Floaters: Managing Symptoms and Sports Activities - Ophthalmology

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Precautions Regarding the Parallax Effect and Motion of Floaters


Dear Dr.
Gao,
I previously had a thinner peripheral retina, with one eye having a small tear and the other experiencing vitreous traction, so I underwent preventive laser treatment.
After the procedure, I developed floaters, which I was not accustomed to since I had none before.
Later, I found Dr.
Cai Wufu's ophthalmology clinic online and received eight sessions of YAG laser treatment in each eye.
However, instead of reducing the floaters, they have increased, and I now have wave-like floaters in my left eye that obstruct my central vision, causing a significant disparity between my eyes and severely affecting my daily life.
I deeply regret this situation, but it is now beyond my control.
During this period, I have experienced various symptoms associated with floaters, including flashes of light.
I have consulted many doctors, including you, and have gradually come to understand the causes and potential complications of floaters.
I am trying to maintain a regular routine, schedule regular check-ups, and take some supplements, hoping that, as you and other doctors have mentioned, the situation may improve as the vitreous gradually liquefies or the floaters drift out of my field of vision.
I have two questions I would like to ask you:
1.
I really enjoy playing badminton, but considering the intensity of the sport, I am unsure if it is suitable for me to continue given my current condition.
2.
The most troubling issue for me is the wave-like distortion in my left eye without glasses, and the floaters appear foggy when I wear glasses, causing a disparity in my vision.
If this situation worsens, what steps can I take? Should I continue to monitor it, with the expectation that it may improve as the vitreous liquefies?
Thank you for taking the time to read my questions and for your response.
Thank you.

Peter, 30~39 year old female. Ask Date: 2016/12/18

Dr. Gao Pilin reply Ophthalmology


Hello Peter:
1.
Playing badminton should be fine, but you should wear protective goggles, as being struck by a shuttlecock can cause serious eye injuries.

2.
Under normal circumstances, your condition should not worsen and will gradually improve.
If there is severe vitreous opacification, such as vitreous hemorrhage, a vitrectomy may be necessary.
However, in your case, I believe surgery is not required, and observation should suffice.

The ophthalmology department at Puzi Hospital in Taiwan 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; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.

Best regards,
Gao Pilin

Reply Date: 2016/12/18

More Info


Dear Patient,
Thank you for sharing your concerns regarding your eye health and the impact of floaters on your daily life, particularly in relation to your passion for badminton. I understand that dealing with floaters, especially after undergoing laser treatment, can be quite distressing. Let's address your questions and provide some insights into managing your symptoms while engaging in sports activities.


Understanding Floaters and Their Management
Floaters are small spots or lines that appear in your field of vision, caused by tiny pieces of gel or debris within the vitreous humor of the eye. They are often more noticeable when looking at a plain background, such as a clear sky or a white wall. While floaters can be annoying, they are typically harmless. However, in your case, the presence of a retinal tear and the subsequent laser treatment may have contributed to the increased visibility of these floaters.

1. Engaging in Sports Activities:
Given your love for badminton, it’s essential to consider how your current eye condition may affect your performance and safety during play. Badminton is indeed a fast-paced sport that requires quick reflexes and good visual acuity. While floaters themselves do not typically pose a direct risk to your eye health, the presence of significant visual disturbances, such as the water wave effect you described, may hinder your ability to track the shuttlecock effectively.
It is advisable to consult with your ophthalmologist regarding your specific situation. They can assess the severity of your floaters and any potential risks associated with vigorous activities. If your floaters are stable and not associated with any new symptoms (like flashes of light or a sudden increase in floaters), you may be able to continue playing badminton with caution. However, if your vision is significantly impaired, it might be wise to consider less visually demanding activities until your symptoms improve.

2. Managing Symptoms and Future Considerations:
Regarding the worsening of your left eye's condition, it’s crucial to monitor any changes closely. If you notice an increase in floaters, flashes of light, or any changes in your peripheral vision, you should seek immediate medical attention, as these could indicate a retinal detachment or other serious conditions.

In terms of management, here are some strategies you can consider:
- Regular Eye Check-ups: Continue with regular visits to your ophthalmologist to monitor the condition of your eyes and the floaters. They can provide tailored advice based on your progress.

- Visual Adaptation: Many people find that they can adapt to floaters over time. Engaging in activities that do not strain your vision can help your brain learn to ignore these distractions.

- Lifestyle Adjustments: Maintaining a healthy lifestyle, including a balanced diet rich in antioxidants, staying hydrated, and protecting your eyes from UV light, can support overall eye health.

- Surgical Options: In cases where floaters severely impact quality of life, some patients consider surgical options like vitrectomy. However, this procedure carries risks and is typically reserved for severe cases.


Conclusion
In summary, while your passion for badminton is commendable, it’s essential to prioritize your eye health and ensure that your vision is stable enough to engage in such activities safely. Regular consultations with your eye care professional will be key in managing your symptoms and determining the best course of action moving forward.

Please feel free to reach out if you have further questions or need additional guidance. Your proactive approach to understanding your condition is commendable, and I wish you the best in managing your symptoms and enjoying your favorite sports.

Best regards.

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