Eye Inflammation and Floaters: Symptoms and Solutions

Eye inflammation, floaters?

Hello, doctor.
Recently, I have developed a white bump on the lower eyelids of both eyes, which has been present for over a month.
Initially, there was no discomfort, but later I started experiencing itching and a prickling sensation at the outer corners of my eyes.
Last week, I visited a doctor who said it was due to eye inflammation and recommended using eye drops and warm compresses.
Currently, the itching and prickling symptoms have improved, but the white bump has not diminished, and the eyelid area appears red with some blood vessels.

I consulted another clinic, and the doctor mentioned that it is a sebaceous gland obstruction and that no special treatment is necessary unless it protrudes.
However, I still feel that my eyes are very dry and sore, and sometimes I experience a foreign body sensation and a prickling feeling.
Additionally, I often feel a sense of pressure in the area between my eyebrows, and occasionally, my temples feel swollen.
Furthermore, I have high myopia of about 700 degrees and astigmatism of 200 degrees.
Over a year ago, I started seeing a black spot in my left eye, which I believe is a symptom of floaters, but I did not seek medical attention at that time.
I also have severe photophobia; I feel uncomfortable when I first go outdoors.
About a month ago, I began seeing black thread-like shapes in my right eye, and occasionally, I notice a shadow in the outer corner of my left eye.
I went to a clinic for an examination, and the doctor said there was no significant issue with my eyes, but they did not use dilating drops during the examination and only used instruments to check.
Currently, I feel that my vision has become blurry, and in addition to the severe wear on my glasses, there seems to be an increase in my prescription.
I would like to ask the doctor the following questions:
1.
What recommendations do you have regarding the above situation?
2.
Is there a possibility of dry eye syndrome or retinal tears?
3.
What kind of examinations can the doctor perform?
4.
Given my current condition, is it suitable for me to get new glasses? Thank you.

Miss Chen, 20~29 year old female. Ask Date: 2020/11/01

Dr. Gao Pilin reply Ophthalmology

Hello Ms.
Chen,
1.
If it is a sebaceous gland blockage, as the doctor mentioned, it does not require special treatment unless it is protruding.
If you experience a foreign body sensation or a prickling feeling, it may indicate conjunctivitis, which may require eye drops.
If you feel persistent swelling in the area between your eyebrows or sometimes at your temples, it could be a sign of eye fatigue, indicating that you need to rest more.
2.
Generally, floaters are harmless.
If there are no other issues, you can simply monitor them.
The doctor has examined you and should have found no problems.
3.
If dry eye syndrome is suspected, a dry eye test can be performed.
4.
There is no issue with getting glasses.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on 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.
Please note that online responses are for reference only; if necessary, you should visit a medical facility for treatment.
I hope to have the opportunity to serve you.
Best regards,
Gao Pilin

Reply Date: 2020/11/01

More Info

Hello! Thank you for sharing your concerns regarding your eye health. Based on your description, it seems you are experiencing a combination of symptoms that could be related to several underlying issues, including eye inflammation, dry eyes, and possibly floaters associated with your high myopia. Let’s break down your concerns and provide some insights and recommendations.

1. Understanding Your Symptoms
The white spots on your lower eyelids, which your doctor identified as possibly being caused by blocked sebaceous glands, are often referred to as milia or chalazia. These can occur due to various reasons, including inflammation or blockage of the oil glands. While they may not require treatment unless they become bothersome or infected, it’s essential to monitor them.

The symptoms of itching, stinging, and a sensation of dryness or foreign body presence in your eyes suggest that you may be experiencing dry eye syndrome. This condition can be exacerbated by environmental factors, prolonged screen time, and underlying health issues. The feeling of pressure in your forehead and temples could also be related to eye strain, especially given your high degree of myopia.

2. Floaters and Visual Disturbances
The black dots and strands you are seeing in your vision, known as floaters, are common, especially in individuals with high myopia. They occur due to changes in the vitreous gel inside the eye as it ages or due to myopic degeneration. While floaters are usually harmless, a sudden increase in their number or changes in your vision (like flashes of light or a curtain-like shadow) should prompt immediate medical attention, as these could indicate retinal issues.

3. Recommendations for Management
- Eye Care Routine: Since you are experiencing dryness, consider using preservative-free artificial tears to lubricate your eyes. This can help alleviate the discomfort associated with dry eyes. Additionally, practicing the 20-20-20 rule (taking a 20-second break to look at something 20 feet away every 20 minutes) can help reduce eye strain.

- Warm Compresses: Applying warm compresses can help with eyelid inflammation and may assist in unclogging blocked glands. This can be particularly soothing if you experience discomfort.

- Regular Eye Exams: Given your history of high myopia and the recent changes in your vision, it is crucial to have regular comprehensive eye exams. Make sure to request dilation during your visits, as this allows for a more thorough examination of the retina and vitreous.

4. Potential for Dry Eye and Retinal Issues
Your symptoms do suggest a possibility of dry eye syndrome, especially with the sensation of dryness and discomfort. As for retinal issues, while your previous examinations indicated no problems, it’s essential to remain vigilant. If you experience any new symptoms, such as a sudden increase in floaters or flashes of light, seek immediate evaluation.

5. Eye Glass Prescription
Regarding your eyeglass prescription, if you are experiencing changes in your vision, it may be time to update your prescription. An accurate prescription is vital for reducing eye strain and ensuring clear vision. Consult with your eye care provider about your current symptoms and the best course of action for your eyewear.

Conclusion
In summary, your symptoms of eye inflammation, floaters, and discomfort suggest a multifaceted issue that requires ongoing management. Regular follow-ups with your eye care provider, appropriate use of lubricating eye drops, and attention to your visual habits can significantly improve your comfort and eye health. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice. Your eye health is paramount, and staying proactive is key!

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