Important Question Regarding Retinal Detachment-Should I get A Second Opinion?

Question

I am 21 years old and very nearsighted (-14.00) and my doctor just noticed some small holes in my retina that were never there before, and I have been having my eyes dilated to check for this since I was bout 8. So I was referred to a specialist and I might need a laser treatment. At the retinal specialist he said it was just something to "watch" so that it does not dettach. There is a laser treatment available to seal the holes but he said that it is not necessary right now, especially since I do not play any contact sports. What are the chances that I might see some detachment? My vision has stopped progressing within the last 2 years. I am very worried about detachment. Should I get a second opinion about the laser seal of the holes?

Answer 1

Without examining you there is no way for me to give you advice as to whether or not it would be best to laser the holes.  BUT, that's exactly why second opinions are a good thing.  The decision not to laser your retina is an OPINION.  Sometimes, one doctor may look at a case and form one OPINION and another doctor will form a totally different OPINION.  I would definitely recommend a second opinion if you are concerned.  BUT, ultimately YOU still have to decide which opinion you feel most comfortable with if the opinions differ.  Sometimes, peace of mind is a good thing to have.  So, yes go in for a second opinion.  Hope all goes well.

Answer 2

I would suggest getting that second opinion- if only for peace of mind. What's one doctor's 'minor problem' is another's 'major emergency'- it is based not only on their textbook knowledge but on their own experience with their own patients, which can be vastly different. Your current doctor may feel that the risks versus benefit does not make the laser a good option, but a new one might advise getting it done now or in the near-future.

It seems like you're clearly a very detachment-aware patient, so, if you ever  do develop the symptoms you're more likely to be successfully treated. Keep asking questions and, more likely than not, you'll be fine- even if you do experience a detachment.