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Medical Forum / General / Vision / January 2005

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Detached retina and weight training

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Joe - 18 Jan 2005 23:08 GMT
Is there a significantly increased risk of a detached retina occuring during
weight training? I ask this because I do some resistance training and I'm
blind in one eye and very short sighted in the other (-5.5) and I'm
concerned that my training might cause a detached retina in my one useful
eye. Am I just being paranoid?

Has anyone heard of a detached retina occuring during weight training? What
normally causes a detached retina?

TIA.
Lordy - 18 Jan 2005 23:16 GMT
> Is there a significantly increased risk of a detached retina occuring
> during weight training? I ask this because I do some resistance
[quoted text clipped - 6 lines]
>
> TIA.

Fighting in the gym.
Picking your nose whilst doing dumbell curls.

Signature

Lordy

Lordy - 18 Jan 2005 23:32 GMT
Lordy <spam_box@gmx.co.uk> wrote in news:Xns95E2ECC96C684lordybigfootcom@
130.133.1.4:

>> Is there a significantly increased risk of a detached retina occuring
>> during weight training? I ask this because I do some resistance
[quoted text clipped - 9 lines]
> Fighting in the gym.
> Picking your nose whilst doing dumbell curls.

www.google.com -> "detached retina" ->
http://www.nei.nih.gov/health/retinaldetach/index.asp

Signature

Lordy

Lordy - 18 Jan 2005 23:38 GMT
> Lordy <spam_box@gmx.co.uk> wrote in news:Xns95E2ECC96C684lordybigfootcom@
> 130.133.1.4:
[quoted text clipped - 15 lines]
> www.google.com -> "detached retina" ->
> http://www.nei.nih.gov/health/retinaldetach/index.asp

http://www.allaboutvision.com/conditions/retinadetach.htm

See your doctor / optometrist

Signature

Lordy

Mark A - 18 Jan 2005 23:45 GMT
> http://www.allaboutvision.com/conditions/retinadetach.htm
>
> See your doctor / optometrist

Only an ophthalmologist (Dr) is qualified to give advice on that subject.
Not an optometrist (OD).
Mike Tyner - 18 Jan 2005 23:58 GMT
> Only an ophthalmologist (Dr) is qualified to give advice on that subject.
> Not an optometrist (OD).

And you would know because?

The majority of dilated examinations in the US are performed by
optometrists. Do you visit an oral surgeon to get cavities filled?

-MT, OD
quattrocchi - 19 Jan 2005 00:29 GMT
> > Only an  (Dr) is qualified to give advice on that subject.
> > Not an optometrist (OD).

> And you would know because?

> The majority of dilated examinations in the US are performed by
> optometrists. Do you visit an oral surgeon to get cavities filled?

> -MT, OD

An ophthalmologist will have seen more detachments.

My /optometrist/ mis-diagnosed my detached retina.

I presented with a strange part-disc-shaped thing at the extremity of my
vision in one eye and she reported a floater 'I can see it'. Also she
completed an eye exam in both eyes and discussed lenses options with me.
She seemed very confident in her floater diagnosis. Two days later I was
in hospital with a retina pulling away from my macula.

Interesting thing about the surgery: I have it on tape from the feed from
the surgeon's scope. Interested anyone?

Brian
Mark A - 19 Jan 2005 02:08 GMT
> > > Only an ophthalmologist (Dr) is qualified to give advice on that
subject.
> > > Not an optometrist (OD).
>
[quoted text clipped - 4 lines]
>
> > -MT, OD

An OD may be trained to recognize a detached retina, but an ophthalmologist
is a lot more knowledgeable about the causes and prevention. I suppose you
are going to tell me that an OD is better than a ophthalmologist to repair a
detached retina?
Mike Tyner - 19 Jan 2005 02:28 GMT
> I suppose you
> are going to tell me that an OD is better than a
> ophthalmologist to repair a detached retina?

Are all ophthalmologists equally qualified?

So I should get a break when the jury decides I missed a detachment. After
all, I'm just an optometrist.

-MT
Charles - 19 Jan 2005 02:37 GMT
> Are all ophthalmologists equally qualified?
>
> So I should get a break when the jury decides I missed a detachment. After
> all, I'm just an optometrist.

My optometrist missed the detachment. He diagnosed it as something
else. However he absolved himself in my eyes by referring me to a well
qualified ophthalmologist who diagnosed the detachment.

Signature

Charles

Robert Martellaro - 19 Jan 2005 18:57 GMT
>My /optometrist/ mis-diagnosed my detached retina.
>
[quoted text clipped - 8 lines]
>
>Brian

Brian,

I'am truly sorry to hear this. I hope the loss of vision was not significant.

I would like to see your surgery. E-mail me with your server address or maybe
you could post it to one of the binary groups.

Thanks

For everyone else,

I'am an independent optician who fills Rxs from ophthalmologists, and have done
so for 32 years, so if I'am biased it's towards the OMDs. I have seen, on more
than one occasion, pathology that was detected by an OD that was missed by an
OMD. Because of this and many other factors I believe it would be accurate to
say that an experienced OD that performs a thorough examination will detect
pathology at essentially the same level as an OMD. In addition, ODs will usually
write a better Rx for opthalmic lenses than OMDs, especially when prism or other
complex lenses are prescribed.

However, I would recommend OMDs over ODs when diagnosing age related pathology
i.e. glaucoma and AMD, because of their experience working with that age group.
If I had to generalize I would say that if you are under age sixty with a low
risk family history and are in good health one should choose and OD for their
eyecare, and an OMD otherwise.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
 - Richard Feynman
Philip D Izaac - 20 Jan 2005 06:49 GMT
Yes I'm interested too, Thanks, I hope all goes well with you. Alll the
best.

Roland J. Izaac

> >My /optometrist/ mis-diagnosed my detached retina.
> >
[quoted text clipped - 43 lines]
> "Science is a way of trying not to fool yourself."
>   - Richard Feynman
quattrocchi - 23 Jan 2005 04:43 GMT
>> I'am truly sorry to hear this. I hope the loss of vision was not
>> significant. I would like to see your surgery. E-mail me with your
>> server address or maybe you could post it to one of the binary groups.
> Yes I'm interested too, Thanks, I hope all goes well with you. Alll the
> best.

Thanks. I have some interesting gif animations I made from the video.
That's all I think I can offer atm. I'll dig them out.

Brian
Ann - 29 Jan 2005 22:50 GMT
>> > Only an  (Dr) is qualified to give advice on that subject.
>> > Not an optometrist (OD).
[quoted text clipped - 15 lines]
>She seemed very confident in her floater diagnosis. Two days later I was
>in hospital with a retina pulling away from my macula.

Interesting.. I had just the same thing with what we here call an
optician.. "I can see it".. "the floater that you're looking
through".. turned out it was a tumour!

Ann
Philip D Izaac - 30 Jan 2005 03:46 GMT
An Optician did an eye exam? Where are you residing?

I hope everything turns out well for you. all the very best.

Roland J. Izaac

> >> > Only an  (Dr) is qualified to give advice on that subject.
> >> > Not an optometrist (OD).
[quoted text clipped - 21 lines]
>
> Ann
Joseph Gwinn - 19 Jan 2005 02:55 GMT
> > Only an ophthalmologist (Dr) is qualified to give advice on that subject.
> > Not an optometrist (OD).
[quoted text clipped - 3 lines]
> The majority of dilated examinations in the US are performed by
> optometrists. Do you visit an oral surgeon to get cavities filled?

Umm.  Detached retinas are *not* something that an optometrist is
qualified to treat, and are *not* comparable to cavities in seriousness.

Only an ophthalmologist (a form of medical doctor) is qualified or
legally permitted to treat such things as detached retinas, which
requires surgery.  

Optometrists are legally allowed to prescribe and fit eyeglasses, but
not to perform surgery.
Mike Tyner - 19 Jan 2005 03:02 GMT
> Only an ophthalmologist (a form of medical doctor) is qualified or
> legally permitted to treat such things as detached retinas, which
> requires surgery.

The original comment was that optometrists are not qualified to give advice.
I disagree.

I don't know any optometrists who want to repair retinal detachments.

-MT, OD
Dr. Leukoma - 19 Jan 2005 13:08 GMT
> > http://www.allaboutvision.com/conditions/retinadetach.htm
> >
[quoted text clipped - 5 lines]
> Only an ophthalmologist (Dr) is qualified to give advice on that subject.
> Not an optometrist (OD).

Oh, for goodness sake, let's not start on that.

I have diagnosed many retinal detachments, holes, and breaks during my
career.  It is not that difficult, especially if one dilates the eyes
and uses the proper ophthalmoscope.

Insofar as repairs go, of course optometrists don't do that, but
neither do many ophthalmologists.  In my area, the vast majority of
repairs are done by the retinal subspecialist.  I once had the good
fortune of doing grand rounds with a local retinal specialist, as I had
come to think that I was "over-referring" patients to the
subspecialist.  What I found was an entire day of patients who were
referred mostly by the general ophthalmologists in the area for the
very same conditions I had been referring, with an equal number of
false positive referrals.  BUT, better to be safe than sorry.

With optometrists performing the majority of eye exams in the U.S. (by
virtue of numbers and distribution) you can be darn sure that they are
trained to diagnose retinal detachments.

DrG
The Real Bev - 20 Jan 2005 05:29 GMT
> > Only an ophthalmologist (Dr) is qualified to give advice on that
> > subject.
[quoted text clipped - 5 lines]
> career.  It is not that difficult, especially if one dilates the eyes
> and uses the proper ophthalmoscope.

Hrm.  Tell that to my mom's quack, a board-certified ophthalmologist,
who treated her for 5 years for nonexistent AMD and missed the macular
hole in one eye and the macular bubble in the other.

I know, I've done a lot of bitching about this jerk, but how on earth do
you know when a doc is a quack if he seems to have all his ducks in a
row?  It's scary when you can't trust the experts...

Signature

Cheers,
Bev
==========================================================
"The last thing you want is for somebody to commit suicide
before executing them."
       -Gary Deland, former Utah director for corrections

Mark A - 20 Jan 2005 05:33 GMT
> > I have diagnosed many retinal detachments, holes, and breaks during my
> > career.  It is not that difficult, especially if one dilates the eyes
> > and uses the proper ophthalmoscope.

Maybe you can diagnose a retinal detachment, but apparently you cannot read.
The original poster is not looking for a diagnosis of an existing situation,
he is looking for advice about the possibility of a detachment occurring
during strenuous physical activity.
Joseph Gwinn - 20 Jan 2005 15:17 GMT
> > > Only an ophthalmologist (Dr) is qualified to give advice on that
> > > subject.
[quoted text clipped - 13 lines]
> you know when a doc is a quack if he seems to have all his ducks in a
> row?  It's scary when you can't trust the experts...

Doctors are human, and not all are equally good.  So, always get a
second opinion, even if you don't call it that.
The Real Bev - 20 Jan 2005 20:02 GMT
> > > > Only an ophthalmologist (Dr) is qualified to give advice on that
> > > > subject.
[quoted text clipped - 16 lines]
> Doctors are human, and not all are equally good.  So, always get a
> second opinion, even if you don't call it that.

From whom?  The jerk's partner?  Every time you go to one doctor,
duplicate the visit with a different doctor and then do it again if
there's a disagreement?  Somebody on line will sell me information about
the doctor of my choice -- complaints, disciplinary action, patient
comments, etc.  Why can't we just check with the licensing board
ourselves for NO charge?  

Look, my mom being unable to drive or read the newspaper or even read
the goddam basketball scores on her 36" TV set is not YOUR fault, but if
your idea about second opinions has any value at all you have to do it
every single time you visit any doctor.  My mom trusted this bastard for
over 10 years.  He's board certified.  He's respected by other doctors.
She's had glare problems ever since he did her cataracts -- which he
told her is normal.  

I want the bastard's head on a platter, but there's no way on earth I
can get it.

Signature

Cheers,
Bev
++++++++++++++++++++++++++++++++++++++++++
Of course SoCal has four seasons:  
Earthquake, Mudslide, Brushfire, and Riot

Joseph Gwinn - 21 Jan 2005 03:39 GMT
> > [snip]
> > >
[quoted text clipped - 15 lines]
> comments, etc.  Why can't we just check with the licensing board
> ourselves for NO charge?  

Most of the time, the problem isn't that the doctor is a quack, it's
that he's mistaken.   So, while checking with the licence board can't
hurt, it won't often help.  

Nor can civilians tell a good doctor from a bad doctor, until far too
late.

Even if the doctor is a jerk, his partners may succeed where he has
failed.  I always arrange things so I eventually see multiple doctors
from a given practice.  If they all agree, your chances are much
improved.

> Look, my mom being unable to drive or read the newspaper or even read
> the goddam basketball scores on her 36" TV set is not YOUR fault, but if
[quoted text clipped - 3 lines]
> She's had glare problems ever since he did her cataracts -- which he
> told her is normal.  

Ten years?  One second opinion at year one or two probably would have
done the job.  It sounds like the doctor couldn't see through the
cataracts.

> I want the bastard's head on a platter, but there's no way on earth I
> can get it.

So, the court didn't agree with you?

Second opinions may be a bad approach, but no better approach is
available.  If it takes a thief to catch a thief, it takes a doctor to
catch a doctor.

Joe Gwinn
The Real Bev - 21 Jan 2005 07:17 GMT
> > > [snip]
> > > >
[quoted text clipped - 27 lines]
> from a given practice.  If they all agree, your chances are much
> improved.

One ophthalmologist, one optometrist, a lot of assistants.  Not
practical.

> > Look, my mom being unable to drive or read the newspaper or even read
> > the goddam basketball scores on her 36" TV set is not YOUR fault, but if
[quoted text clipped - 7 lines]
> done the job.  It sounds like the doctor couldn't see through the
> cataracts.

She didn't know any better.  He's a nice man.  She trusted him.  

> > I want the bastard's head on a platter, but there's no way on earth I
> > can get it.
>
> So, the court didn't agree with you?

Yeah, right!

> Second opinions may be a bad approach, but no better approach is
> available.  If it takes a thief to catch a thief, it takes a doctor to
> catch a doctor.

In my dreams.  I told the quack's receptionist that my family would NOT
be coming back because of his "treatment" of my mom.  I also discussed
this with the new retinal specialist, who said that the quack was a
respected member of the profession and that he had previously sent his
own brother to him.  Later on he phoned me and spent considerable time
explaining that the quack was a respected member blablabla.  He was
unwilling to ask the quack (over 85) to retire, which would have
satisfied me.  

I suppose I could walk up and down outside his office carrying a big
sign saying 'Ask me how Dr. X let my mom go blind' but that probably IS
actionable.

Signature

Cheers,
Bev
[] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] []
If voting could really change things, it would be illegal.
                  --Revolution Books, New York, New York

Dan Abel - 21 Jan 2005 19:37 GMT
> She didn't know any better.  He's a nice man.  She trusted him.  

Moms are kind of like that.  When I was a kid, we had a family doctor, Dr.
Fred Judy.  He did *everything*.  My mom had a whole bunch of things wrong
with her, and she had a standing appointment with him every Friday
morning.  She was very unhappy when he retired, even though she admitted
that since he did *everything*, he wasn't very good at *anything*.  He
repaired my hernia, which was major surgery.  The scar looked like hell
for decades.  I had to have the surgery redone (not his fault), and you
can barely tell that I ever had surgery there.  I had allergies, and he
did the testing and prescribing.  When I went off to college, I took my
allergy stuff, which required injection, to the student health center.  I
had to see the doctor, to get it OKed.  He wanted to know why the heck I
hadn't gone to ABC & XYZ, very competent allergy specialists in my home
town.  I had no clue, of course.

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

The Real Bev - 25 Jan 2005 05:58 GMT
> > She didn't know any better.  He's a nice man.  She trusted him.
>
[quoted text clipped - 6 lines]
> for decades.  I had to have the surgery redone (not his fault), and you
> can barely tell that I ever had surgery there.

I suspect the days where The Family Doctor also does surgery are
numbered.  While I like my own personal GP, from his skill (NONE!) at
removing a yucca spike from my leg I conclude that cutting is not his
forte.

> I had allergies, and he
> did the testing and prescribing.  When I went off to college, I took my
> allergy stuff, which required injection, to the student health center.  I
> had to see the doctor, to get it OKed.  He wanted to know why the heck I
> hadn't gone to ABC & XYZ, very competent allergy specialists in my home
> town.  I had no clue, of course.

I have to wonder if stuff like that is ego ("Hey, I don' need no
steenkin' experts, I know what I'm doing") or pure
incompetence/ignorance.  

It's truly amazing that we have no way at all to determine whether a
given doctor is competent or not.  If that website that offers to sell
information about a given doctor (lost the URL, unfortunately) can find
out about complaints to licensing agencies, reprimands, lawsuits, etc.,
why can't we?  

I figured my mom's quack was probably OK for diagnosis, but I certainly
wouldn't let him operate on any of us.  He wasn't even competent for
diagnosis.  

Signature

Cheers,
Bev
====================================================================
"My parents just came back from a planet where the dominant lifeform
had no bilateral symmetry, and all I got was this stupid F-Shirt."

Dan Abel - 26 Jan 2005 19:21 GMT
> > Moms are kind of like that.  When I was a kid, we had a family doctor, Dr.
> > Fred Judy.  He did *everything*.  My mom had a whole bunch of things wrong
[quoted text clipped - 4 lines]
> > for decades.  I had to have the surgery redone (not his fault), and you
> > can barely tell that I ever had surgery there.


> I suspect the days where The Family Doctor also does surgery are
> numbered.

I suspect that those days are over already.  My mother was unhappy when
the guy retired, but since she's been dead over 30 years, he must have
retired a long time ago.

> > had to see the doctor, to get it OKed.  He wanted to know why the heck I
> > hadn't gone to ABC & XYZ, very competent allergy specialists in my home
[quoted text clipped - 3 lines]
> steenkin' experts, I know what I'm doing") or pure
> incompetence/ignorance.  

Or whether things were just different in the old days.  To be honest, the
guy was a certified surgeon.  I don't know why he worked as a GP, but he
definitely didn't do much surgery.

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

Proton Soup - 18 Jan 2005 23:33 GMT
>Is there a significantly increased risk of a detached retina occuring during
>weight training? I ask this because I do some resistance training and I'm
[quoted text clipped - 6 lines]
>
>TIA.

If you strain too hard to make a lift, your eyes could literally pop
right out of your head.

-----------
Proton Soup

"Thanks for noticing that I didn't actually say anything." - Mike Lane
Lee Michaels - 19 Jan 2005 00:41 GMT
> If you strain too hard to make a lift, your eyes could literally pop
> right out of your head.

This is why we come to MFW.

All this great medical info!!

Thanks man!!
JMW - 19 Jan 2005 00:57 GMT
>>Is there a significantly increased risk of a detached retina occuring during
>>weight training? I ask this because I do some resistance training and I'm
[quoted text clipped - 9 lines]
>If you strain too hard to make a lift, your eyes could literally pop
>right out of your head.

Not to mention the rectal prolapse.
Signature


JMW
http://www.rustyiron.net

Proton Soup - 19 Jan 2005 02:07 GMT
>>>Is there a significantly increased risk of a detached retina occuring during
>>>weight training? I ask this because I do some resistance training and I'm
[quoted text clipped - 11 lines]
>
>Not to mention the rectal prolapse.

Ugh, don't remind me.

-----------
Proton Soup

"Thanks for noticing that I didn't actually say anything." - Mike Lane
John - 19 Jan 2005 09:16 GMT
> >>>Is there a significantly increased risk of a detached retina occuring during
> >>>weight training? I ask this because I do some resistance training and I'm
[quoted text clipped - 13 lines]
>
> Ugh, don't remind me.

lol What's this?
Mike Tyner - 18 Jan 2005 23:55 GMT
> What normally causes a detached retina?

Usually physical impact, in the presence of a pre-existing condition like
retinal break or lattice degeneration.

If your doctor does a dilated exam and finds none of these conditions, then
your risk is lower. If you don't get elbowed in the eye, your risk is lower.
Weight training is not normally a "high-risk" sport, like boxing.

-MT, OD
unrestrained_hand@hotmail.com - 19 Jan 2005 03:36 GMT
> Is there a significantly increased risk of a detached retina occuring during
> weight training? I ask this because I do some resistance training and I'm
[quoted text clipped - 4 lines]
> Has anyone heard of a detached retina occuring during weight training? What
> normally causes a detached retina?

Nearsightedness.
Family history.
Age.
Blows to the head.

> TIA.

http://www.kellogg.umich.edu/patientcare/conditions/detached.retina.html

You already know about the danger of being nearsighted. As one myopic
to another, not much we can do about that (that is, eye surgery might
"cure" nearsightedness but would do nothing about its shape
contributing to detached retina). Family history ditto. The other
danger is trauma. Don't take up boxing. Weight training is about the
safest decent exercise around.

If you're concerned about detached retinas, look it up. <rolls eyes>

New to the web? Go to
http://www.google.com
Enter these words:
cause "detached retina"
and hit the Google search button.

Kermit
g.gatti@agora.it - 19 Jan 2005 10:08 GMT
what is treatment and prevention?
please, useful things, not butcher's lies.
unrestrained_hand@hotmail.com - 21 Jan 2005 04:24 GMT
The retina is a light-sensitive membrane lying on, and loosely attached
to the back of the eye. A heavy blow to the head (especially the eye
itself) might make some of it rip off from the back of the eye. The
clear liquid in the eye fills in the gap. The retina still "sees"
light, but the detached, floating part is no  longer in the right place
to have images focused on it. The eye lens focuses what you see on the
back of the eye, and the detached part of the retina is no longer
there. The person suffering from this might see a curtain-like blurring
obscuring part of his vision in one eye, and it may shift slightly as
he looks around.

They have some success using lasers. They "weld" the retina back on to
the eye in very small spots. If this is not done, more and more of the
retina can become detached. This is fairly safe; it does not require
opening the eye. If the problem is from trauma, this may fix the
problem permanently - if there is no more serious trauma (injuries) to
the eye.

Kermit
g.gatti@agora.it - 25 Jan 2005 10:59 GMT
what is the rate of retinal detachment and imprfect sight (use of
glasses) compared to perfect sight (non use of glasses)?
joh - 19 Jan 2005 22:54 GMT
Please go to a retinal specialist and get an indirect ophthalmoscopy
done (full retinal exam) The ophhalmologist will examine the whole
retina thoroughly and check if there are any weak spots.
joh - 19 Jan 2005 23:00 GMT
Please go to a retinal specialist and get an indirect ophthalmoscopy
done (full retinal exam) The ophhalmologist will examine the whole
retina thoroughly and check if there are any weak spots.

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