Floaters: Key Questions and Eye Care Advice

Some questions about floaters and eye medication consultation?

Hello Doctor, thank you for taking the time to answer my questions despite your busy schedule.
I have a few concerns I would like to discuss with you:
1.
I have floaters and have had a fundus examination at the hospital.
The doctor informed me that I was a premature baby, which has resulted in a thinner retina.
While researching information related to floaters online, I often come across advice stating that one should seek medical attention if they see flashes of light.
I would like to ask you what is meant by "flashes"? What kind of situation does this refer to? When I previously consulted with the doctor, they mentioned that my condition was not deteriorating rapidly and that I should not experience flashes soon.
However, I am unsure about what kind of flashes I should be concerned about, which leads me to worry whenever I see even a slight flash of light.
Could you please clarify what kind of flashes warrant attention?
2.
Due to my field of study, I spend a lot of time reading and using a computer.
The doctor prescribed me NEOSTIGMINE for daily maintenance.
I would like to know if this medication can be used long-term.
I found in the medication leaflet that excessive use may lead to retinal detachment as a side effect.
What is considered an overdose of this medication? Can it be used long-term? Additionally, I requested a prescription for ATROPINE, and the doctor clearly informed me that using a mydriatic agent at my age would not significantly benefit my vision.
However, I intend to use it before bed to relieve eye fatigue.
Is this acceptable? Can this medication be used long-term?
3.
After applying the mydriatic agent and turning off the lights to sleep, I notice that when I shake my head in the dark, it seems like there are flashes of light.
Is this situation normal?
4.
I often experience soreness in my right eye, and after examination, the doctor said there was nothing wrong.
I also try to minimize my use of electronic devices.
However, I recently read about a patient whose chronic neck and shoulder pain led to muscle pain in the eye.
Is this a common occurrence? I also suffer from severe neck and shoulder pain.
Thank you, Doctor, for taking the time to address my concerns.
I have been troubled by these issues for a long time, but during consultations, the explanations are often vague, which has left me feeling quite distressed.
I kindly ask for your responses to my questions! Thank you!

Jia, 20~29 year old female. Ask Date: 2017/08/22

Dr. Cai Wenyuan reply Ophthalmology

Hello, 1.
Don't worry, regular check-ups are sufficient.
2.
Given your age, the use of atropine is not recommended.
3.
Given your age, the use of atropine is not recommended.
4.
It may not necessarily be related.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/22

More Info

Thank you for your detailed questions regarding your eye health, particularly concerning floaters and the medications you are using. I understand that you have concerns about your vision, especially given your history as a premature infant and the associated risks. Let’s address your questions one by one.

1. Understanding Flashes of Light: Flashes of light, often described as "photopsia," can occur when the vitreous gel inside your eye pulls on the retina. This can happen due to changes in the vitreous as you age or due to other factors, such as your history of being a premature infant, which may predispose you to retinal issues. Flashes can appear as brief bursts of light, often in your peripheral vision. If you notice persistent flashes or a sudden increase in floaters, it is crucial to seek immediate medical attention, as these can be signs of retinal detachment, which is a serious condition. Your doctor’s reassurance that you are not experiencing rapid degeneration is comforting, but it’s essential to remain vigilant.

2. Use of NEOSTIGMINE and ATROPINE: NEOSTIGMINE is typically used to treat certain types of muscle weakness and may have effects on the eyes, but it is not commonly prescribed for routine eye care. Long-term use of any medication should be monitored by your physician, especially if there are potential side effects like retinal detachment. The term "overdose" in this context usually refers to taking more than the prescribed amount, which can vary based on individual health conditions. As for ATROPINE, while it can help with eye fatigue, it is generally not recommended for long-term use without medical supervision, particularly in younger patients. Using it occasionally for eye strain may be acceptable, but again, this should be discussed with your doctor.

3. Seeing Lights After Using Dilating Drops: Experiencing flashes of light or seeing spots after using dilating drops is not uncommon. These drops can temporarily alter your vision and sensitivity to light. If this sensation persists or worsens, it would be wise to consult your eye care provider.

4. Eye Pain Related to Neck and Shoulder Tension: It is indeed possible for tension in the neck and shoulders to contribute to eye discomfort. The muscles that control eye movement can become strained due to poor posture or prolonged screen time, leading to symptoms like eye strain or pain. If you are experiencing significant neck and shoulder pain, it may be beneficial to consult a physical therapist or a chiropractor who can help address these issues. Additionally, practicing good ergonomics while using computers and taking regular breaks can help alleviate some of the strain.

In conclusion, it’s essential to maintain open communication with your eye care provider about your symptoms and concerns. Regular eye exams and being proactive about any changes in your vision are crucial. If you notice any new symptoms, such as an increase in floaters or flashes of light, do not hesitate to seek immediate medical attention. Your eye health is vital, and understanding how to care for it can help alleviate some of your anxiety. Thank you for your thoughtful questions, and I hope this information helps clarify your concerns.

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