Can You Exercise with Vitreous Detachment? Expert Insights - Ophthalmology

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Can I exercise with vitreous detachment?


I recently visited a clinic for an examination and found out that I have vitreous detachment.
After checking my retina, there were no tears or holes.
However, the doctor advised me to avoid vigorous exercise until the flashes in my eyes subside.
But isn't vitreous detachment a condition that doesn't heal? Does this mean I won't be able to engage in vigorous exercise in the future? Could you please clarify this for me?

Kevin, 20~29 year old female. Ask Date: 2017/11/08

Dr. Cai Wenyuan reply Ophthalmology


Hello, the doctor has stated, "Avoid vigorous exercise until the flashes in your eyes subside; it does not mean that you cannot engage in vigorous exercise in the future." Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/08

More Info


Vitreous detachment, or posterior vitreous detachment (PVD), is a common condition that occurs when the vitreous gel that fills the eye begins to shrink and pull away from the retina. This condition is particularly prevalent in older adults and can lead to symptoms such as floaters, flashes of light, or even a shadow in the peripheral vision. While vitreous detachment itself is generally not sight-threatening, it can sometimes be associated with retinal tears or detachments, which are more serious conditions.

When it comes to exercising with vitreous detachment, the advice from your doctor to avoid vigorous activities is prudent. The primary concern is that intense physical exertion could potentially exacerbate any existing issues or lead to complications, such as a retinal tear. Although vitreous detachment itself does not heal or reverse, the risk of complications can be minimized by taking precautions.

Here are some key points regarding exercise and vitreous detachment:
1. Avoid High-Impact Activities: Activities that involve jarring movements, such as running, jumping, or heavy lifting, should be avoided until your eye symptoms have stabilized. These activities can increase the risk of further complications.

2. Monitor Symptoms: If you experience new symptoms such as increased flashes of light, a sudden increase in floaters, or a shadow in your vision, it is crucial to seek immediate medical attention. These could be signs of a retinal tear or detachment.

3. Gentle Exercises: Low-impact exercises, such as walking, cycling, or swimming (if comfortable), can generally be safe. These activities allow you to maintain physical fitness without putting undue stress on your eyes.

4. Consult Your Eye Care Professional: Regular follow-ups with your ophthalmologist are essential. They can monitor your condition and provide personalized advice based on your specific situation. If your symptoms improve and there are no signs of complications, your doctor may eventually clear you for more vigorous activities.

5. Long-Term Considerations: While vitreous detachment itself does not prevent you from exercising in the long term, it is essential to listen to your body and follow your doctor's recommendations. Many people with a history of vitreous detachment can return to their regular exercise routines safely after a period of caution.

In summary, while vitreous detachment is a common condition that often does not require significant lifestyle changes, it is crucial to approach exercise with care. Avoiding high-impact activities and monitoring for any changes in vision are essential steps to ensure your eye health remains stable. Always consult with your healthcare provider before making any changes to your exercise routine, especially after a diagnosis of vitreous detachment. They can provide guidance tailored to your individual health needs and help you safely navigate your fitness journey.

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