Common Eye Issues: Floaters, Eye Care, and Exams - Ophthalmology

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Eye problems


1.
Can benign floaters disappear on their own?
2.
Is it possible for benign floaters to not cause any retinal issues throughout a person's life, or do benign floaters inevitably lead to retinal holes as one ages? Are individuals with physiological benign floaters at a higher risk of developing retinal diseases compared to those without floaters?
3.
What kind of injuries could occur if the showerhead accidentally hits the eyeball (with eyes closed)?
4.
I have had twitching in my upper eyelid for three weeks, which usually worsens after washing my face or when water comes into contact with my eyes.
Could frequent use of saline solution to rinse my eyes cause eyelid sensitivity and lead to eyelid twitching? Additionally, why does the twitching occur only in one eyelid and not both?
5.
I heard that there are contact and non-contact methods for retinal examinations.
As far as I know, non-contact methods include direct and indirect ophthalmoscopy.
What is the name of the contact method for retinal examination? Is it called a biomicroscope retinal examination?
6.
In what eye diseases are doctors more likely to use a contact ophthalmoscope?
7.
What disinfectant is used to sterilize the contact ophthalmoscope (isopropyl alcohol or something like Cidex)? I apologize for the many questions, thank you.

Taiyang, 20~29 year old female. Ask Date: 2020/11/21

Dr. Gao Pilin reply Ophthalmology


Hello Sun:
1.
It may or may not happen, but it usually lasts for a while, and then you get used to it.

2.
Benign floaters do not cause retinal disease.
Floaters do not lead to retinal tears because tears occur due to vitreous traction or if the retina itself is thinner.

3.
Eye trauma can vary in severity, ranging from localized bruising, orbital fractures, intraocular hemorrhage, corneal injury, lens dislocation, traumatic glaucoma, optic nerve damage, retinal hemorrhage, to even retinal detachment, with severe cases potentially resulting in globe rupture.
However, if the showerhead made contact and there are no symptoms, it should not be a major issue; if any symptoms arise, please seek medical attention promptly.

4.
There should be no relation between rinsing the eyes with saline solution and eyelid twitching, which is caused by abnormal nerve discharges.
You can refer to: https://bit.ly/36TnvDy5.6.

5.
Contact examination typically uses a three-mirror lens to view peripheral retinal tears.

6.
Any disinfectant that does not damage the equipment can be used.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM; Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses are for reference only; if necessary, you should visit a medical facility.
I hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2020/11/21

More Info


Understanding common eye issues, particularly floaters, eye care, and the importance of regular eye exams, is crucial for maintaining good vision and overall eye health. Let’s address your questions one by one.

1. Can benign floaters disappear on their own?
Yes, benign floaters can sometimes become less noticeable over time. Many people experience floaters, which are tiny specks or strands that drift through your field of vision. They are often caused by changes in the vitreous gel inside the eye as you age. While they may not completely disappear, your brain can adapt to them, making them less bothersome.

2. Are benign floaters likely to remain harmless throughout life?
Generally, if floaters are classified as benign, they are unlikely to lead to serious issues like retinal tears or detachments. However, it is essential to monitor any changes in your vision. While having benign floaters does not guarantee that you will never experience retinal problems, the presence of floaters alone does not significantly increase the risk of retinal disease. Regular eye exams are critical for early detection of any potential issues.

3. What injuries can occur if the showerhead accidentally hits the eyeball?
Even if your eyes are closed, a direct impact from a showerhead can cause various injuries, including corneal abrasions, which are scratches on the surface of the eye, or more severe injuries like a rupture of the eyeball. If you experience pain, redness, or changes in vision after such an incident, it is crucial to seek medical attention promptly.

4. Why is one eyelid twitching after using saline solution?
Eyelid twitching, or myokymia, can be triggered by various factors, including fatigue, stress, or irritation. If you notice increased twitching after using saline solution, it may be due to sensitivity or irritation caused by the solution. It is not uncommon for one eyelid to twitch while the other does not, as the muscles controlling each eyelid can react differently to stimuli. If the twitching persists, consider consulting an eye care professional.

5. What is the name of the contact method used in eye exams?
The contact method for eye exams is typically referred to as a "direct ophthalmoscopy" or "biomicroscopy." The latter is often performed using a slit lamp, which allows for a detailed examination of the eye's structures, including the retina.

6. What conditions might lead a doctor to use a contact lens for eye exams?
Doctors may use a contact lens during examinations for conditions such as glaucoma, retinal detachment, or other retinal diseases. This method allows for a more thorough examination of the retina and the optic nerve head, providing better visualization than non-contact methods.

7. What disinfectants are used for contact lenses during eye exams?
Contact lenses used in examinations are typically disinfected with solutions like Cidex or other appropriate disinfectants. Alcohol is generally not used directly on contact lenses due to its potential to damage the lens material. Proper sterilization is crucial to prevent infections and ensure patient safety.

In conclusion, maintaining eye health involves understanding common issues like floaters, recognizing when to seek medical attention, and ensuring regular eye exams. If you experience any sudden changes in your vision, such as an increase in floaters, flashes of light, or any other unusual symptoms, it is essential to consult an eye care professional immediately. Regular check-ups can help catch potential problems early, ensuring that your eyes remain healthy and your vision clear.

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