Vitreous Degeneration and Retinal Detachment Risks - Ophthalmology

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Vitreous degeneration and retinal detachment?


Hello Doctor: I have high myopia of 900 to 1000 degrees.
Last night, while blinking in a dark place, I noticed flashes of light in my left eye.
It’s difficult to get an appointment at a large hospital's retina department, so I visited a clinic the next day.
The doctor said it was due to vitreous degeneration and opacification, but there are currently no issues with the retina.
He advised that if the flashes increase or if my vision becomes blurry, I should return for a follow-up.
I have a few questions:
1.
If retinal detachment occurs, should I go to a large hospital's emergency department immediately?
2.
If it happens at midnight, will there be a doctor available for eye surgery in the emergency department?
3.
What dietary supplements do you recommend for eye health?
4.
Is it advisable to avoid exercises that involve moving the eyeballs up, down, left, and right for relaxation?
5.
I also have mild dry eye syndrome.
Is it not advisable to use preservative-containing artificial tears long-term? I have been using them for over two years.
I look forward to your response! Thank you! ^v^

Joyce, 40~49 year old female. Ask Date: 2021/05/12

Dr. Gao Pilin reply Ophthalmology


Hello Joyce: 1.
If possible, seek medical attention as soon as possible.
2.
Check if there are any ophthalmologists on duty that day; emergency surgery may not be available at midnight, but arrangements can be made as soon as possible.
3.
Lutein and vitamins A, C, and E.
4.
I believe that moving the eyes will not relax them; it will only cause more fatigue.
Normal resting with closed eyes is sufficient.
5.
It is fine to do this no more than four times a day.
The ophthalmology department at Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should still seek care at a medical facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2021/05/12

More Info


Hello! Thank you for your questions regarding vitreous degeneration and the associated risks of retinal detachment, especially considering your high myopia. Let’s address each of your concerns in detail.

1. Retinal Detachment Emergency: If you experience symptoms such as an increase in flashes of light, a sudden increase in floaters, or a shadow or curtain effect in your vision, it is crucial to seek immediate medical attention. Retinal detachment is a serious condition that can lead to permanent vision loss if not treated promptly. If you suspect you are experiencing these symptoms, you should go to the nearest emergency room or an eye specialist immediately.
2. Emergency Eye Surgery Availability: In many hospitals, especially those with an ophthalmology department, there are often specialists available for emergencies, including retinal detachment. However, the availability of specific procedures may vary depending on the time of day and the hospital's resources. If you find yourself in a situation where you need urgent care, it’s best to call ahead to ensure that an ophthalmologist is available.

3. Nutritional Supplements for Eye Health: While there is no magic pill to prevent vitreous degeneration or retinal detachment, certain nutrients are known to support overall eye health. Omega-3 fatty acids, lutein, zeaxanthin, vitamin C, vitamin E, and zinc are often recommended. These nutrients can be found in foods like leafy greens, fish, nuts, and fruits. Always consult with your healthcare provider before starting any new supplements, especially considering your existing conditions.

4. Eye Relaxation Exercises: Gentle eye exercises can be beneficial for reducing eye strain, especially if you spend long hours in front of screens. However, if you have a history of retinal issues or are experiencing symptoms like flashes or floaters, it might be wise to avoid vigorous movements or exercises that could strain your eyes. Instead, focus on simple techniques like the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Use of Preservative-containing Artificial Tears: If you have been using preservative-containing artificial tears for over two years, it may be worth discussing with your eye care provider. Long-term use of these drops can sometimes lead to irritation or other issues. There are preservative-free options available that may be more suitable for daily use, especially for someone with dry eye syndrome.

In summary, while vitreous degeneration is a common occurrence, especially in individuals with high myopia, it is essential to remain vigilant about any changes in your vision. Regular check-ups with an eye care professional are crucial, and any sudden changes should prompt immediate medical evaluation. Maintaining a healthy diet, being cautious with eye exercises, and using appropriate eye drops can help manage your eye health effectively. If you have further concerns or experience any new symptoms, do not hesitate to reach out to your healthcare provider. Your vision is invaluable, and proactive care is the best approach.

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