The visual field shows a dense array of bright spots (vitreous liquefaction with retinal traction)?
Hello Doctor: I have high myopia of over 600 degrees in both eyes.
In the past two months, I have noticed numerous tiny transparent white spots in front of both eyes.
After examination, the doctor believes it is vitreous degeneration, which currently seems untreatable.
I would like to ask:
1.
Is it possible for the visual disturbances caused by vitreous degeneration to improve over time? What could happen as the degeneration progresses?
2.
Would reducing the use of digital devices help improve this condition?
3.
Many people around me have even higher myopia, around 800 to 900 degrees, but they show no abnormalities.
I have been involved in laser experiments at school (with energy around several mW), so could this long-term exposure to laser experiments have caused damage to my eyes? Or is it more likely related to genetic factors?
4.
It is said that blue light from digital devices can harm the retina.
If my glasses prescription is adequate and I am already in my twenties, why does using digital devices lead to an increase in myopia (elongation of the eyeball)? Does blue light contribute to the elongation of the eyeball? What are the factors for the continued increase in myopia after adulthood? Thank you.
Maqidun Yalixandai Dadi, 20~29 year old female. Ask Date: 2019/04/03
Dr. Cai Wenyuan reply Ophthalmology
Hello: 1.
It is also possible.
2.
Yes.
3.
It should not be the case.
4.
Blue light is not related to the elongation of the eyeball.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2019/04/03
More Info
Understanding vitreous liquefaction is crucial, especially for individuals with high myopia, as it can significantly impact visual health. Vitreous liquefaction refers to the process where the gel-like substance in the eye, known as the vitreous humor, begins to lose its gel-like consistency and becomes more liquid. This condition is often associated with aging but can also occur in younger individuals, particularly those with high myopia.
1. Potential Outcomes of Vitreous Liquefaction: As vitreous liquefaction progresses, individuals may experience various visual disturbances, such as floaters (the small transparent spots you mentioned) and possibly flashes of light. While some people report that their symptoms improve over time, others may continue to experience visual disturbances. In severe cases, vitreous liquefaction can lead to complications such as retinal tears or detachment, particularly in those with high myopia. Therefore, regular monitoring by an eye care professional is essential to assess any changes in your condition and to intervene if necessary.
2. Impact of Reducing 3C Usage: Reducing the use of computers, smartphones, and other digital devices (often referred to as 3C products) may help alleviate eye strain and discomfort, but it may not directly reverse vitreous liquefaction. However, taking regular breaks using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help reduce eye fatigue. While it may not prevent vitreous changes, it can improve overall eye comfort.
3. Influence of Laser Experiments and Genetics: Engaging in laser experiments, especially if proper eye protection is not used, could potentially harm your eyes. However, the development of vitreous liquefaction is more commonly associated with age and genetic predisposition rather than specific activities. High myopia itself is a significant risk factor for vitreous changes, and it’s likely that your genetic background plays a more substantial role than the laser experiments. If there is a family history of eye conditions, this could also contribute to your current situation.
4. Effects of Blue Light and Myopia Progression: The concern regarding blue light emitted from screens is valid, as prolonged exposure can contribute to digital eye strain. However, blue light itself does not directly cause the elongation of the eyeball (which leads to increased myopia). The increase in myopia in adults can be attributed to several factors, including genetic predisposition, environmental influences, and lifestyle choices. For instance, prolonged near work and insufficient outdoor activity have been linked to worsening myopia.
In summary, while vitreous liquefaction is a common occurrence, especially in individuals with high myopia, it is essential to monitor your eye health regularly. If you notice any changes in your vision or experience new symptoms, consult with an eye care professional. They can provide tailored advice and management strategies to help you maintain your visual health. Additionally, incorporating good eye care habits, such as reducing screen time and ensuring proper lighting while working, can contribute to overall eye comfort and health.
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