Floaters: Eye Health, Symptoms, and Management Tips - Ophthalmology

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Floaters and Fundus Examination


Hello Doctor: I am 26 years old, with myopia of -7.75 diopters in my left eye and -6.50 diopters in my right eye (both eyes have astigmatism below 25 degrees).
After graduating from university, I have been working long hours on the computer for about a year.
Since August of last year, I have noticed some abnormalities in my eyes (likely due to more pronounced floaters), and I have visited an ophthalmology clinic multiple times.
Up until early April of this year, I underwent three dilated eye examinations and several non-dilated fundus examinations, all of which returned normal results (indicating that the retina is healthy with no tears or lattice degeneration).
The doctor mentioned that there is a phenomenon of vitreous liquefaction, but after each examination, I feel that the floaters become more severe, especially when reading, staring at my phone or computer, squinting, or facing a white wall or the sky.
Initially, I had only one or two clusters of floaters (dot-like particles) in each eye, but under the aforementioned conditions, I experience various shapes (such as larger block-like or sheet-like floaters), some of which are fixed in position while others drift with eye movement.
The severity is greater in my right eye than in my left.
At night, after turning off the lights, I often see small flashes of light (lasting about 30 seconds to 1 minute) and frequently feel a slight flash sensation at the corners of my eyes when turning my head or body.
These symptoms have significantly impacted my daily life, especially causing considerable psychological stress, with symptoms resembling autonomic nervous system dysregulation.
I have the following questions for the doctor: 1.
Can fundus examinations worsen floaters? 2.
Are the small flashes of light after turning off the lights caused by vitreous pulling on the retina? If so, how can I prevent worsening? 3.
I currently work in a factory and often need to lift heavy items (possibly over 15 kilograms).
What should I pay special attention to? 4.
How can I alleviate the psychological stress caused by floaters? (A doctor suggested exercise, but I am concerned it may put a burden on my retina.) 5.
Besides regular check-ups, what methods can help maintain eye health and delay retinal degeneration? Thank you, Doctor, for addressing these concerns.

A Xiu, 20~29 year old female. Ask Date: 2019/05/03

Dr. He Jianxian reply Ophthalmology


1.
No, it won't.
2.
Judging by the duration, it doesn't seem like it; it resembles an afterimage more.
3.
Avoid lifting things suddenly with force; slowing down has less impact on the eyes.
4.
This requires self-adjustment.

Reply Date: 2019/05/03

More Info


Understanding floaters and their implications for eye health is crucial, especially for individuals with high myopia like yourself. Floaters are small specks or strands that drift through your field of vision, often more noticeable against bright backgrounds. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye, which can become more liquid with age or due to other factors, leading to the perception of floaters.


1. Does eye examination worsen floaters?
Eye examinations, including dilated fundus examinations, do not cause floaters to worsen. However, the process of focusing on different distances during the exam may make existing floaters more noticeable temporarily. If you are experiencing an increase in floaters after your exams, it may be due to the natural progression of vitreous changes rather than the examination itself. It’s essential to communicate any significant changes in your symptoms to your eye care provider.


2. Are the small flashes of light after turning off the lights related to vitreous traction on the retina?
Yes, the small flashes of light you experience after turning off the lights could be related to vitreous traction on the retina. This phenomenon, known as photopsia, occurs when the vitreous gel pulls on the retina, stimulating the photoreceptors and causing the perception of light. While this is common, especially in individuals with myopia, it’s crucial to monitor these symptoms. If the flashes increase in frequency or intensity, or if you notice new floaters or a shadow in your vision, you should seek immediate medical attention to rule out retinal detachment.


3. Precautions while lifting heavy objects at work
When working in an environment that requires lifting heavy objects, it’s essential to take precautions to avoid straining your eyes. Avoid sudden movements or excessive straining, as this can increase intraocular pressure and potentially exacerbate any existing eye conditions. Use proper lifting techniques to minimize strain on your body, and consider taking breaks to rest your eyes, especially if you are experiencing discomfort or fatigue.


4. Managing psychological stress from floaters
The psychological impact of floaters can be significant, leading to anxiety and stress. To alleviate this, consider engaging in relaxation techniques such as mindfulness meditation, yoga, or deep-breathing exercises. Regular physical activity can also help reduce stress, but it’s important to choose low-impact exercises that do not strain your eyes. If your anxiety persists, speaking with a mental health professional may provide additional coping strategies.


5. Maintaining eye health and preventing retinal degeneration
To maintain eye health and potentially slow down retinal degeneration, consider the following strategies:
- Regular Eye Exams: Continue with regular eye check-ups to monitor your eye health and catch any changes early.

- Healthy Diet: Incorporate foods rich in antioxidants, such as leafy greens, fish high in omega-3 fatty acids, and fruits. Vitamins C and E, lutein, and zeaxanthin are particularly beneficial for eye health.

- Hydration: Stay well-hydrated to support overall health, including eye health.

- Protective Eyewear: Use sunglasses that block UV rays when outdoors to protect your eyes from harmful light.

- Screen Time Management: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away to reduce eye strain.

- Adequate Sleep: Ensure you get enough rest to help your eyes recover from daily strain.

In conclusion, while floaters can be bothersome, they are often a benign condition, especially in the context of high myopia. Regular monitoring and maintaining a healthy lifestyle can help manage symptoms and protect your vision. Always consult with your eye care professional regarding any changes in your symptoms or concerns about your eye health.

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