High myopia and tennis

[AAA&BBB]

Hello I am a 31 years old male with high myopia（both eyes over 1000）. I has LASIK surgery 3 years ago and result is very good. I give up basketball because of concern of any possibility of retinal tear or detachment. Now I am considering to learn playing tennis. My question is for my individual case or generally speaking can high myopia person like me play tennis? Thank you very much.

[AAA&BBB]

Dear Doctor,

One question about phosphene (seeing quick flash after rapid eye movement in the dark or big sneeze).

1. I remember very well one year ago I don't have that kind of phenomenon. However now I do for one eye. For high myopia person like me (both > 10.00 diopter) is that still harmless and very common OR it is sort of pre-signal and should be warning something, such as retina at some direction is becoming weaker and more sensitive?     I have a thorough dilated eye exam after I had phosphene in the dark and result is no problem.  

2. If it is OK then why I don't have it one year ago then I have it now?

3. Even if phosphene is harmless do you think I should try best to control sneezing / cough and rapid eye movement in order to avoid as much as possible the mechanical pull to retina?

Thanks a lot.

[John C Hagan III, MD, FACS, FAAO]

You're welcome
JCH III MD

[AAA&BBB]

Thanks a lot Doctor. Your professional advice really really relieve my anxiety.  I am so sorry to bother you too much. Again thanks a million.

All best wishes to you and Medhelp.org!!!

[AAA&BBB]

Thanks a lot Doctor. Your professional advice really really relieve my anxiety.  I am so sorry to bother you too much. Again thanks a million.

All best wishes to you and Medhelp.org!!!

[John C Hagan III, MD, FACS, FAAO]

1. Jogging, swimming and golf--three of my favorite activites are fine for you.
2. I think for most people if a thorough dilated retina exam shows no suspicious areas and the Retinal physician agrees that once a year is enough. HOWEVER you are so anxious about this that the reassurance of an exam every 6 months may be worth it to your peace of mind.
3. The rate of RD is not proportional to the degree of myopia in a linear or predicable way. I don't think there are any studies of retinal detachment in myopia >10.00 diopters. You may be able to find one if you spend enough time.
4. Most patients (>51%) of my 10+ diopter myopes have good vision no RD and no macular degeneration
5. New York City has lots of excellent retina ophthalmologists and lots of excellent medical schools and also Manhattan Eye & Ear which is arguably probably the best known.

JCH III MD

[AAA&BBB]

Thanks for your kind help Jodie. I appreciate it very much.

Dear Doctor JH can you also kindly provide your advice for my questions above?