Eye Health: Insights on Floaters and Prescription Glasses - Ophthalmology

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Continuation of inquiry #140228?


Hello, Doctor: After my conjunctivitis improved, I returned to the clinic for a follow-up examination a couple of days later, which included a dilated eye exam.
At that time, my intraocular pressure was measured at 17 in the left eye and 18 or 19 in the right eye; I can't quite remember, but both eyes were under 20.
A year ago, I suddenly noticed floaters in my vision, confirming that I have floaters syndrome.
After the dilation, the doctor examined my eyes and mentioned that there was a very small area that was thinner at the 6 o'clock position in my right eye, but there were no signs of glaucoma, iritis, or any other eye diseases.
However, the doctor advised me to pay attention to any changes in my condition.
Regarding my vision, I had just changed my glasses at the beginning of September, and at that time, the optician said my myopia had increased by 0.50 diopters.
I didn't pay much attention to whether one eye or both had increased in prescription, so I just got new glasses, and when I wore them, I didn't notice much difference.
Afterward, when I was treating my conjunctivitis and closed my eyes, I felt something unusual.
Later, during the dilated exam, I asked the doctor about the myopia in both eyes.
The doctor said: left eye 525 diopters, right eye 575 diopters, while my new glasses were prescribed as 525 diopters for both eyes.
Therefore, the prescription for my right eye was 50 diopters less, but this difference does not significantly affect my vision.
I also asked the doctor if taking eye health supplements and resting adequately would improve the condition of my floaters.
Thank you, Doctor, for taking the time to answer my questions!

K, 20~29 year old female. Ask Date: 2018/10/23

Dr. Gao Pilin reply Ophthalmology


Hello,
Your glasses are fine and do not need to be changed at this time.
As for the floaters, there is no specific treatment; it is considered a normal change.
If the examination shows no issues, you may need to coexist with them peacefully, and over time, you will likely become less aware of them.

The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are only for reference; if necessary, you should visit a medical facility for treatment.

I hope to have the opportunity to serve you.

Best regards,
Gao Pilin

Reply Date: 2018/10/23

More Info


Hello! Thank you for your detailed inquiry regarding your eye health, particularly concerning floaters and your recent experiences with prescription glasses. Let’s break down your concerns and provide some insights based on current medical understanding.


Understanding Floaters
Floaters, or "myodesopsia," are small spots or lines that appear in your field of vision. They are often 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 perception of floaters. While floaters are common and usually harmless, they can sometimes indicate more serious conditions, such as retinal tears or detachments, especially in individuals with high myopia (nearsightedness).

In your case, since you have been diagnosed with floaters and have undergone thorough examinations (including dilated fundus exams), it seems that your floaters are likely related to vitreous changes rather than a more serious underlying condition. The fact that your eye pressure readings are within normal limits (below 20 mmHg) is reassuring, as elevated eye pressure can be a risk factor for glaucoma.


Prescription Glasses and Vision Correction
Regarding your recent experience with prescription glasses, it’s crucial to have an accurate prescription tailored to each eye. You mentioned that your new glasses were prescribed with the same power for both eyes (525 degrees), while your actual prescription indicated a difference (575 degrees for the right eye). Wearing glasses with an incorrect prescription can lead to visual discomfort, eye strain, and headaches, especially if there is a significant difference in the refractive power needed for each eye.

It’s good to hear that your doctor reassured you that the difference in prescription might not have a drastic impact on your vision. However, it’s always best to have glasses that match your exact prescription to ensure optimal visual clarity and comfort.


Dietary Supplements and Eye Health
You inquired about the potential benefits of dietary supplements for eye health, particularly in relation to floaters. While there is no definitive evidence that specific supplements can eliminate floaters, maintaining overall eye health is essential. Nutrients such as lutein, zeaxanthin, omega-3 fatty acids, and vitamins A, C, and E are known to support eye health and may help in reducing the risk of age-related macular degeneration and cataracts.

Incorporating a balanced diet rich in fruits, vegetables, and healthy fats can be beneficial. Additionally, practicing good eye hygiene, such as taking regular breaks from screens (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds), staying hydrated, and ensuring adequate sleep can help reduce eye strain and discomfort.


Monitoring Your Eye Health
Given your history of floaters and recent experiences, it’s essential to continue monitoring your eye health. Regular check-ups with your eye care professional are crucial, especially if you notice any changes in your vision, such as an increase in floaters, flashes of light, or any sudden changes in your visual field. These could be signs of a more serious condition that requires immediate attention.

In conclusion, while floaters can be a nuisance, they are often benign, especially when associated with vitreous changes. Ensuring that you have the correct prescription for your glasses is vital for maintaining good vision. Lastly, while dietary supplements may not directly improve floaters, a healthy diet and lifestyle can support overall eye health. If you have further concerns or notice any changes, don’t hesitate to reach out to your eye care provider. Thank you for your questions, and take care of your eye health!

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