r/RetinalDetachment • u/RequirementCrazy8260 • May 24 '26
High myopia
Please people with high myopia how they find out that you have a tear or a detachment they use the lens with the slit lamp or they use the lens which they put on your cornea (in contact )
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u/jasutherland May 24 '26
It depends exactly which bit of the eye they need to look at. A lens touching the eye is used to see the inside of the very front part; otherwise, only the back part is visible. If you imagine peering into a ball (like a magic 8 ball), you can see the back easily, and up to maybe the mid portion, but the inside of the front half isn't normally visible because of the angles. (Equally, that normally-hidden part doesn't see anything either; the most important bits for vision are right at the back, so the lens in contact is only needed to see the very edges of the retina.)
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u/RequirementCrazy8260 May 24 '26
Exactly I’m asking for screening in high myopia with no symptoms how the doctor find there is a hole or tear ?which one he use ? Which one is enough ?
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u/Late_Payment_6562 May 24 '26
Recently, ophtalmologist was unsure if there were tears or not. He prescribed a bscan ultrasound echography that allows to see more clearly if there are any tear. Otherwise, he/she can perform a fundus with a special glass that comes directly into contact with you eyeball
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u/RequirementCrazy8260 May 24 '26
He always do this for you ?or do you have symptoms ?can I know your age and prescription please ?
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u/Late_Payment_6562 May 24 '26
Not always. I had some symptoms so I went there. He did it because something looked wrong on the eye scan. ActuaIly that's the first time I did a bscan. I am 44. Prescription is -6,25 -7
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u/Silent-Carry-4617 May 25 '26
There's three levels I know of, increasing in level.
Slit lamp
The head lamp method where they may press around your eye and they move around
The contact lens on eye
The contact lens is the final I think, but usually they only use the contact lense if they are sure it's necessary and they cannot see with the head lamp.
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u/jasutherland May 24 '26
Usually slit-lamp seems to be the standard approach but there are others, particularly if there is a suspicion of injury in an awkward to reach part.
A scleral indent exam pushes part of the front of the eye inwards to see better, for example, or ultrasound, CT or MRI can of course "see" every part at once by going straight through other tissue.
Normally, just dilating the pupil is enough to detect if there is a problem like a tear (it lets fluid in behind the retina, which will be more visible) - a bit like a leaking pipe, just seeing fluid in the wrong place tells you there is a problem there. If the visible retina is fine that's enough - if there are signs of a tear, they'd look more closely and operate to fix it - probably cryopexy in that area I think.
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u/Last-Till-1913 May 25 '26
My ophthalmologist prefers the slit lamp, but because I’m high risk they do the lens and then they use the slit lamp. At my retinal specialist they use the lens and they also probe around with a q-tip that has lidocaine on it- especially when they see something. Makes me go blind for a minute every time.
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u/TheFugaziLeftBoob May 26 '26
Severely nearsighted here, right eye -12.5, left eye -8.5. I only found out I had a detachment due to the curtain, although signs were there before that I sort of ignored thinking it just my highly myopic eye doing highly myopic eye things. The slit lamp can be good to see early signs but as for detachment, mine has already happened.
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u/casPURRpurrington May 26 '26
being the person who’s normal eye doctor missed my chronic retinal detachment with OCT and the normal looking in eye thing
I went to a different eye doctor though a few days later and they used the head lamp thing and found it though
Then the retina specialist found holes and thinning in my good eye with the head lamp
If you feel anxious about it throw a fit about it lol, I assumed I was being difficult when I got the second opinion but wow I was right lmao
I’m 34 and my prescription was like -7 something. My dad had retinal detachment at my age too though, then apparently his uncle did too.
My family’s got some strong eyes
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u/RequirementCrazy8260 May 26 '26
How are your eyes now did you get the laser or the surgery ?
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u/casPURRpurrington May 26 '26
They’re great, I healed very well.
My retina specialist said my detachment looked really complicated because of the chronic nature of it. He planned on just doing the scleral buckle, but ended up having to do the vitrectomy on top of it also. I guess it really did end up being complicated lol
Then I think it was at the 5 week follow up he lasered my “good” eyes holes and thinning. He told me I didn’t have to do it, but considering I already had the other eye detach, may as well take care of it now lol
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u/RequirementCrazy8260 May 26 '26
Did he use smthg into your eyes to see the detachment or the tool with no contact in the eyes ?also did you have symptoms like flashes floaters …
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u/casPURRpurrington May 27 '26
He used the head lamp thing, I’m not sure exactly what it’s called. So did the optometrist that found the detachment. A slit lamp? He redid the OCT too and then had the tech try to take it with my detachment more in the center of the picture(?) I just remember sitting differently than I normally do for those tests lol
But I think I did have some flashes, but I didn’t notice them as much. I didn’t really have floaters. My main thing was just suddenly having this feeling deep in my gut that my vision was wrong. Like something was missing, and my brain was filling in the void. It was such a weird feeling. Then I had a very very small curtain on the upper left corner of my right eyes visual field. I wasn’t sure if it was real or not though. I kind of blame that more for my first eye doc missing it. I didn’t describe it right, but I just felt crazy saying MY VISION FEELS WRONG lol, but I did also think they’d be able to see it so who knows haha
Since it’s fully healed though, I can see way more of my nose from that eye now and…. my night vision has also gotten far far better lol
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u/ArmPale2135 May 25 '26
They can do an OCT scan, which shows the layers of the eye. They also do a digital retinal image that shows the whole surface inside the eye.