徒然なる日々(A Monotonous Life in Japan)

日々の出来事や想い、喜びや悲しみ(Daily happenings, feelings, joys & griefs)

飛蚊症 (Eye floaters)(2)

2017-08-03 22:38:55 | 雑感
更に30分ぐらい待って、瞳孔を開かせる目薬の効果を確認してから、漸く眼科医の精密検査へと進む。眼底の精密検査はどこの眼科医院でも同じ様な手順や内容と思われるが、私にとっては眼底の直接検診(眼科医によるリアルタイムでの目視検査)は初めての経験であった。点眼薬で瞳孔が開いた状態の右目、左目のそれぞれについて、強い光を当てて眼科医が直接眼底を覗き込んで検査をする。左を見ている状態、左上を見ている状態、上を見ている状態と合計8ポジションについて目視による検査を行った後に、眼底写真の撮影を行った。

その後に眼科医による診察結果(病状)の説明があった。眼科医曰く、右目には異常は見られない。白内障の傾向はみられるが、心配する程は進行していないので大丈夫。飛蚊症については気にする必要は無いとの診断であった。寧ろ、左目の方が問題で、黄斑変性症が認められるとの診断で、眼底写真を見ながら説明される。大きな病院での眼底の更なる精密検査を受ける必要もあるので、次の診察の時にでも紹介状を用意してくれるとの話であった。
点眼薬の処方箋をもらい、次回の診察(1か月後)の予約をして眼科医院を後にした。


Eye floaters(2)

After waiting for another 30 minutes and having checked the effect of the eye drops to delating the pupils, I was finally called in for detailed clinical examination by the doctor (ophthalmologist). I believe the contents and procedures for funduscopic examination are the same or similar at any eye clinic, but the direct inspection of the ocular fundus (real time, visual inspection by the ophthalmologist) was my first experience. On each of right and left eye with the pupil being dilated by the eye drops, the doctor visually examined directly into the eye by radiating sharp light into the eye. I was instructed to place my face on a fixture firmly, and to watch left side for inspection, then to watch upper left side, upper side, upper right side, right side, lower right side, down side, and lower left side, total 8 positions to cover the whole area of the ocular fundus. Then fundus photograph was taken on each of the ritht and let eye.

After the examination, the doctor explained the medical condition of my eyes. He told me that no abnormal conditions are observed on my right eye. There are signs of cataract, but not progressed to the level of immediate concern. As to the eye floaters, the doctor ascertained that there is no abnormality on the ocular fundus, and therefore, no need to worry about. The doctor indicated, however, that he is rather concerned on my left eye in which the signs of macular degeneration are observed. He explained the medical conditions by referring to the fundus photographs of my left eye. He said that he may prepare a letter of recommendation for detailed examination at a major hospital as he thinks it better. I left the clinic after having received a subscription for eye drops and an appointment for the next medical treatment in about a month.