Eye Floaters: Causes and Concerns for Your Vision - Ophthalmology

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Hello! It sounds like you have been experiencing a variety of eye-related symptoms, including eye fatigue, dryness, and the recent appearance of floaters. Let's break down your concerns and provide some clarity on what might be happening with your vision.

Firstly, eye floaters are common and can occur for a variety of reasons. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the formation of floaters. These floaters can appear as small dots, lines, or cobweb-like structures that drift across your field of vision. While they can be annoying, they are often harmless, especially if they are not accompanied by other symptoms such as flashes of light or significant vision loss.

In your case, since you have already seen an eye doctor multiple times and have undergone dilated eye exams without any significant findings, it is reassuring that no serious issues have been detected. The mention of vitreous degeneration is common, particularly in individuals who are experiencing changes in their vision. This condition itself is usually not a cause for alarm unless accompanied by other symptoms.

Regarding your dry eyes, this can be exacerbated by prolonged screen time, which is common in many work environments today. Dry eyes can lead to discomfort, fatigue, and even an increase in floaters as your eyes may not be adequately lubricated. It’s important to take regular breaks when using screens, following the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. Additionally, using artificial tears can help alleviate dryness, but it sounds like you have already tried this without much improvement. If your symptoms persist, you might want to discuss other treatment options with your eye care provider, such as prescription eye drops or punctal plugs.

As for the new floaters you are experiencing, particularly the white ones, it is essential to monitor them. If they increase in number, change in appearance, or are accompanied by flashes of light or a shadow in your peripheral vision, you should seek immediate medical attention. These could be signs of a retinal tear or detachment, which is a more serious condition that requires prompt treatment.

In summary, while your current symptoms of floaters and dry eyes can be concerning, especially given your history of autonomic nervous system issues, the lack of significant findings from your eye exams is a positive sign. Continue to manage your screen time, use lubricating eye drops, and maintain regular check-ups with your eye doctor. If you notice any changes in your symptoms, do not hesitate to reach out to your healthcare provider for further evaluation. Taking care of your overall health, including managing stress and ensuring proper hydration, can also contribute positively to your eye health.