High Myopia and Floaters: Eye Health Concerns Explained - Ophthalmology

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High myopia and floaters?


Hello, Doctor.
I am currently a junior in college, and my myopia is -9.50 in the left eye and -11.00 in the right eye, with astigmatism of -2.00 in both eyes.
Recently, I have suddenly experienced headaches, dizziness, and eye pain.
I visited an ophthalmologist who conducted a brief examination of my optic nerve and macula.
My intraocular pressure was 14 in the left eye and 16 in the right eye, which they said is normal.
They mentioned that I might just have a cold.

1.
Can a cold cause simultaneous pain in the eyes and head? Can the fatigue from a cold lead to blurred vision?
2.
If I do not want to wear glasses in the future, is laser correction possible given my high degree of myopia?

Liu Xiansheng, 20~29 year old female. Ask Date: 2020/10/02

Dr. Cai Wenyuan reply Ophthalmology


1.
It is possible.
2.
Please seek medical evaluation.

Reply Date: 2020/10/02

More Info


High myopia, also known as pathological myopia, is a condition where the eye elongates excessively, leading to a higher risk of various ocular complications. Individuals with high myopia, such as yourself, often experience a range of symptoms and concerns, including headaches, eye pain, and visual disturbances like floaters. Let's address your questions in detail.

1. Can a cold cause headaches and eye pain?
Yes, a cold can indeed lead to headaches and eye discomfort. When you have a cold, your body undergoes various changes, including inflammation and sinus congestion. This can lead to referred pain in the head and around the eyes, causing discomfort. Additionally, fatigue from being unwell can exacerbate feelings of eye strain, potentially leading to temporary blurriness in vision. It’s essential to rest and stay hydrated during this time, as fatigue can contribute to eye strain and discomfort.

2. Is it possible for fatigue from a cold to cause blurred vision?
Fatigue can affect your overall cognitive function and visual acuity. When you're tired, your eyes may not focus as well, leading to temporary blurriness. This is particularly true for individuals with high myopia, as their eyes are already under stress due to the elongation of the eyeball. If you find that your vision remains blurry even after resting, it would be wise to consult with an eye care professional to rule out any underlying issues.

3. Is laser correction possible for high myopia?
Laser vision correction, such as LASIK or PRK, is an option for many individuals with myopia, but there are specific considerations for those with high myopia. The degree of myopia, the thickness of the cornea, and the overall health of the eye are critical factors in determining eligibility for laser surgery. In general, individuals with high myopia may have a higher risk of complications post-surgery, such as retinal detachment or other vision-threatening conditions. Therefore, it’s crucial to have a thorough evaluation by a qualified ophthalmologist who specializes in refractive surgery to discuss your options and the potential risks involved.

4. What about floaters?
Floaters are common in individuals with high myopia and can be caused by changes in the vitreous gel of the eye. As the vitreous shrinks and pulls away from the retina, it can create the appearance of floaters. While floaters are usually benign, a sudden increase in their number or the appearance of flashes of light can indicate a more serious condition, such as retinal detachment, which requires immediate medical attention.

5. Managing eye health with high myopia
Given your high degree of myopia, regular eye examinations are crucial. These check-ups can help monitor for any changes in your eye health, including the development of cataracts, glaucoma, or retinal issues. Additionally, managing your screen time and taking regular breaks can help reduce eye strain. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

In conclusion, while high myopia presents certain challenges, understanding your condition and maintaining regular check-ups can significantly contribute to your eye health. If you have ongoing symptoms or concerns, don’t hesitate to reach out to your eye care provider for further evaluation and personalized advice.

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