Vitreous Degeneration: Causes and Symptoms Explained - Ophthalmology

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Vitreous degeneration


Hello Doctor, I have myopia in both eyes, each at -400, and I see countless white dots floating around.
When I focus on an object, I also feel like there are black shadows moving in both eyes.
I would like to ask why my degeneration is progressing so quickly.
Is this related to my constitution? Are these white dots floaters or the so-called visual snow that is circulated online? My daily routine is quite normal, and I don't use electronic devices excessively.
Also, aren't floaters supposed to be fixed and not move? Why do mine seem to move?

Xiao Lin, 10~19 year old female. Ask Date: 2020/12/04

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Lin: Based on your description, the situation resembles floaters rather than snow vision.
In recent years, the age of onset for floaters has decreased significantly, and myopic individuals may experience them earlier, which is why floaters are also commonly reported among young people.
I recommend that you get an examination for confirmation.
In Taiwan, at Puzi Hospital's ophthalmology department: 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.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2020/12/04

More Info


Vitreous degeneration, often referred to as vitreous floaters, is a common condition that occurs as the vitreous gel, which fills the eye, begins to liquefy and shrink with age. This process can lead to the formation of floaters, which are small specks or strands that drift through your field of vision. Understanding the causes, symptoms, and implications of vitreous degeneration can help clarify your concerns.


Causes of Vitreous Degeneration
1. Aging: The most common cause of vitreous degeneration is aging. As people age, the vitreous gel becomes less firm and more liquid, leading to changes in its structure. This is a natural part of the aging process.

2. Myopia (Nearsightedness): Individuals with myopia, like yourself, are at a higher risk for vitreous degeneration. The elongated shape of the eye in myopia can lead to earlier and more pronounced changes in the vitreous.

3. Previous Eye Surgery or Trauma: Any surgical procedures on the eye or trauma can also contribute to changes in the vitreous.

4. Inflammation: Conditions that cause inflammation in the eye, such as uveitis, can lead to changes in the vitreous.

5. Genetic Factors: Some individuals may have a genetic predisposition to vitreous degeneration, which can influence the rate at which it occurs.


Symptoms of Vitreous Degeneration
The symptoms you are experiencing, such as seeing numerous white dots or shadows moving in your vision, are characteristic of vitreous floaters. These floaters can appear as:
- Small dots or specks: These are often described as "flies" or "floaters" that drift across your vision.

- Cobweb-like strands: Some people may see strands that resemble cobwebs.

- Shadows or dark spots: These can appear as moving shadows or dark shapes that may be more noticeable against a bright background.


Understanding Your Symptoms
The fact that you see these floaters moving can be attributed to the way the vitreous gel interacts with the retina. When you move your eyes, the floaters move as well, which can create the illusion of them being in motion. This is different from fixed spots, which may not move with eye movement.


Is It Related to Your Constitution?
Your body’s constitution can play a role in how quickly vitreous degeneration occurs. Factors such as genetics, overall eye health, and the presence of conditions like myopia can influence the rate of degeneration. However, maintaining a healthy lifestyle, including a balanced diet and regular eye check-ups, can help manage eye health.


Differentiating Between Floaters and Other Conditions
The white dots you see are likely vitreous floaters rather than "visual snow," which is a neurological condition characterized by the perception of white or black dots in the visual field. If you are concerned about the nature of your symptoms, it is essential to consult with an eye care professional. They can perform a comprehensive eye examination to rule out any serious conditions, such as retinal tears or detachments, which can sometimes accompany vitreous degeneration.


Conclusion
In summary, vitreous degeneration is a common occurrence, especially in individuals with myopia. The symptoms you describe are typical of floaters, which can be influenced by various factors, including age and eye structure. While floaters are usually benign, it is crucial to monitor any changes in your vision and consult with an eye care specialist for a thorough evaluation. Regular eye exams can help ensure that your eye health is maintained and any potential issues are addressed promptly.

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