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Eye help !!

4 replies

Anonymous32 · 25/11/2023 08:39

I'm 36 very short sighted High prescription. 2 years ago I had a Pvd with flashes so took my self to the optcians who told me it was normal and just comes with age. So recently went to get my eyes checked and I now have been reffered to the hospital as he's seen something pushing up my retina. I'm seeing waveys lines not all but some. Hospital marked it down as none urgent 🤨🤨🤨 now gotta wait 9 months to be soon. I'm worried I have wet amd or something. Anyone had anything similar happen x

OP posts:
underneaththeash · 25/11/2023 08:54

Call the optician who referred you and ask how urgently they think you should be seen.
Some macula issues are non-urgent and tend to resolve themselves, so a slightly longer time to be seen is actually beneficial, others need to be seen much sooner in order for treatment to work.
Oh and print off an Amsler grid
https://www.brightfocus.org/macular/news/amsler-grid-eye-test and mark down where you're getting the distorsion, then you can check more easily to see if anything has changed.

Amsler Grid Eye Test - Free Printable PDF | BrightFocus Foundation

Download an Amsler Grid to print and use at home. This 3-step eye test can help detect early signs of retinal disease. Printable PDF with instructions.

https://www.brightfocus.org/macular/news/amsler-grid-eye-test

Anonymous32 · 25/11/2023 09:22

Hi he put urgent as I was seeing wavey lines on the amsler grid to the top of the grid but not in the centre. Scans were sent off to the hospital they've looked at them and said non urgent. I'm going to another optcians on Tuesday just for a second opinion x

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Headunderthecovers · 25/11/2023 10:13

Obviously no one knows what your eye condition is in the internet, so remember any advice you get isn't necessarily going to be correct . The 2nd optician opinion should hopefully reassess and explain the eye condition fully and perhaps they may (9 months in NHS terms is actually quite quick for non emergency care) be able to refer into another NHS hospital with a shorter waiting list or direct you to book to see an ophthalmology consultant privately.
Unless the 2nd opinion optician sees something else the hospital eye department you have been referred to consider the scans sent through aren't urgent. If you're really worried you may want to see a ophthalmologist privately to talk through the eye condition then stay on the NHS list waiting for any treatment.

If the hospital has triaged a referral into them -that the optician felt was urgent but they downgraded to routine- it means they have looked at the scans and don't feel it has an immediate risk to sight. It could be something like a epiretinal membrane if it's classed as non urgent. If you do pay for a second opinion I would consider asking the optician for which vitreo-retinal ophthalmologist they would recommend if you chose to see them privately.

The main risk in being very short sighted (I am the same) is when you have the PVD is it can tear or detach the peripheral retina which normally happens at the time when you get the sudden change in floaters and flashes as the vitreous jelly is pulling away from the retina (the PVD).The eye can't feel this, so the physical pulling away of the jelly from the retina is seen as flashes and the new floater(s) are the physical change in the jelly structure that has shrunk and pulled away which is the PVD.
Ideally you want an Optos camera to check all round the retina for any possible tears in the peripheral retina, but hardly any opticians have them as they are so expensive. A vitreo-retinal ophthalmologist will do the same with a lens.
This is most important at the time of the PVD or after any blow to the head (like boxers) or if you again develop new floaters or flashes or a shadow or curtain covering a part of your peripheral vision it is always assessed through a dilated pupil by putting drops in. This is always seen urgently as although most people with PVD don't get retinal tears you are more at risk by being very short sighted.
If there is a retinal tear it generally needs lasering to stop any progression to a retina detachment. This is always seen by the NHS as an emergency as a detachment is sight threatening.
I presume the scan you have had is the OCT scan which is common in opticians now. This particularly concentrated on the central retina at the macula. If it was wet macula degeneration there is an NHS 2 week pathway so you wouldn't be downgraded to routine by the hospital. If it's in the eye that had the PVD the most common is the epiretinal membrane, but the optician should tell you what it is.
Epiretinal membranes aren't always removed so a referral is often classed as non-urgent.

Obviously the caveat is always if things change whilst you are on a waiting list you must always be reassessed straightaway by an optician and your referral can be regraded to urgent. Ideally it's best to find a really good optician who you trust and see each time and who can guide you through everything.

Anonymous32 · 25/11/2023 10:59

Thank you very much i am steering more towards a pucker as it fits in with the flashing from 2 years ago. On the refferel letter from specsavers it sounds like I have scar tissue from it. The optcian I am seeing Tuesday is alot more experienced than the specsaver person so hopefully he'll explain it abit better. I don't mind waiting obviously if it gets worse I'll get it seen too I was just so disappointed by soecsavers there was no explanation and scared me to death x

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