Vitreous Degeneration and Its Impact on Vision - Ophthalmology

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Vitreous degeneration & retina


Hello Doctor:
1.
I have myopia of -5.50 and -6.00, and I've had floaters since I was 23.
Recently, I've been experiencing intermittent flashes of light in my right eye.
A dilated fundus examination showed no abnormalities, and the doctor mentioned that this is a photopsia caused by vitreous traction on the retina.
Will this symptom resolve on its own?
2.
When my eyes are fatigued, I close my eyes and move my eyeballs.
Whenever I turn them fully to the left or right, I see white flashes inside my eyes, which disappear when I return to the central vision.
Is this phenomenon normal?
3.
During the process of vitreous liquefaction and condensation, does it separate from the retina? Or does it vary depending on individual constitution? Once it condenses completely, will it have any impact on the eyes?
4.
Does taking lutein help to slow down the degeneration of the vitreous?
Thank you for your response.

Mei, 20~29 year old female. Ask Date: 2019/10/26

Dr. Gao Pilin reply Ophthalmology


Hello May: 1.
As the vitreous slowly detaches from the retina, the pulling sensation will gradually diminish, and the perception of light will improve.
2.
When the eyeball turns to the side, it experiences pressure, which can cause the perception of white light; this is normal.
3.
Typically, the vitreous will separate peacefully from the retina, but there is a small chance it may cause a retinal tear.
This risk is not related to individual constitution; however, if the retina is naturally thinner, it may be more susceptible.
Therefore, if such symptoms occur, it is best to undergo a dilated eye examination.
The final condensation of the vitreous will not affect the eyes.
4.
Taking lutein can help prevent macular degeneration, but it is not related to delaying vitreous degeneration.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses are for reference only; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2019/10/26

More Info


Understanding vitreous degeneration and its impact on vision is crucial, especially for individuals with myopia and those experiencing symptoms like floaters and flashes of light. Let’s break down your questions and concerns regarding vitreous degeneration and its effects on your vision.

1. Flashes of Light and Vitreous Detachment: The flashes of light you are experiencing in your right eye are likely due to the vitreous gel pulling on the retina, a phenomenon known as posterior vitreous detachment (PVD). This is a common occurrence, especially in individuals with myopia or those over the age of 50. While the flashes can be alarming, they often resolve on their own as the vitreous continues to separate from the retina. However, it is essential to monitor these symptoms closely, as any sudden increase in flashes or the appearance of new floaters should prompt an immediate visit to an eye care professional to rule out retinal tears or detachment.

2. Seeing Flashes When Moving Your Eyes: The phenomenon of seeing white flashes when you move your eyes is not uncommon and can be attributed to the same vitreous traction on the retina. When you turn your eyes to the extremes, the vitreous can tug on the retina, causing a brief sensation of light. This is generally considered normal, especially in the context of vitreous degeneration. However, if these flashes become more frequent or are accompanied by other visual disturbances, it is advisable to seek further evaluation.

3. Vitreous Liquefaction and Retinal Separation: As the vitreous undergoes liquefaction and condensation, it can indeed separate from the retina. This process varies from person to person and is influenced by individual factors such as age, degree of myopia, and overall eye health. While most people experience this separation without significant issues, in some cases, it can lead to complications such as retinal tears or detachment. Regular eye examinations are crucial to monitor the health of your retina, especially if you have a history of myopia or other risk factors.

4. Lutein and Eye Health: Lutein is a carotenoid that is often touted for its potential benefits in eye health, particularly in protecting against age-related macular degeneration (AMD) and improving visual function. However, there is limited evidence to suggest that lutein can significantly delay vitreous degeneration. While maintaining a diet rich in antioxidants, including lutein, may support overall eye health, it is not a guaranteed method to prevent or slow vitreous changes. It is always best to discuss any supplementation with your healthcare provider to ensure it aligns with your specific health needs.

In summary, while vitreous degeneration is a common and often benign condition, it is essential to remain vigilant about any changes in your vision. Regular check-ups with an eye care professional can help monitor your condition and address any concerns promptly. If you experience any sudden changes in your vision, such as an increase in flashes or floaters, or if you notice a shadow or curtain effect in your peripheral vision, seek immediate medical attention. Your eye health is paramount, and staying informed about your condition is the best way to ensure long-term visual well-being.

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