no diabetes,no high blood pressure (actually very good), no high cholesterol, or heart disease and no I do not smoke. Full medical exam and blood work done in December 2012. Am in otherwise good physical shape. Exercise regularly and at 5'5" weigh 125 lbs.
Type A and my pre lasik myopia was +/- 10.
Okay, then. I think there's a decent chance that this is something called central serous retinopathy. Let me elaborate...
This is a disorder of the choroid (tissues underlying the retina) where there is a small, pinpoint leakage of fluid that collects under the retina that can cause a discoloration to the vision and/or centralized blurring or blind spot. The etiology of this is unknown; there are no identifiable causes, but it tends to happen in the Type A personality for some reason. This diagnosis can be verified by your ophthalmologist who can do a fluorescein angiogram test (a test where some dye is injected into an IV in your arm and pictures are taken of your retina as the dye flows through the retinal blood vessels, enabling documentation of where there is leaking). Thankfully, CSR is a problem that usually fully resolves on its own over the course of 2-3 months without any treatment and the resolution can even be hastened with the use of a laser if absolutely essential.
There are other much less likely causes, but any of these diagnoses can be assessed for by your ophthalmologist.
Regardless, this is not an emergency and will likely be just fine for 3 weeks.
Does that all make sense?
Do you have any other concerns or questions about this topic?
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Okay, I'm back to my desk if you have further questions...
Is it possible that this could be age related macular degeneration (dry or wet)
Yes, it certainly is possible, though at your age it is not the first or even second thing on my list of things I suspect. Is there a family history of it?
no but with my previous severe myopia, I thought I was at risk particularly as I am over 50
You are moreso at risk for a myopic retinopathy (which is the second thing I suspect).
I think the odds are that this macular degeneration are definitely much lower than CSR or myopic retinopathy.
Do you have any other questions or concerns about this that I can address?
I am not sure what this is can you explain
Myopic retinopathy is associated with a thinner than normal retina which can allow for the growth of new blood vessels beneath the retina (in the choroid) to penetrate through to the retina and cause leaking/bleeding into the retina, causing swelling (edema) of the retina and poorer vision. Likely if there was any bleeding into the retina this could've been seen by the optometrist, so I think this is much less likely CSR (the first problem we discussed).
Thank you Dr. DanB. I will, at least being a more "informed' patient when I see the specialist.