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Silent retinal tear - the danger of severe myopia

(Dan Tri) - For people with severe myopia, early detection of damage to the fundus of the eye such as retinal tears is an indispensable step. If not intervened promptly, it can lead to serious vision loss.

Báo Dân tríBáo Dân trí31/05/2025

Early detection of retinal damage in myopic people

On May 31, sharing on the sidelines of a conference updating new advances in the control and treatment of refractive errors, Master - Doctor Dang Thi Nhu Quynh, Deputy Director in charge of professional affairs at an eye hospital in Hanoi , said that the explosive development of refractive surgery methods in recent times has made patients feel overwhelmed when making a choice.

A comprehensive preoperative corneal examination is an important step in selecting the appropriate procedure.

In particular, in the group of patients with severe myopia, early detection and treatment of retinal lesions such as peripheral degeneration, retinal tears or risk of retinal detachment is an indispensable step.

These lesions, if not detected and treated promptly, can lead to severe visual impairment or even permanent vision loss.

Rách võng mạc âm thầm - mối nguy từ cận thị nặng - 1

Master - Doctor Dang Thi Nhu Quynh shared on the sidelines of the conference (Photo: NP).

This not only affects the surgical results but also greatly affects the patient's daily quality of life, from studying, working to daily activities. Timely preventive treatment plays a key role in protecting vision and helping patients maintain an active, independent life after surgery.

According to Dr. Quynh, for people with myopia, especially those with high myopia, the eyeball axis is longer than normal, so the retina is stretched and thinned, especially the peripheral retina (the area of ​​the retina located at the farthest end, which is the weakest area). This condition can cause degenerative damage, creating tears due to the contraction of the vitreous.

When there is such a tear, the risk of retinal detachment is very high. Retinal detachment is a serious disease in ophthalmology.

There are patients who come to the clinic for myopia surgery, have their fundus examined, and have peripheral retinal examination, and the doctor discovers damage to the fundus. There are even cases where when they come to the clinic, they already have complications of retinal detachment, but because the detachment is in a remote, hidden area, not yet in the center, it has not affected vision, so the patient is almost unaware.

Before myopia surgery, the patient needs a comprehensive corneal assessment.

Specialist Doctor II Nguyen Dang Dung, an expert with 25 years of experience in the field of refractive surgery, added that today, controlling myopia is a trend, with many new techniques. Similarly, with refractive surgery, there are many new machines with many different surgical methods.

“Therefore, we need to be very careful in prescribing and identifying each disease in order to come up with the appropriate prescribing method.

In fact, with the explosive development of technology and the system of private eye hospitals in Hanoi and Ho Chi Minh City, patients themselves are very confused, not knowing which method to choose, what criteria to choose," Dr. Dung emphasized.

Rách võng mạc âm thầm - mối nguy từ cận thị nặng - 2

Before myopia surgery, the patient needs a comprehensive corneal examination (Photo: Hospital).

According to him, to learn about refractive surgery, a doctor may only need 1-2 weeks, but to examine, prescribe correctly, choose the right method, especially know how to handle complications is not simple. Because complications, infections can sometimes lead to necrosis, even eye damage.

The success of a refractive surgery depends not only on the accurate determination of refractive power, but also on the comprehensive assessment of corneal quality, screening for structural abnormalities that are decisive in choosing the appropriate surgical method and predicting postoperative outcomes.

Source: https://dantri.com.vn/suc-khoe/rach-vong-mac-am-tham-moi-nguy-tu-can-thi-nang-20250531164802240.htm


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