This is the photograph of the peripheral retina of a patient with about 10 diopters of near sightedness. The orange area is normal retina. The white area is the “stretched” area that often happens in very near sighted individuals. It is a risk factor for future retinal tears or holes that can lead to retina detachment which can potentially cause total blindness. Patients with a lot of near-sightedness should be dilated on a yearly basis.