Eye Issues: Floaters, Myopia, and Retinal Degeneration Explained - Ophthalmology

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Eye problems


Hello, Dr.
Wang.

1.
I would like to ask if having floaters and myopia of about 600 degrees increases the likelihood of retinal detachment as I age.
Does an increase in myopia also correlate with a higher risk of detachment?
2.
I have seen two doctors who both mentioned that I have retinal degeneration.
What does retinal degeneration mean? Is it serious? Are there any specific precautions I should take for my eyes on a daily basis?
Thank you for your assistance.

Niming, 30~39 year old female. Ask Date: 2016/04/20

Dr. Wang Zhishun reply Ophthalmology


Hello, 1.
The peak incidence of retinal detachment occurs in both young adulthood and old age; the higher the degree of myopia, the greater the risk.
2.
It likely means that the retina is thinner.
Proper eye care is essential.

Reply Date: 2016/04/20

More Info


Hello! Thank you for your questions regarding eye issues, particularly floaters, myopia, and retinal degeneration. Let's break down your concerns and provide a comprehensive understanding of these conditions.

1. Floaters and Myopia: Floaters are small spots or threads that drift through your field of vision. They are often caused by changes in the vitreous gel that fills the eye, which can become more liquid as we age. In individuals with myopia (nearsightedness), especially those with higher degrees like -6.00 diopters, the risk of developing floaters can indeed increase. This is because myopia is associated with elongation of the eyeball, which can lead to changes in the vitreous and the retina. As you age, the likelihood of experiencing floaters may also increase due to natural degenerative changes in the vitreous body.

2. Retinal Degeneration: Retinal degeneration refers to the deterioration of the retina, which can lead to various visual problems. It can manifest in several forms, including age-related macular degeneration (AMD) and retinal detachment. The term "retinal degeneration" can encompass a range of conditions, some of which may be more serious than others. It's important to understand that while retinal degeneration can be concerning, not all forms lead to severe vision loss. Regular monitoring and follow-up with your eye care provider are crucial.

3. Age and Degree of Myopia: As you age, the risk of retinal issues, including degeneration, can increase, particularly if you have high myopia. Studies have shown that individuals with high myopia are at a greater risk for retinal tears and detachment. Therefore, it is essential to have regular eye examinations, especially if you notice any new floaters, flashes of light, or changes in your vision.

4. Precautions and Monitoring: For someone with your background of myopia and floaters, there are several precautions you can take:
- Regular Eye Exams: Ensure you have comprehensive eye exams at least once a year or as recommended by your eye doctor. This will help monitor any changes in your retina and overall eye health.

- Protect Your Eyes: Use sunglasses that block UV rays when outdoors, as UV exposure can contribute to retinal damage over time.

- Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (like vitamins C and E, lutein, and zeaxanthin) which may support eye health. Regular exercise and avoiding smoking can also be beneficial.

- Be Aware of Symptoms: Pay attention to any sudden changes in your vision, such as an increase in floaters, flashes of light, or a shadow in your peripheral vision. If you experience any of these symptoms, seek immediate medical attention.

5. Is It Serious?: While retinal degeneration can be serious, the severity often depends on the specific type and extent of the degeneration. Early detection and treatment can significantly improve outcomes. If your doctors have indicated that you have retinal degeneration, it is essential to follow their advice and keep up with any recommended treatments or monitoring.

In conclusion, while having floaters and myopia can increase your risk for retinal issues, proactive management and regular check-ups can help mitigate these risks. Always consult with your eye care professional regarding any concerns or changes in your vision. Your eye health is paramount, and staying informed is the best way to protect it. Thank you for your questions, and I hope this information helps clarify your concerns!

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