Retina + Floaters
Hello Doctor, I have approximately 500 degrees of myopia in both eyes.
Since March, I have been experiencing floaters, and in April, I noticed flashes of light while sleeping.
After a check-up, I was advised to go to the hospital, where I underwent three examinations.
I have been diagnosed with retinal degeneration but no tears.
Each doctor has noted different areas of degeneration.
I would like to ask:
1.
If I undergo laser treatment for prevention, will the areas treated with laser be free from the risk of developing tears in the future? Will I only need regular check-ups afterward?
2.
If the vitreous and retina continue to degenerate, will this ultimately lead to blindness?
3.
Recently, the floaters have not increased, but I continue to perceive flashes of light when I close my eyes at night.
Does this indicate that the degeneration is accelerating?
4.
I have been experiencing significant psychological stress before sleeping, and I feel like I'm seeing kaleidoscope-like shapes.
Could this be a type of flash?
5.
Does applying a warm compress at night to increase blood circulation in the eyes help with retinal degeneration?
Thank you for taking the time to respond to my questions!
Xiao Yu, 30~39 year old female. Ask Date: 2020/05/18
Dr. Gao Pilin reply Ophthalmology
Hello, Xiaoyu:
1.
If laser treatment is performed for prevention, will the areas that have been treated no longer have issues with holes in the future? Will regular check-ups suffice? If there are concerns about potential holes, the doctor may recommend applying laser treatment around the suspected area.
This way, even if a hole develops in the future, it is less likely to extend to adjacent areas, thus preventing retinal detachment.
You should follow the doctor's instructions for follow-up visits.
2.
If the vitreous body and retina continue to degenerate, will it ultimately lead to blindness? Vitreous degeneration does not affect vision.
Peripheral retinal degeneration also does not impact vision.
However, degeneration of the macula will affect vision.
3.
Recently, there has been no increase in floaters, but I feel flashes of light when I close my eyes at night.
Does this indicate that the degeneration is accelerating? This is due to the vitreous degeneration pulling on the retina.
Whether the rate of degeneration is increasing is uncertain.
4.
Before sleeping, I experience significant psychological stress and see shapes similar to a kaleidoscope.
Is this a type of flash? This situation resembles a visual hallucination.
You can refer to: https://bit.ly/2z0VUDw
5.
Does applying a warm compress at night to increase blood circulation in the eyes help with retinal degeneration? It is unlikely to be very helpful.
Peripheral retinal degeneration, if there are no holes, does not significantly affect vision, so there is no need to worry excessively.
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 seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2020/05/18
More Info
Hello! Thank you for your detailed questions regarding retinal degeneration and floaters. It’s understandable to have concerns about your eye health, especially with the symptoms you are experiencing. Let’s address your questions one by one.
1. Laser Treatment for Retinal Degeneration: Laser treatment can be used to create a barrier around areas of retinal degeneration, which may help prevent further complications such as retinal tears or detachments. However, it is important to note that while laser treatment can reduce the risk of future retinal issues in the treated areas, it does not guarantee that new problems won’t arise in other areas of the retina. Therefore, regular follow-up examinations with your eye care provider are crucial to monitor the overall health of your retina.
2. Progression of Vitreous and Retinal Degeneration: Both vitreous and retinal degeneration can progress over time, especially in individuals with high myopia (nearsightedness). While not all cases of degeneration lead to blindness, there is a risk of serious complications, such as retinal detachment, which can result in vision loss if not treated promptly. It’s essential to maintain regular eye exams to catch any changes early and manage them appropriately.
3. Flashes of Light and Degeneration Speed: The presence of flashes of light, especially when closing your eyes or in low-light conditions, can indicate that the vitreous is pulling on the retina. This can be a sign of ongoing vitreous degeneration. While it does not necessarily mean that the degeneration is accelerating, it is a symptom that should be monitored closely. If you notice an increase in the frequency or intensity of these flashes, it’s important to report this to your eye doctor.
4. Kaleidoscope Patterns and Flashes: The kaleidoscope-like patterns you are seeing could be related to visual disturbances caused by the vitreous gel pulling on the retina or changes in the retinal structure itself. These visual phenomena can sometimes be associated with flashes of light and are generally not uncommon in individuals with vitreous degeneration. However, if these symptoms persist or worsen, it is advisable to seek further evaluation.
5. Warm Compresses for Retinal Health: While warm compresses can help with eye strain and improve blood circulation to the eyelids and surrounding tissues, there is limited evidence to suggest that they have a direct beneficial effect on retinal degeneration. Maintaining overall eye health through proper hydration, a balanced diet rich in antioxidants, and regular eye exams is more critical. If you are experiencing significant stress or anxiety, it might also be beneficial to explore relaxation techniques, as stress can exacerbate visual symptoms.
In conclusion, it’s vital to stay proactive about your eye health, especially given your history of high myopia and the symptoms you are experiencing. Regular check-ups with your ophthalmologist will help ensure that any changes in your condition are monitored and managed effectively. If you have any further concerns or notice any new symptoms, do not hesitate to reach out to your healthcare provider. Your vision is important, and taking these steps can help protect it.
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