Floaters: Questions About Symptoms and Treatments - Ophthalmology

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Questions related to floaters?


Hello, Dr.
Gao.
I have had floaters since high school, and after working for a year (I have myopia of 600 degrees), the severity of the floaters has increased.
I regularly go for check-ups at the hospital.
Here are my questions, and I appreciate your help very much!
1.
I understand that floaters are caused by vitreous degeneration.
I would like to know if supplementing with antioxidants (such as green vegetables or astaxanthin) can slow down the rate of vitreous degeneration?
2.
Is there a chance that the number of floaters can decrease or become less noticeable? I often see them floating around, and I am very concerned about their impact on my vision.
I have visited doctors at Mackay Memorial Hospital and National Taiwan University Hospital, and they both said it is a mild case of floaters.
However, I still see a lot of them under sunlight.
3.
In the past year, I have undergone laser treatment at Mackay Memorial Hospital due to suspected retinal tears, totaling about five sessions (combined for both eyes).
I feel that the number of laser treatments is a bit excessive.
Dr.
Gao, could you please advise on the potential side effects of having this many laser treatments? Also, why is there such a frequent occurrence of retinal thinning? My profession is engineering, which requires prolonged computer use.
Could this be related to my job? I apologize for the many questions, as I am very concerned about my vision.
Thank you for your guidance!

Sam, 20~29 year old female. Ask Date: 2020/11/07

Dr. Gao Pilin reply Ophthalmology


Hello Sam:
1.
Currently, there is no research available that can slow down the degeneration of the vitreous body.

2.
Floaters themselves do not affect vision; they only interfere with vision when they obstruct the line of sight.
When they move away, vision becomes clear again.
The frequency of floaters can vary and is not consistent.

3.
The primary concern is high myopia, which causes thinning of the peripheral retina, making it more susceptible to tears.
Therefore, laser treatment is used to seal the periphery, reducing the risk of retinal detachment.
The laser is applied to the periphery, which does not affect central vision, but there may be changes in peripheral vision.
Regular check-ups are important; simple floaters do not affect vision, 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 seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2020/11/07

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding floaters and your eye health. It's understandable to feel anxious about changes in your vision, especially when you have a history of myopia and have experienced an increase in floaters. Let’s address your questions one by one.

1. Antioxidants and Vitreous Degeneration: You are correct that floaters are often a result of vitreous degeneration, which is a natural part of aging. While there is some evidence suggesting that antioxidants, such as those found in green leafy vegetables and astaxanthin, may support overall eye health, there is currently no definitive scientific evidence that they can significantly slow down vitreous degeneration or reduce floaters. Maintaining a healthy diet rich in antioxidants can be beneficial for your overall health and may support your eye health, but it is unlikely to reverse or significantly alter the progression of floaters.

2. Reduction of Floaters: The number of floaters can fluctuate over time. In some cases, floaters may become less noticeable as your brain adapts to them, effectively filtering them out of your conscious vision. However, it is also possible for new floaters to develop, particularly if there are changes in the vitreous gel. If your floaters are associated with any changes in your vision, such as flashes of light or a shadow in your peripheral vision, it is crucial to seek immediate medical attention, as these could indicate more serious conditions like retinal detachment.

3. Laser Treatment and Side Effects: You mentioned undergoing laser treatment for a suspected retinal tear. While laser photocoagulation is generally safe and effective, repeated treatments can lead to some side effects, including temporary vision changes, discomfort during the procedure, and in rare cases, scarring of the retina. The frequency of your treatments may be due to the nature of your retinal condition, and it is important to follow your ophthalmologist's recommendations closely. If you feel that the frequency of treatments is excessive, it is worth discussing your concerns with your eye care provider. They can provide clarity on the necessity of each treatment and whether alternative management strategies might be appropriate.

4. Impact of Your Profession: As an engineer who spends long hours in front of a computer, you may be experiencing eye strain, which can exacerbate your perception of floaters. It is essential to practice good eye hygiene, such as the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) and ensure that your workspace is ergonomically set up to reduce strain. Regular eye examinations are crucial, especially given your history of myopia and retinal issues.

In conclusion, while floaters can be bothersome, they are often benign, especially if they are not accompanied by other symptoms. Continue to have regular check-ups with your ophthalmologist, and do not hesitate to express your concerns about your treatment plan. Your eye health is paramount, and open communication with your healthcare provider is key to managing your condition effectively.

Wishing you the best in your eye health journey!
Sincerely,
Doctor Q&A Teams


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