Vascular Proliferation in Eye Health: What You Need to Know - Ophthalmology

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Vascular proliferation


Hello Dr.
Gao, I consulted you yesterday and I appreciate your response.
I have a follow-up appointment this afternoon.
The doctor initially mentioned that my conjunctivitis has reduced to 20% inflammation and is almost healed.
He did not mention anything about vascular proliferation at first.
However, when I inquired about it, he stated that I do not have vascular proliferation.
After I asked a few questions regarding proliferation, he said, "Let me take another look." After examining me again, he mentioned that there is a slight amount and advised me to shorten the duration of wearing contact lenses.
I would like to ask Dr.
Gao: he said there is a little bit of vascular proliferation; what should I do about it? The doctor I saw last week and the one I saw today are not the same person, and neither of them initially mentioned that I have vascular proliferation.
Today, I was told there is a little bit, and I am feeling very anxious...
The doctor from last week said I do not have vascular proliferation, and the doctor today also initially said no...
Please help me.
Thank you.

Mr. Lin, 20~29 year old female. Ask Date: 2020/09/16

Dr. Gao Pilin reply Ophthalmology


Mr.
Lin: Mild vascular proliferation indicates a state of hypoxia.
The first step is to reduce the use of contact lenses.
It is reversible, and even with mild vascular proliferation, there is no significant issue, so please rest assured.
Taiwan e-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and 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 for treatment.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/09/16

More Info


Understanding vascular proliferation in eye health is crucial for maintaining optimal vision and overall eye health. Vascular proliferation, particularly in the context of the eyes, often refers to the growth of new blood vessels in areas where they are not typically present, such as the cornea or conjunctiva. This can be a response to various factors, including hypoxia (lack of oxygen), inflammation, or other underlying conditions.

In your case, it appears that you have been experiencing some concerns regarding the presence of blood vessel proliferation in your eyes, particularly after a recent visit to the ophthalmologist. It's understandable to feel anxious when receiving conflicting information from different healthcare providers. Let's break down the situation and provide some clarity.

1. Understanding Vascular Proliferation: The presence of new blood vessels in the eye can be a normal physiological response to certain stimuli, such as wearing contact lenses for extended periods. When the cornea does not receive enough oxygen, it may trigger the growth of new blood vessels from the limbus (the border between the cornea and the sclera) into the cornea. This is known as corneal neovascularization and can lead to complications if not addressed.

2. Signs and Symptoms: In many cases, mild vascular proliferation may not present any noticeable symptoms. However, if the proliferation is significant, it can lead to issues such as blurred vision, discomfort, or increased sensitivity to light. It’s essential to monitor any changes in your vision or eye comfort and report these to your eye care professional.

3. Management and Prevention: Your doctor has advised you to reduce the wearing time of your contact lenses, which is a crucial step in managing vascular proliferation. Limiting the duration of contact lens wear allows the cornea to receive adequate oxygen, reducing the stimulus for new blood vessel growth. Additionally, consider switching to high-oxygen permeable contact lenses or wearing glasses more frequently to give your eyes a break.

4. Regular Eye Exams: Since you have been diligent about regular eye check-ups, continue this practice. Regular examinations can help monitor any changes in your eye health and allow for timely interventions if necessary. If you have concerns about the accuracy of the diagnosis, it may be beneficial to seek a second opinion from another ophthalmologist.

5. Lifestyle Adjustments: Maintaining good eye hygiene and taking breaks during prolonged visual tasks can help reduce eye strain and promote overall eye health. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This practice can alleviate eye fatigue and reduce the risk of complications.

6. Addressing Anxiety: It’s natural to feel anxious about your eye health, especially when receiving mixed messages from healthcare providers. Consider discussing your concerns openly with your ophthalmologist. They can provide reassurance and clarify any misunderstandings regarding your condition. Understanding the reasons behind their recommendations can help alleviate your worries.

In conclusion, while the presence of a slight vascular proliferation may be concerning, it is often manageable with appropriate lifestyle adjustments and regular monitoring. By following your doctor's advice and maintaining open communication with your healthcare providers, you can effectively manage your eye health and reduce the risk of complications. Remember, your eye health is a priority, and taking proactive steps will help ensure your vision remains clear and comfortable.

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