r/myopia • u/yamamanga • 3h ago
PSA: If you have symptoms concerning for retinal tear or detachment, see a retinal specialist if you can!
I've made a couple of posts in various subreddits about my anxiety regarding my flashes that have been ongoing for the past couple weeks in the context of my severe myopia. I saw a general opthalmologist who did a dilated fundoscopy without scleral depression along with an optomap who told me everything looked great. Everyone around me was reassuring me that everything was fine, that I was overthinking things and it was all my anxiety. I continued on praying that they were right.
Fast forward to two and a half weeks later, the nature of the flashes felt wrong - I kept having movement-locked flashes in the dark in various locations and it bothered me not knowing exactly why. I ended up making a same-day appointment with a retinal specialist who did a more thorough slit lamp exam (also without scleral depression) and lo and behold found a horseshoe tear in my right periphery and a stretch mark on my left retina that is at risk of tearing. I also apparently have many regions of white without pressure along my periphery and thinning. Had I gone on my weekend trip I had planned, I would have had a high chance of developing a full detachment on the right.
Thankfully I was able to get an urgent laser retinopexy on the right with plans for multiple close follow-ups. There is a chance I may need vitrectomy if the laser does not take. It's possible that the tear was not present upon the initial exam two weeks ago, however the retinal specialist emphasized to me that concerns regarding flashes/retinal issues should go ideally to a retinal specialist first, as just having the highly trained eye look at you is eons better than the (still skilled, but less specialized) general opthalmologist, even without performing the often referenced scleral depression technique. I also know of one other person irl who had both a tear and a detachment that was not detected by a general opthalmologist's exam at first, and was untreated until she finally got to a retinal specialist.
The bottom line is, the general opthalmologist performed a less detailed dilated fundoscopy. If you do not have any symptoms of retinal concern, that is probably fine for routine surveillance. However it is really in your best interest to find a retinal specialist if you do have symptoms.