such as reading or using computers.
1. Is there a treatment possibility for pseudomyopia?
Yes, pseudomyopia can often be treated effectively. The primary approach involves reducing the strain on the eyes. This can be achieved through several methods:
- Vision Therapy: This includes exercises designed to improve the eye's focusing ability and reduce strain. An eye care professional can provide a tailored program.
- Proper Eyewear: If you are experiencing symptoms of pseudomyopia, wearing glasses with a lower prescription for near tasks can help alleviate the strain.
- Environmental Adjustments: Ensuring proper lighting, taking regular breaks (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds), and maintaining an appropriate distance from screens can also help.
- Atropine Drops: In some cases, low-dose atropine eye drops may be prescribed to help relax the eye's focusing mechanism.
2. If treatment is successful, can it reduce the risk of retinal tears or detachment?
Treating pseudomyopia effectively can potentially reduce the risk of complications such as retinal tears or detachment. Chronic strain on the eye can lead to changes in the retina, and while pseudomyopia itself may not directly cause these issues, managing the condition can help maintain overall eye health. Regular eye examinations are essential to monitor the retina's condition, especially in individuals with high myopia.
3. At your age, is it possible for myopia to increase to 1000 degrees or more?
While it is less common for myopia to progress to such high levels in adulthood, it is still possible, especially if there is a genetic predisposition or if the individual continues to engage in activities that strain the eyes. Maintaining good eye health practices, such as regular check-ups and appropriate visual ergonomics, can help mitigate this risk.
4. Does a thin retina indicate a future risk of retinal tears?
A thinner retina can indeed be a risk factor for retinal tears or detachment, particularly in individuals with high myopia. However, not all individuals with a thin retina will experience these complications. Regular monitoring by an eye care professional is crucial. They can assess the retina's health and provide guidance on managing risks.
In summary, pseudomyopia is a treatable condition, and with appropriate interventions, you can alleviate symptoms and potentially reduce the risk of more severe complications. Regular eye examinations and consultations with an eye care professional are vital for monitoring your eye health and adjusting treatment as necessary. If you have concerns about your vision or the health of your retina, do not hesitate to reach out to your eye care provider for personalized advice and treatment options.
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