Why does strength training lead to an increase in the occurrence of floaters?
Hello, doctor.
I did a bit of research and it seems that no one has the same question as I do, so I'm reaching out to you.
I have myopia of -9.00 diopters in my left eye and -8.00 diopters in my right eye, and I have been experiencing floaters for four years with no significant changes.
Around early September, I took a weight training class, and after each session, my eyes felt quite dry, but usually, resting for a day would help.
However, after one session with higher intensity, I noticed that my floaters worsened a few days later.
I immediately went to an ophthalmologist for a fundus examination, but the doctor said my retina was normal with no bleeding or tears.
Nonetheless, my floaters have indeed increased, and I have seen many new shapes that I hadn't noticed before.
I searched using English keywords and found that some people abroad have similar experiences, but there seems to be no related medical evidence.
Therefore, I would like to ask if you have encountered any cases or literature regarding an increase in floaters due to weight training, or if it is purely coincidental.
Thank you very much for taking the time to read my lengthy question.
Dàxuéshēng, 20~29 year old female. Ask Date: 2018/12/02
Dr. He Jianxian reply Ophthalmology
Weight training can cause a sudden increase in intra-abdominal pressure, similar to the effects of coughing.
This can also lead to a transient change in intraocular pressure, which may potentially result in an increase in floaters.
Reply Date: 2018/12/02
More Info
Weight training, particularly when performed with high intensity, can indeed lead to various physiological changes in the body, including fluctuations in intraocular pressure (IOP) and increased abdominal pressure. These changes can potentially influence the eye's vitreous humor, which is the gel-like substance that fills the eye and can lead to the perception of floaters, commonly referred to as "floaters" or "muscae volitantes."
Floaters are typically caused by tiny clumps of gel or cells within the vitreous that cast shadows on the retina, leading to the visual disturbances that many people experience. In your case, having a history of myopia (nearsightedness) and existing floaters may predispose you to notice changes more acutely. The fact that you have experienced an increase in floaters after engaging in weight training could be related to the transient increases in IOP that occur during heavy lifting. When you lift weights, especially heavy ones, the Valsalva maneuver (holding your breath and straining) can cause a spike in IOP, which might lead to changes in the vitreous and potentially exacerbate the perception of floaters.
While there is limited direct scientific literature linking weight training specifically to an increase in floaters, anecdotal evidence suggests that individuals with high myopia may be more sensitive to changes in their visual field due to physical exertion. Your experience of increased floaters following intense workouts may not be purely coincidental, but rather a response to the physiological stresses placed on your body during those sessions.
It's also important to consider that while floaters are often benign, any significant changes in your vision should be evaluated by an eye care professional. You mentioned that your retina was examined and found to be normal, which is reassuring. However, if you continue to notice an increase in floaters or any other visual disturbances, it would be prudent to follow up with your eye doctor for further evaluation.
In summary, while weight training may not directly cause floaters, the physiological changes associated with intense exercise could potentially exacerbate the perception of existing floaters, especially in individuals with high myopia. It is essential to maintain regular eye examinations, particularly if you have a history of eye conditions, to monitor any changes in your vision and ensure that your eye health remains stable. If you have concerns about your exercise routine and its impact on your vision, discussing these with both your eye care provider and a fitness professional may help you find a balanced approach that allows you to continue weight training while minimizing any potential risks to your eye health.
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