Vitreous Degeneration, Retinal Issues, and Floaters: Your Concerns Addressed

Q: Vitreous Degeneration, Retinal Issues, and Floaters: Your Concerns Addressed

Hello, Ms. <br>Hsi： <br>1.2 may indicate vitreous opacities, which are a form of degeneration. <br>These opacities can fluctuate in size over time but do not affect vision. <br>After laser treatment, there may be a loss of visual field in the treated area, which is normal and wil

Vitreous degeneration, retinal issues, and floaters?

Hello Doctor: Three years ago, I went to the hospital due to the phenomenon of floaters and was diagnosed with a retinal tear, for which I underwent laser treatment.
I have had several check-ups since then, and I received additional retinal laser treatments last year and this year.
The doctor mentioned that I have lattice degeneration and vitreous degeneration.
I would like to ask you a few questions:
1.
This summer, I underwent three sessions of laser treatment for the retinal tear.
After the procedures, when I turn my eyes to the right or left, I see several circular images (similar to a filled light ring) appearing in specific areas of my visual field (only when moving my eyeballs).
It feels like those areas are somewhat obscured, but not completely.
However, the doctor checked and said there was no problem, which makes me worry if this condition will increase and occupy more of my visual field.
2.
In the lower temporal visual field of both eyes, I feel like there are "stationary dark shadows" occupying that area.
I previously asked the doctor if this was related to the retinal tear, but the doctor said that since I have already had laser treatment, it shouldn't be the case.
I would like to ask you if this condition is due to vitreous degeneration? I am very concerned that it might occupy more of my visual field in the future.
3.
Does undergoing laser surgery make the eyes more prone to fatigue? Because now, whenever I use my eyes for a short period, they feel dry.
4.
Sometimes, after staying in the sun or in a car with sunlight for a while, my eyes feel sore and dry.
I would like to know if this is related to the retinal tear and vitreous degeneration? Should I avoid sunny places to prevent the worsening of these two eye conditions?
These questions have been a source of concern for me for a long time, and I am afraid that I might lose my vision in the future.
However, sometimes I cannot get definitive answers from the doctors, so I am reaching out to you.
Thank you for patiently reading my questions, and I appreciate your effort.

I am Miss Xi., 20~29 year old female. Ask Date: 2021/08/16

Dr. Gao Pilin reply Ophthalmology

Hello, Ms.
Hsi:
1.2 may indicate vitreous opacities, which are a form of degeneration.
These opacities can fluctuate in size over time but do not affect vision.
After laser treatment, there may be a loss of visual field in the treated area, which is normal and will not progressively worsen.

3.
There are many causes of dry eyes, but it is unlikely that they are caused by the laser treatment.

4.
There should be no correlation; sunlight does not cause retinal tears or vitreous degeneration.
However, avoiding excessive sun exposure can prevent certain eye diseases, so it is advisable to wear sunglasses appropriately.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.

Gao Pilin

Reply Date: 2021/08/16

More Info

It's understandable to feel anxious about your eye health, especially after experiencing issues like floaters, retinal tears, and vitreous degeneration. Let's address your concerns one by one, based on the information you've provided and general medical knowledge.

1. Visual Phenomena After Laser Treatment: The circular images or "filled light rings" you see when turning your eyes could be related to the changes in your vitreous gel and the way it interacts with your retina. After laser treatment for retinal tears, it's not uncommon to experience some visual disturbances as your eye adjusts. These phenomena may not necessarily indicate worsening conditions, especially if your doctor has confirmed that the retina is stable. However, if these symptoms increase in frequency or intensity, it's crucial to follow up with your ophthalmologist for further evaluation.

2. Persistent Black Shadows in the Visual Field: The "stationary black shadows" you perceive could indeed be linked to vitreous degeneration. As the vitreous gel shrinks and pulls away from the retina, it can create shadows or distortions in your vision. While this can be concerning, especially if you fear it may worsen, it's important to remember that many people with vitreous degeneration experience these symptoms without significant progression. Regular monitoring by your eye doctor is essential to ensure that no new retinal issues develop.

3. Eye Fatigue Post-Laser Surgery: It's not uncommon to experience increased eye fatigue after undergoing laser surgery. The procedure can cause temporary changes in how your eyes focus and process visual information, leading to discomfort or dryness, especially with prolonged use. If you're experiencing dryness, consider using artificial tears to alleviate discomfort. Additionally, taking regular breaks during tasks that require intense focus can help reduce eye strain.

4. Sensitivity to Light and Eye Discomfort: Your sensitivity to sunlight and the resulting discomfort could be related to several factors, including your history of retinal issues and the current state of your vitreous. While it's essential to protect your eyes from excessive sunlight, especially if you have a history of retinal problems, this sensitivity can also be a symptom of dry eyes or other conditions. Wearing sunglasses with UV protection when outdoors can help mitigate discomfort and protect your eyes.

In terms of preventative measures, maintaining regular check-ups with your ophthalmologist is crucial. They can monitor your condition and provide tailored advice based on your specific situation. If you notice any sudden changes in your vision, such as an increase in floaters, flashes of light, or a curtain-like shadow over your vision, seek immediate medical attention, as these could be signs of a more serious issue.

Lastly, while it's natural to worry about the potential for vision loss, many people with similar conditions lead normal lives with appropriate management and care. Staying informed about your condition, following your doctor's recommendations, and practicing good eye care habits can significantly contribute to your overall eye health. Remember, you're not alone in this, and there are resources and professionals available to help you navigate your concerns.

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