Vitreous Degeneration and Its Impact on Retinal Health - Ophthalmology

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Vitreous degeneration and retinal diseases?


Hello, Dr.
Gao.
I have high myopia of about -1200 diopters.
Recently, I have noticed some small bright spots occasionally, although not frequently (there are no flashes or lightning).
Additionally, my floaters have increased slightly.
I visited a doctor last month, and after dilation, the doctor said my retina was fine and that it was likely due to eye degeneration.
Dr.
Gao, I would like to ask how long this condition of seeing bright spots (due to degeneration) might last? I am quite worried about my eyes, and how long it typically takes for retinal tears to lead to retinal detachment? I am concerned that the doctor may have missed something, and I keep thinking about going for another check-up...
Dr.
Gao, I would appreciate your answers.
Thank you!

A-Nan, 20~29 year old female. Ask Date: 2016/11/08

Dr. Gao Pilin reply Ophthalmology


Hello Anan: In fact, people with myopia often experience symptoms of floaters.
This is a natural degeneration of the vitreous body.
This phenomenon usually persists for a long time, and if examinations show no issues, there is no need for excessive anxiety.
However, if there are changes such as an increase in dark spots or changes in visual field loss, immediate medical attention is required.
Otherwise, a check-up every six months should suffice.
The time from retinal tears to retinal detachment depends on factors such as the location and size of the tear, as well as the degree of vitreous liquefaction.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is still necessary to seek medical care at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2016/11/08

More Info


Understanding vitreous degeneration and its impact on retinal health is crucial, especially for individuals with high myopia, like yourself. Vitreous degeneration is a common age-related condition where the vitreous gel, which fills the eye, begins to liquefy and shrink. This process can lead to various visual disturbances, including the appearance of floaters (the "flying mosquitoes" you mentioned) and flashes of light.
In your case, with a high myopia of around 1200 degrees, you are at a higher risk for complications associated with vitreous degeneration. High myopia can lead to structural changes in the eye, making the retina more susceptible to issues such as retinal tears or detachments. The presence of new floaters or flashes of light can be concerning, as they may indicate that the vitreous is pulling on the retina, which could potentially lead to more serious conditions.

Regarding your specific questions about the duration of seeing bright spots and the timeline from retinal tears to detachment, it’s important to understand that these symptoms can vary significantly from person to person. Bright spots may persist for a while, but if they are not accompanied by other symptoms like flashes or a sudden increase in floaters, they may not indicate a serious issue. However, it is always wise to monitor these changes closely and consult with your eye care professional if you notice any worsening symptoms.

The transition from a retinal tear to a detachment can happen relatively quickly, sometimes within days to weeks, depending on various factors, including the size and location of the tear and the overall health of the retina. Regular follow-up appointments with your ophthalmologist are essential, especially given your high myopia and the recent changes in your vision. They can perform comprehensive examinations, including dilated fundus exams, to monitor the health of your retina and vitreous.

In terms of managing your eye health, there are several nutritional factors and lifestyle choices that can support retinal health. Antioxidants such as vitamins C and E, lutein, and zeaxanthin are known to help protect retinal cells from oxidative stress. Foods rich in these nutrients include leafy greens, carrots, citrus fruits, nuts, and fish high in omega-3 fatty acids, like salmon. Staying hydrated and maintaining a balanced diet can also contribute to overall eye health.

Additionally, it's advisable to limit screen time and take regular breaks when using digital devices to reduce eye strain. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This practice can help alleviate discomfort and may reduce the risk of further degeneration.

Lastly, while there is no way to reverse vitreous degeneration, staying proactive about your eye health through regular check-ups, a healthy diet, and protective measures can help manage symptoms and reduce the risk of complications. If you continue to experience anxiety about your symptoms, don’t hesitate to reach out to your eye care provider for reassurance and guidance. They can help you understand your condition better and provide strategies to cope with any visual disturbances you may experience.

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