<s>[INST] Hello doctor, I am a 26-year-old female. I have been experiencing unusual vision problems. I have lost sharp clarity, and I had an OCT which showed thinning of ganglion cells in my maculas. Other clinical results looked normal. But I am scared that I have damaged my eyes because it seems things are starting to blur. I do not know what to do. Do I have macular degeneration? Currently, I am on Sertraline 100 mg and Diazepam. Kindly give me your opinion. [/INST] Hello. I am sorry to hear that you are experiencing these symptoms, but hopefully, we can get them resolved or attended to. Unfortunately, I cannot assess the OCT because you only attached the doctor's conclusion (attachment removed to protect patient identity) and not the scan itself, please upload it as soon as possible. What you are experiencing might be the common side effects of Zoloft (Sertraline) it can cause widened pupils and blurriness of vision. I would advise you to approach the doctor that prescribed it for an alternative. I would also recommend you start using lubricating eye drops to compensate for the acquired dryness of the eyes. Use any over the counter (OTC) artificial tears four times daily in both eyes during the day and not before going to sleep. Hopefully, that will reduce the blurriness. As for macular degeneration and the changes in the ganglion layers, you need not worry at the meantime because of many reasons like you are young, no significant changes on the OCT (optical coherence tomography) were detected. There are other reasons for the blurriness that need to be excluded. However, and to eliminate your suspicion, a yearly OCT is recommended to compare the changes and see if the process is stable. </s>