Dr. A.S. Desai : Hello,Thank you for the question.I am Dr.A.S.Desai and I look forward to assisting you .
Dr. A.S. Desai : Are you available for chat now?
Dr. A.S. Desai : Yes, PVD is a very common condition and is expected at your age.
Customer: I am available, thank you.
Dr. A.S. Desai : Sometimes it can lead to peripheral retinal tears. Since you have already been examined by your ophthalmologist who has confirmed that the retina is intact, I guess you need not worry about it . A retinal tear is asymptomatic and can be detected on routine eye exam. Whereas a retina l detachment is characterised by a sudden bout of flashes of light and a shower of floaters along with fogginess of vision as if you were to be looking hrough a curtain or veil. Dr. A.S. Desai : Did the flashes and floaters begin at the same time? Did the doctor mention the possibility of migraine? Did you experience any headache ?
Customer: Thank you, XXXXX XXXXX This was very sudden and I have some cloudiness in that eye, but main symptoms are flashing arcs and dark floaters. I feel while my doctor did not find a tear, and am confident that there was none there, how do I tell the difference between a serious retinal issue and the symptoms? My husband and I both felt he did not see any reason for my concern. When should I be concerned, if not with these symptoms? Also is a tear and a lesion one and the same?
Dr. A.S. Desai : No, retinal ter and reinal lesion are not the same.
Customer: Should I have ignorred the symptoms?What is the difference?
Customer: Difference between tear and lesion? Sorry, I accidently sent before I finished.
Dr. A.S. Desai : At this stage you can ignore the symptoms as it has been confirmed that the retina is intact
Customer: Should I have ignored the symptoms? As said, I am comfortable with the fact I don't have any tear.
Customer: Where do I look up difference between tear and lesion?
Dr. A.S. Desai : Yes, you can ignore the symptoms now. A retinal lesion could be anything in the retina such as pigment, new vessels, ischemic area, hemorrhage, dystrophy, degeneration and so on.
Dr. A.S. Desai : Your problem of PVD is totally different from a retinal lesion as has been diagnosed in your husband.
Dr. A.S. Desai : I guess you need not worry about having any retinal problem at present. The next eye exam after a month would confirm the above.
Customer: Thank you for explanation of tear versus lesion. I understand that. I was asking what SHOULD i have done, before going to ER? Should I always ignor any symptoms like that if they happen? I also understand PVD and tear and lesion and detachment are different things. As said, I am not worried that my doctor is wrong. I am just trying to understand why I should not have gone to er.
Customer: By the way. While I am not worried about a tear, it is impossible to ignor the symptoms.
Dr. A.S. Desai : I don't think you were wrong in goin to the ER since the symptoms of flashes and floaters is common to both PVD and RD. The only thing is that the person who does the dilated eye exam at the ER is not necessarily an eye specialist. A general doctor may not be the right person to identify these conditions.
Customer: I understan that, also. It was a Saturday night, or I would have called my Opthamologist.
Customer: Have a good evening.
Dr. A.S. Desai : Ok. In that case your visit is justified.