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Are your eyes currently 20/20 even with the bleeding?
Yes. And I have no symtoms other than when I mentioned in the original question
The most common cause of bleeding is due to diabetes. Your hA1c is very good which means diabetes is less likely.
Macula holes generally do not cause retinal bleeding.
If it is a macula hole and you are 20/20, no surgery is recommended.
Macula degeneration is a possibility. The AMSLER grid is good to test for the extent of the leakage. From your description of your ambler grid, it appears the distortion is very mild.
Getting an appointment in the upcoming week would be good.
Then it's even more baffling, isn't it? So, could it be the dreaded AMD?! Does bleeding mean wet AMD?
bleeding means wet AMD.
It's a good thing that your vision is 20/20.
But if there's bleeding, does it mean it can turn ugly real quick? That's what I read on the internet.
Yes, that is why an appointment in the next week or so is important.
What did you optometrist say the bleeding was from?
She said it was on the macula, very slight. She didn't say it's under the macula or on the surface etc. Beside bleeding below the macular (in the deeper layers of the retina), can it bleed any other way?
if it is within the retina, then that''s to macula degeneration.
it can bleed, under the retina, in the middle, or on top of the retina.
high blood pressure or coughing can cause retinal bleeding as well.
Coughing? How about straining to go to the bathroom? I've been having a bout of bad constipation...
yes, that can do it too.
Wow! In that case, does it mean it may not be serious at all and it may very well heal itslef?
if it is due to coughing or straining, then the bleeding should clear on its own. of course the worry is for AMD which needs treatment.
Usually how long does it take for that kind of bleeding to clear?
What kind of tests can the doctor do to tell where it's bleeding from? Do I need an Flourescent Angiogram or other tests to confirm whether I have wet AMD? BTW, back in April when I had my retina tear, I had moved something very heavy. So perhaps heavy load can do it too?
A fluorescein angiogram is the best test to see if there is active leakage.
a retina tear is very different from bleeding in the macula.
moving something heavy is unrelated to the retinal tear.
macula bleeding is not related to a retinal tear either.
I see. So, it is possible that something more innocent like coughing or straining can cause the bleeding on the macula and it's not necessary wet AMD? I know I'm grasping at straws...
yes it is possible.
try not to worry to much. with 20/20 vision, what ever it is, it is mild.
Well, that gives me hope... How about the one druse I have? I understand they can be hard or soft and the doctor didn't tell me what kind. And how about the very slight distortion of the Amsler chart? Do those mean I have dry AMD? Should I be concerned at this point?
Drusen are very common and hard to tell if it is related to the bleeding.
distortion on the amsler grid is usually a sign of wet and.
dry AMD usually has no symptoms.
you should be concern, but not overly concerned. call on monday or tuesday when the doctor's office is open and get an appointment this coming week.
Thank you! XXXXX for now and will Accept your answers. However, can I reconnect with you in case I have more questions under this same thread/payment or do I have to initiate another question? I'm new at this site so I just want to know.
if it is a related question, you can return to the same thread. just follow the links on the emails you get from JustAnswer.
Also, if I have question in the future, can I ask for you specifically or I'll get someone in random? If I can, how?
You can ask me specifically. just start your question with "Dr. James"
or use this link and start your question with "Dr. James". http://www.justanswer.com/medical/expert-dr-james/
Thank you! Merry X'Mas!
Hi, Dr. James,
As I mentioned in my original message, I had a pin head bleeding on my retina close to or on the macula. My optometrist was concerned because it involved the macula. A couple of days ago, I went back to her office to pick up my prescription glases. She looked into my eye again (for free) and told me there's no change in my eye. The blood is still there as 10 days ago. She now said it probably was not serious though she still recommended me to see the retina specialist. In the meantime, my appointment with the retina specialist was postponed till mid February because of some scheduling problem. Since I did not feel a thing and I had used the Amsler grid to check my eyes every day and I saw no change. I thought to myself: if I can wait nearly two month to see the retina specialist, this is probably not serious?
Does no change in the blood spot a good indicator, like the bleeding has stopped and the blood is just waiting to be re-absorbed? Or does it mean the bleeding is still going on?
Thank you if you can send me a short note.
I finally got to see the retina specialist last week and got a copy of her report to my doctor today. She found a "single microaneurysm noted near the FAZ. There is also 1+striae and 1+ILM changes noted in the macular region." So what I had was not bleeding but a microaneurysm that may bleed! The retina specialist said this is the very beginning of diabetic retinopathy but my condition is stable and my A1C is good so she only recommended me to have my eyes re-checked by my regular optometrist in a year. My optometrist, however, was a lot more concerned. She said the microaneurysm is close to the FAZ and if it bleeds I can go blind on that eye. On the other hand, treatment may take that eye out now because it's so close to the FAZ. So it looks like I am caught between a rock and a hard place... My optometrist had no suggestion to give; just told me to come back in 3 months (not a year, as recommended by the retina specialist). So I am more worried than ever because I got very different opinions from two doctors (the retina specialist said it was no big deal; my optometrist said it was bad but had no solution).
In your opinion, is there anything I can do about imy eye? Is there any treatment that is relatively safe? How likely is that microaneurysim will bleed into my fovea and if it does, is blindness inevitable?
Thank you for any advice you can give.