Vitreous Degeneration: Concerns for High Myopia Patients - Ophthalmology

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Vitreous degeneration, particularly in patients with high myopia, is a common concern that can lead to various visual disturbances, including the perception of floaters, or "flying flies" as they are colloquially known. Let’s address your questions systematically.

1. Is my floaters caused by vitreous degeneration?
Yes, floaters are often a result of vitreous degeneration. The vitreous body is a gel-like substance that fills the space between the lens and the retina in the eye. As we age or in the case of high myopia, the vitreous can begin to liquefy and shrink, leading to the formation of clumps or strands within the vitreous. These clumps cast shadows on the retina, which is perceived as floaters. In high myopia, the risk of vitreous degeneration is increased due to the elongation of the eyeball, which can lead to changes in the vitreous structure.

2. Should I be concerned about the increasing number of floaters despite normal retinal exams?
While it is reassuring that your retinal exams have shown no signs of retinal tears or detachment, the increasing number of floaters can still be concerning. It is not uncommon for floaters to increase in number as the vitreous continues to degenerate. However, if you notice a sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, it is crucial to seek immediate medical attention. Since you mentioned that the floaters are light in color and you have not experienced any flashes, it may not be an urgent situation, but it is always wise to keep your eye care provider informed about any changes in your symptoms.

3. Is the yellowing of my eyes indicative of liver problems?
The yellowing of the eyes, known as scleral icterus, can indeed be a sign of liver dysfunction, particularly if it is associated with elevated bilirubin levels. However, it is essential to consider other factors as well. In some cases, yellowing can be due to other conditions, such as certain medications, dietary factors, or even benign conditions like pinguecula or pterygium, which are growths on the conjunctiva. It is advisable to consult with a healthcare provider to evaluate the cause of the yellowing, especially if it is persistent or accompanied by other symptoms like fatigue, abdominal pain, or changes in urine or stool color.


Additional Considerations for High Myopia Patients
High myopia is associated with several ocular complications, including an increased risk of retinal detachment, glaucoma, and cataracts. Regular eye examinations are crucial for early detection and management of these conditions. If you have high myopia, it is recommended to have comprehensive eye exams at least once a year, or more frequently if you experience any changes in your vision.

In conclusion, while vitreous degeneration is a common occurrence in high myopia and can lead to floaters, it is essential to monitor any changes closely. Regular check-ups with your eye care professional will help ensure that any potential complications are addressed promptly. If you have concerns about the yellowing of your eyes, a visit to a general practitioner or an ophthalmologist is warranted to rule out any underlying health issues. Always prioritize your eye health and do not hesitate to seek medical advice when in doubt.