Vitreous Degeneration and Its Impact on Eye Health - Ophthalmology

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After the eye examination, it was diagnosed as vitreous degeneration and floaters?


Hello, Doctor.
Recently, I noticed floaters in my eyes, so I went to a clinic for an examination.
After undergoing dilation, the doctor mentioned that there is some traction on my retina, which is related to vitreous degeneration (or degeneration).
I was too nervous at the time to hear clearly.
I asked why the vitreous would degenerate/liquefy, and the doctor said there are many reasons.
When I got home, I researched and found that air pollution (PM2.5) can also cause vitreous liquefaction (I was shocked...).
Although I don't know what caused my floaters, I've been worried for a while.
The doctor advised me to have regular follow-ups, and I thought that's all I can do for now.
I have a few questions I would like to ask you, Doctor:
1.
Will the retinal traction become more severe over time?
2.
What can be done to protect the retina from further traction? (I'm concerned about potential retinal detachment.)
3.
Is it advisable to apply warm compresses to the eyes? (To relieve fatigue, but I'm unsure if it helps maintain eye health.)
4.
Can I wear contact lenses with this retinal traction condition?
5.
If air pollution (PM2.5) can lead to vitreous liquefaction, how can I prevent it? (I'm worried.)
6.
Does exercise cause retinal traction? (Intense exercise, e.g., HIIT/TABATA.)
7.
Could rolling my eyes potentially worsen the traction?
8.
What supplements should I take to protect my retina (from being pulled) or how can I care for it to prevent retinal traction?
I apologize for the many questions, and I appreciate your responses in advance.
Thank you.

Tong, 30~39 year old female. Ask Date: 2020/04/10

Dr. Gao Pilin reply Ophthalmology


Hello,
1.
Will retinal traction become more severe? Depending on the degree of vitreous degeneration, it can sometimes be severe but may later alleviate.

2.
What can be done to protect the retina from such traction? (Concerned about causing more severe retinal detachment) Currently, there is no method to prevent it; regular check-ups are necessary to monitor and prevent retinal issues.

3.
Is it okay to apply a warm compress to the eyes? (To relieve fatigue, but I'm unsure if it can help maintain eye health) Yes, warm compresses can be applied to make the eyes feel comfortable; relieving fatigue is also a form of care.

4.
Can I wear contact lenses if I have retinal traction? Yes, it is not a hindrance.

5.
If air pollution (PM2.5) can lead to vitreous liquefaction, how can I prevent it? (Concerned) Vitreous liquefaction is a normal degeneration that almost everyone experiences, but only a very small number develop retinal diseases, so there is no need to worry.

6.
Does exercise cause retinal traction? (Intense exercise, e.g., HIIT/TABATA) If there is traction or if the retina is thinning or has tears, intense exercise should be avoided.

7.
Can rolling my eyes worsen the traction? It is best to avoid rolling your eyes.
This action is not good for the eyes.

8.
What supplements can I take to protect the retina (from being pulled) or how can I maintain it to prevent retinal traction? There are no such supplements, and it is not possible to prevent the traction caused by vitreous degeneration.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM, Wednesday from 2:00 PM to 4:30 PM.
Online responses are for reference only; if necessary, you should visit a medical institution.
I hope to have the opportunity to serve you.

Gao Pi-Lin

Reply Date: 2020/04/10

More Info


Hello! Thank you for your detailed questions regarding vitreous degeneration and its impact on eye health. It’s understandable to be concerned about symptoms like floaters and retinal traction, especially when they can lead to more serious conditions like retinal detachment. Let’s address your questions one by one.

1. Will retinal traction worsen over time?
Retinal traction can potentially worsen if the vitreous continues to degenerate or if there are other underlying issues. As the vitreous gel shrinks and pulls away from the retina, it can create traction that may lead to complications, including retinal tears or detachment. Regular monitoring by your eye care professional is crucial to assess any changes in your condition.

2. What can be done to protect the retina from further traction?
While there is no guaranteed way to prevent retinal traction, maintaining overall eye health is essential. This includes regular eye exams, managing underlying health conditions (like diabetes or hypertension), and avoiding activities that could increase the risk of trauma to the eyes. If you experience sudden changes in vision, such as flashes of light or a sudden increase in floaters, seek immediate medical attention.

3. Is it safe to apply warm compresses to the eyes?
Warm compresses can be soothing and may help relieve eye fatigue, but they do not directly protect the retina or vitreous. If you find warm compresses comfortable, they can be used, but ensure they are not too hot to avoid burns. Always consult your eye doctor if you have concerns about specific treatments.

4. Can I wear contact lenses with retinal traction?
Wearing contact lenses is generally safe unless your eye doctor advises against it. However, if you experience discomfort or changes in vision while wearing them, it’s best to stop using them and consult your eye care provider. They can provide personalized advice based on your specific condition.

5. How can I protect against air pollution (PM2.5) affecting vitreous health?
To minimize exposure to air pollution, consider using air purifiers indoors, wearing masks when pollution levels are high, and limiting outdoor activities during smoggy days. A healthy diet rich in antioxidants (found in fruits and vegetables) may also help combat oxidative stress caused by pollution.

6. Does exercise cause retinal traction?
Generally, moderate exercise is beneficial for overall health, including eye health. However, high-impact or strenuous activities (like HIIT or TABATA) can increase intraocular pressure and may pose risks for individuals with existing eye conditions. It’s best to discuss your exercise routine with your eye doctor, especially if you have retinal concerns.

7. Can rolling your eyes cause more traction?
Rolling your eyes or making extreme eye movements is unlikely to cause significant retinal traction. However, if you have existing retinal issues, it’s wise to avoid any unnecessary strain on your eyes. Always follow your eye doctor’s advice regarding eye movements and activities.

8. What supplements can help protect the retina?
Nutritional support for eye health often includes antioxidants like vitamins C and E, lutein, and zeaxanthin, which are found in leafy greens and other colorful fruits and vegetables. Omega-3 fatty acids, found in fish oil, may also support retinal health. Always consult with a healthcare provider before starting any new supplements to ensure they are appropriate for your individual health needs.

In summary, while vitreous degeneration and retinal traction can be concerning, regular monitoring and proactive management can help mitigate risks. Always keep an open line of communication with your eye care provider and report any new symptoms promptly. Thank you for your questions, and I hope this information helps you feel more informed and empowered regarding your eye health!

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