Can you “save” ophthalmology for medical examinations?
Key words in this issue: fundus lesions
Interpretation expert: Li Zhaoming, ophthalmologist of Wuhu Hospital of Traditional Chinese Medicine
There is no doubt that modern people attach great importance to physical examination, and choose a package to repeat “Scrutiny”, extremely tangled. Among all the physical examination items, ophthalmological examinations are often overlooked. Many people plausibly ask, “Is it necessary to check my eyes if I am not nearsighted or farsighted?”
The ophthalmic physical examination includes vision examination and external eye examination. (eyelid, lacrimal device, conjunctiva, eye position, orbit, eye muscle examination, etc.), slit lamp examination (examination of glaucoma, cornea, conjunctiva, cataract and other diseases), comprehensive optometry, fundus examination (to understand the situation of the posterior segment of the eye, exclude vitreous, Retinal, choroid, optic nerve diseases, etc.) and many other steps, in addition to the degree, it is also necessary to screen for the various eye diseases mentioned above.
Experts stress that eye examinations should not be ignored, especially for the following categories of people. First, patients with high myopia have a longer eye axis than normal people, and the probability of fundus lesions is higher, which is likely to lead to retinal atrophy or even detachment. Generally, the fundus is checked once a year. If you encounter vision loss, visual distortion, shadows fluttering in front of your eyes, flashes in front of your eyes, etc., you should seek medical attention in time. It is likely to be a precursor symptom of retinal detachment or macular hemorrhage. People with high myopia must be careful not to use their eyes for a long time and avoid strenuous exercise.
The second is diabetic patients. Diabetes silently “erodes” the health of the retina, causing irreversible visual damage. In the early stages, changes are difficult to detect; but in the later stages, retinal hemorrhages, exudates, and, if treatment is missed, can lead to blindness. Therefore, diabetic patients need to go to the hospital for eye fundus at least once a year.
The third is hypertensive patients. When the disease develops to a certain extent, the blood vessels on the fundus and retina, especially the arterial blood vessels, will change, and edema, hemorrhage, and exudation will appear on the retina. It is recommended to regularly Examination of the fundus is meaningful for determining the treatment plan and prognosis.
Fourth, middle-aged and elderly people. Age-related macular degeneration is an age-related macular disease, which can lead to irreversible central vision loss, and even blindness in severe cases. Early symptoms are often not obvious, and it is easy to delay treatment. Middle-aged and elderly people should have a fundus examination every year. Reporter Cheng Qian