Eye problems
Hello, doctor.
I am a first-year junior high school student.
I have floaters in my eyes; there is one large floater without squinting, and when I squint, there are many transparent floaters and small bright spots.
When I look with one eye, I see a dark shadow in the middle of both eyes (similar to a TV with no signal).
Sometimes my eyes feel dry, painful, and itchy.
What could be the cause of this? Is it a retinal disease or something wrong with the macula?
Niming, 10~19 year old female. Ask Date: 2018/06/02
Dr. He Jianxian reply Ophthalmology
It is recommended to visit an ophthalmologist for a dilated eye examination if you experience floaters.
If no other issues are found, you can be reassured.
Reply Date: 2018/06/02
More Info
Hello! Thank you for reaching out with your concerns about your eye health. Based on your description, it sounds like you are experiencing a combination of symptoms that could be related to several eye conditions, including floaters, dryness, and potential retinal issues. Let’s break down your symptoms and explore what they might mean.
Floaters and Visual Disturbances
Floaters are small specks or strands that drift through your field of vision. They are often caused by changes in the vitreous gel that fills your eye, which can become more liquid and less gel-like as you age. This is a common occurrence and is usually harmless. However, the presence of a large floater, especially if accompanied by flashes of light or a sudden increase in the number of floaters, can be a sign of retinal detachment or a tear, which is a more serious condition that requires immediate medical attention.
The black shadow or spot you described, especially when looking through one eye, could be a visual phenomenon related to the floaters or could indicate a more serious issue, such as a retinal problem. It’s important to have this evaluated by an eye care professional, especially since you mentioned that it resembles a "no signal" screen on a television.
Dryness, Pain, and Itching
The symptoms of dryness, pain, and itching in your eyes could be indicative of dry eye syndrome, which occurs when your eyes do not produce enough tears or when the tears evaporate too quickly. This condition can lead to discomfort and can sometimes cause blurred vision. Environmental factors, prolonged screen time, and even certain medications can contribute to dry eyes.
To manage dry eyes, consider the following:
1. Artificial Tears: Over-the-counter lubricating eye drops can help relieve dryness.
2. Environmental Adjustments: Use a humidifier in dry environments and take regular breaks from screens to reduce eye strain.
3. Stay Hydrated: Drinking plenty of water can help maintain tear production.
Potential Retinal Concerns
You mentioned concerns about retinal diseases or issues with the macula (the central part of the retina responsible for sharp vision). While floaters and visual disturbances can be benign, they can also be associated with conditions like retinal tears, detachment, or macular degeneration. Given your age and the symptoms you are experiencing, it is crucial to have a comprehensive eye examination. An eye doctor can perform tests, such as a dilated eye exam, to assess the health of your retina and macula.
Conclusion
In summary, while floaters and dry eyes are common and often benign, the combination of symptoms you described warrants a thorough evaluation by an eye care professional. It’s essential to rule out any serious conditions, especially those related to the retina. If you notice any sudden changes in your vision, such as an increase in floaters, flashes of light, or a shadow in your vision, seek immediate medical attention.
Remember, your vision is vital, and taking proactive steps to care for your eyes is essential. Don’t hesitate to reach out to an eye specialist for a detailed examination and personalized advice. Take care!
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