Shadows in the Vitreous: Seeking Answers for Eye Health Concerns - Ophthalmology

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Vitreous floaters?


Hello Doctor, thank you very much for answering my questions in the past.
For the past couple of years, I have been experiencing a condition where my entire field of vision is filled with dark shadows due to areas of thinning caused by laser treatment.
I have seen about 70 ophthalmologists during this time, and I still do not understand what is wrong with my eyes.
It feels like they have been damaged by the medical treatment.
I often have thoughts about not wanting to live anymore.
I was fine before, and now I just want to know the reason behind this.
After all, it seems that no one else has experienced this kind of situation.
However, many doctors I consulted have told me that it is unrelated to the laser treatment and that I had this condition to begin with.
I am truly shocked and saddened.
I really want to know the truth, but I have been unable to find it.
I have considered whether it might be related to damage to the vitreous body or if the laser equipment at that clinic was outdated.
But I really don’t know, and I feel exhausted.
Thank you, Doctor, for reading my complaints.
I have indeed visited many medical centers, including China Medical University, Taichung Veterans General Hospital, and Chung Shan Medical University.
I genuinely do not know what tests to undergo.
I just want to understand what is happening with my eyes.
It is really difficult.
If you have any idea what might be going on or what tests I could take, please let me know, and I will definitely go.
Thank you very, very much.

Jiang, 20~29 year old female. Ask Date: 2017/03/29

Dr. Cai Wenyuan reply Ophthalmology


Hello: Currently, the highest level of hospital is the medical center.
You may want to trust their examination results.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/29

More Info


Hello, and thank you for reaching out with your concerns about your eye health. I understand that dealing with persistent visual disturbances can be incredibly distressing, especially when you feel like you haven't received clear answers despite numerous consultations. Let's break down your situation and explore potential avenues for understanding and managing your symptoms.

Firstly, it’s important to recognize that experiencing shadows or black spots in your vision, especially after undergoing laser treatment, can be related to several factors. The symptoms you describe, such as seeing shadows or black spots, could be manifestations of a condition known as "floaters," which are often caused by changes in the vitreous gel that fills the eye. As we age, the vitreous can shrink and pull away from the retina, leading to the perception of these floaters. However, if you have had laser treatment, it’s possible that the procedure may have contributed to changes in the vitreous or even the retina.

You mentioned that you have seen around 70 eye doctors and that they have generally indicated that your symptoms are not related to the laser treatment. This can be frustrating, especially when you feel that your condition has worsened. It’s crucial to ensure that you are receiving comprehensive evaluations, including detailed examinations of the retina and vitreous. Tests such as Optical Coherence Tomography (OCT) can provide high-resolution images of the retina and help identify any underlying issues that might not be visible through standard examinations.

Regarding your concerns about the laser equipment being outdated, it’s essential to ensure that any procedures you undergo are performed with up-to-date technology and by qualified professionals. If you have doubts about the quality of care you received, seeking a second opinion from a reputable medical center or a specialist in retinal diseases might be beneficial.

Your feelings of despair and frustration are understandable, especially when dealing with chronic visual disturbances. It’s essential to address not only the physical aspects of your condition but also the emotional toll it takes. Consider speaking with a mental health professional who can help you cope with the anxiety and distress that often accompany chronic health issues.

In terms of what you can do moving forward, here are some steps to consider:
1. Seek Specialized Care: If you haven’t already, consult with a retinal specialist who can provide a more focused evaluation of your symptoms. They may offer insights that general ophthalmologists might not.

2. Request Comprehensive Testing: Ask for specific tests such as OCT, visual field tests, and possibly even electrophysiological tests to assess the function of your retina and optic nerve.

3. Document Your Symptoms: Keep a detailed log of your symptoms, including when they occur, their duration, and any triggers you notice. This information can be invaluable for your doctors in diagnosing your condition.

4. Explore Support Groups: Connecting with others who have similar experiences can provide emotional support and practical advice on managing your symptoms.

5. Mental Health Support: Don’t hesitate to seek help from a mental health professional. Chronic health issues can lead to feelings of hopelessness, and talking to someone can help you navigate these feelings.

6. Stay Informed: Educate yourself about your condition, but be cautious about the sources of information. Reliable medical websites and peer-reviewed journals can provide accurate information.

In conclusion, while it may feel overwhelming, there are steps you can take to gain a better understanding of your eye health. It’s essential to advocate for yourself and seek the care that addresses both your physical and emotional needs. Remember, you are not alone in this journey, and there are professionals who can help guide you through it. Thank you for sharing your concerns, and I wish you the best in finding the answers and support you need.

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