Eye Floaters, Eye Pain, and Vision Changes: A Guide - Ophthalmology

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Floaters / Vitreous Opacity / Ocular Pain


Hello, Dr.
Gao.
I am 22 years old and currently preparing for the national exam.
I spend a considerable amount of time using the computer to watch tutorial videos.
I discovered my floaters at the age of 19; currently, I have one cobweb-like floater in my left eye and five to six in my right eye, all of which are deep black.
Last week, I noticed a phenomenon where light streaks rapidly fluctuated in both eyes in the dark, which disappeared after blinking a few times.
Additionally, while studying, I occasionally see black spots that vanish when I look directly at them.

(1) Is it possible that this could be an early sign of retinal detachment? Will it affect my vision?
(2) Recently, I have noticed that the whites of my eyes appear darker with a bluish tint and have blood vessels; could this be related to vitreous degeneration (floaters)?
(3) While studying, I experience intermittent pain in my eye sockets, accompanied by a sensation of slight mist (humidity) in my vision; could this be related to glaucoma?
I apologize for asking you these questions, and thank you for your help.

THADEA, 20~29 year old female. Ask Date: 2021/08/24

Dr. Gao Pilin reply Ophthalmology


Hello THADEA: 1.
It may just be floaters, but retinal issues cannot be ruled out.
2.
It is unrelated.
3.
It is likely not glaucoma.
It could be caused by fatigue.
I recommend that you see an ophthalmologist for an examination.

Reply Date: 2021/08/24

More Info


Hello! Thank you for your detailed questions regarding your eye health concerns. It’s important to address these issues, especially since they can significantly impact your daily life and studies. Let’s break down your concerns one by one.

1. Possibility of Retinal Detachment: The symptoms you describe, such as the sudden appearance of floaters (the spider web-like structures) and the flashes of light in your peripheral vision, can indeed be indicative of retinal issues, including the potential for retinal detachment. While not all cases of floaters or flashes lead to retinal detachment, they can be warning signs. If you experience a sudden increase in floaters, flashes of light, or a shadow or curtain effect in your vision, it is crucial to seek immediate medical attention from an eye care professional. Early detection and treatment are vital to prevent permanent vision loss.

2. Darkening of the Sclera and Blood Vessels: The changes you notice in the appearance of your sclera (the white part of your eye) can be due to several factors. A bluish tint or the presence of blood vessels may be related to various conditions, including chronic eye strain, inflammation, or even changes in the blood vessels due to increased pressure. While these changes may not directly relate to vitreous degeneration (which causes floaters), they can indicate that your eyes are under stress. It’s essential to have a comprehensive eye examination to determine the exact cause and whether any treatment is necessary.

3. Eye Pain and Visual Disturbances: The intermittent pain in your eyes while reading, along with the sensation of a misty or watery vision, could be attributed to several factors. Eye strain from prolonged computer use or reading can lead to discomfort and visual disturbances. This is often referred to as digital eye strain or computer vision syndrome. However, if the pain persists or worsens, it’s essential to rule out other conditions, including glaucoma. Glaucoma can cause eye pain and visual disturbances, but it typically presents with other symptoms, such as peripheral vision loss. Regular eye exams, including measuring intraocular pressure, can help assess your risk for glaucoma.


Recommendations for Improvement:
- Regular Eye Exams: Given your symptoms, it’s crucial to have regular eye examinations. An eye care professional can monitor your eye health and detect any changes early.

- Eye Rest and Breaks: If you spend long hours studying or using a computer, practice the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce eye strain.

- Proper Lighting: Ensure that your study area is well-lit to minimize glare and strain on your eyes.

- Hydration and Nutrition: Staying hydrated and maintaining a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support overall eye health.

- Consultation with Specialists: If your symptoms persist or worsen, consider consulting with an ophthalmologist or a retina specialist who can provide a more in-depth evaluation of your symptoms and recommend appropriate treatment options.

In conclusion, while some of your symptoms may be related to common issues like eye strain, others could indicate more serious conditions that require immediate attention. It’s always better to err on the side of caution when it comes to your vision. Don’t hesitate to seek professional help to ensure your eyes remain healthy, especially as you prepare for your exams. Best of luck with your studies and take care of your eye health!

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