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I'm certainly no doctor, but I have heard that omega 3s in particular DHA can potentially help with maintaining retinal health.
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No surgical treatment?
Have you seen a retinal specialist?
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In case tears appear, they can be treated with laser. How fast and how far this will progress... is a matter of luck. If there is no retinal detachment (which is a risk in my case) i expect not to have significant vision loss in the next 10 year... But I would have liked to have a time horizon a lot longer than 10 years, but ... whatever.
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What concerns me is that i have signs of degenerating retinas in both eyes that may lead to blindness in the future.
What I am doing to address it you ask? I am going for regular checks with the doctor. There isn't really anything more that I can do.