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Fuchs spots are small dark or pigmented lesions that appear in people with high myopia due to changes in the central retina. They develop when stretching of the eye leads to tiny areas of scarring beneath the macula. These spots can affect central detail and sometimes cause distortion. They are often detected during routine retinal exams in highly myopic patients. Monitoring helps track any progression.
read more about fuchs spots ...High myopia stretches the retina and underlying tissues. Small breaks or weak points in these layers can trigger scarring. New abnormal vessels may form and later heal, leaving behind the spots. Genetics and long-term eye growth patterns influence who develops them.
Symptoms vary depending on location.
A dilated retinal exam shows the pigmented spot near the macula. Optical coherence tomography helps assess surrounding tissue. Fluorescein angiography may be used if new vessels are suspected. History of high myopia helps confirm the diagnosis.
Management focuses on monitoring. If new abnormal vessels develop, medication injections may be used. Low vision tools can help in advanced cases. Regular exams track changes in the macular area.
Not always. Some spots are small and cause minimal change.
Yes. They represent healed areas of scarring.
They can enlarge slowly, especially in very high myopia.
Seek evaluation if new distortion or central blur appears.