Ask a doctor on the topic of Ophthalmology

Degenerated retina

February 15, 2012 | 10,00 EUR | answered by Dr. med. Ralf Berg

Dear expert,

During a retina examination, an ophthalmologist found that my retina was "degenerated". He mentioned small holes in it and suggested that it should be lasered in the near future, as the small holes could otherwise enlarge.

I have sought a second opinion. The second ophthalmologist also noticed "tiny" abnormalities in the retina of both eyes, but stated that they are not at all threatening, "completely normal, very, very far away". She mentioned that these are present in 80% of all "strongly" nearsighted individuals (I have -5.5 and -6 diopters) and do not need to be lasered. At least not until I start seeing flashes or many black spots (which I do not, only have "mouches volantes" in the vitreous humor)...

What should I do? I am torn. It confuses me that the "experts" disagree. If I do not undergo the laser surgery, the problem may worsen. If I do undergo the surgery, which inherently carries risks, what consequences could it have if it turns out it was not necessary?

Possibly important additional information: I suffered from recurrent conjunctivitis from summer 2011 until recently and have had (very) dry eyes for a long time - Hyabak is now helping quite well.

Thank you for reading and for any feedback in advance...

Dr. med. Ralf Berg

Here my FEEDBack

1. Conjunctivitis is a different issue, has nothing to do with retinal problems, and seems to be well treated.

2. Surgery risks: scarring, bleeding complications, more difficult conditions after pre-treatment if the problem arises again, in my opinion, there is no urgency to undergo surgery NOW.

3. In your case, I would personally wait, pay attention to warning signs (flashes/spots), and simply have the retina checked regularly (every 6-12 months). Laser treatment can still be an option if the condition worsens.

4. The progression and enlargement can sometimes be delayed for years. Not all 80% of patients/myopics who have these lesions require laser treatment.

My advice: continue to consult ophthalmologist 2 and do not let yourself be unsettled. "Prophylactic procedures" are rarely truly indicated. (currently have 3 patients who live very well and worry-free with the best vision with this "waitful watching" :))

Best regards Dr. R. Berg