Vitreous Degeneration: Symptoms, Treatment, and Sports Safety - Ophthalmology

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Vitreous degeneration


Hello Doctor, I asked a question back in February.
Currently, it seems that my left eye is experiencing issues with flashes of white light due to vitreous degeneration.
After examinations, I underwent laser treatment twice.
This situation has also led me to develop depression.
Doctors at Chang Gung and National Taiwan University mentioned that I am recovering well, but advised me to avoid vigorous head movements.
During the first laser treatment, the doctor said the hole was small and would not affect my sports activities, but since it broke a month later, I had to undergo a second laser treatment at a different clinic.
The doctor mentioned that the laser equipment at the previous clinic was older, and now they are using a newer, more advanced device at Chang Gung that is more effective and safer.
I apologize for not fully understanding, but the flashes of white light have persisted for over five months.
The doctor advised me to observe for six months after the treatment to see if I can resume playing sports, as my vitreous is liquefying.
However, the doctor is aware of my anxiety and depression, so they are hesitant to discuss the specifics with me, instead reassuring me that, based on their experience, the white light usually disappears.
Currently, the advice seems to be to avoid playing sports until the flashes disappear (I play badminton).
A few months ago, I mentioned to the doctor that I occasionally started riding my bike, but whenever I move into darker areas or close my eyes, I see many patches of light flickering and then disappearing (this is different from the persistent white light in my left eye).
The doctor said that if these flickers disappear, it is not a concern, but I found online that this is often caused by vitreous liquefaction, and it is generally advised to avoid vigorous exercise afterward.
I would like to ask if playing badminton is permissible, as I have consulted many doctors—some say it should be fine, while others consider badminton to be vigorous exercise (I used to play for my school team, so it might be somewhat intense).
I sincerely apologize for this lengthy message and for not being entirely sure what answer I am seeking.
Recently, my eye condition and the pandemic have exacerbated my depression.
During this pandemic, I wish you good health, and I thank you for your efforts.
Thank you very much!

Jiao lü de xue sheng, 20~29 year old female. Ask Date: 2021/06/11

Dr. Gao Pilin reply Ophthalmology


Hello: I believe that if you want to play badminton, you should go ahead and play.
The movement involved in badminton should be fine, especially since you have already undergone intensive laser treatment.
There is no need to worry too much; however, if you experience any unusual symptoms, you should seek medical attention promptly.
This way, you won't lose the joy of your daily activities.
Online answers can only serve as a reference; it is essential to visit a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2021/06/11

More Info


Understanding vitreous degeneration and its implications for sports activities, particularly in the context of your experience with flashes of light and subsequent laser treatments, is crucial for ensuring both your eye health and your overall well-being.

Vitreous degeneration, often referred to as vitreous detachment, occurs when the vitreous gel that fills the eye begins to liquefy and pull away from the retina. This process can lead to symptoms such as flashes of light (photopsia) and floaters. While these symptoms can be alarming, they are often benign, especially in the context of age-related changes. However, in some cases, they can indicate more serious conditions, such as retinal tears or detachments, which require immediate medical attention.

Your experience of having undergone laser treatment suggests that your healthcare providers are taking your condition seriously. The purpose of laser treatment in cases of vitreous degeneration is typically to address any tears or holes in the retina that may have developed as a result of the vitreous pulling away. It is reassuring to hear that your doctors have indicated that the initial laser treatment was successful and that you are on the path to recovery.

Regarding your concerns about engaging in sports, particularly badminton, it is essential to consider a few factors. First, the advice from your doctors to avoid vigorous head movements is crucial. Activities that involve rapid head motions or jarring movements can increase the risk of further complications, such as exacerbating any existing retinal issues. Badminton, while not as high-impact as some other sports, does involve quick lateral movements and sudden changes in direction, which could potentially pose a risk.

Your doctors' recommendations to observe your symptoms for a period before resuming sports are standard practice. They likely want to ensure that the flashes of light and other symptoms subside before you engage in activities that could strain your eyes. It is also important to monitor any new symptoms that may arise during this observation period. If you notice an increase in flashes, floaters, or any changes in your vision, you should contact your healthcare provider immediately.

In terms of managing your mental health, it is understandable that the combination of your eye condition and the ongoing pandemic has contributed to feelings of anxiety and depression. It is essential to address these feelings, as mental health plays a significant role in overall well-being. Engaging in light physical activity, if cleared by your doctor, can be beneficial for both physical and mental health. Activities such as walking or gentle stretching may help alleviate some of the stress and anxiety you are experiencing.

If you are considering returning to badminton, it would be prudent to have a detailed discussion with your ophthalmologist. They can provide personalized advice based on your specific condition, the results of your treatments, and your overall eye health. Additionally, consider seeking support from a mental health professional to help you navigate the emotional challenges you are facing.

In summary, while vitreous degeneration can be concerning, with appropriate monitoring and care, many individuals can continue to lead active lives. Prioritize your eye health by following your doctor's recommendations, and don't hesitate to seek help for your mental health as well. Your well-being is paramount, and taking these steps can help you manage both your physical and emotional health effectively.

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