Can You Use A Acid for Acne with Floaters in Your Eyes? - Ophthalmology

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Vitreous floaters and retinoic acid?


Hello doctor, I recently developed floaters.
Can I still take isotretinoin for acne?

Lin, 20~29 year old female. Ask Date: 2018/11/20

Dr. Cai Wenyuan reply Ophthalmology


Hello, there is no impact.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/20

More Info


When it comes to the use of A acid (commonly referred to as retinoids or tretinoin) for acne treatment in the presence of floaters in the eyes, the consensus from medical professionals is that there is no direct contraindication. Floaters, which are small specks or clouds that drift through your field of vision, are typically benign and often related to the natural aging process of the eye or changes in the vitreous humor. They are not known to interact negatively with topical or systemic retinoids used for acne treatment.

Retinoids are a class of compounds that are derivatives of vitamin A and are widely used in dermatology for their effectiveness in treating acne, as they help to promote cell turnover, prevent clogged pores, and reduce inflammation. The use of A acid for acne should not exacerbate floaters or cause any additional ocular issues. However, it is essential to monitor your overall eye health and report any changes or concerns to your healthcare provider.

In terms of general eye care, if you are experiencing floaters, it is advisable to have a comprehensive eye examination to rule out any underlying conditions, especially if there is a sudden increase in the number of floaters or if they are accompanied by flashes of light or vision changes. These symptoms could indicate a more serious condition, such as a retinal tear or detachment, which requires immediate medical attention.

While using A acid, it is also crucial to consider the potential side effects associated with retinoids. Common side effects include skin irritation, redness, peeling, and increased sensitivity to sunlight. These effects are generally localized to the skin and do not extend to ocular health. However, if you experience any unusual symptoms, such as eye irritation or discomfort, it is advisable to discontinue use and consult with your healthcare provider.

In summary, using A acid for acne treatment while experiencing floaters in your eyes is generally considered safe, as there is no known interaction between the two. However, maintaining regular eye check-ups and being vigilant about any changes in your vision is essential for overall eye health. If you have any concerns about your treatment regimen or the presence of floaters, it is always best to consult with both your dermatologist and an eye care professional to ensure a comprehensive approach to your health.

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