Hello, Doctor: 1. Is it possible to correct the scoring if there is an error? 2. Thank you for your response; I would like to ask further questions. Thank you?
Hello Doctor: 1.
I just rated the first email with stars, and the system crashed.
I sincerely apologize.
Could I change it to "five stars"? 2.
Thank you for your explanation regarding my ocular trauma.
Lastly, I would like to ask the doctor if the vitreous detachment caused by the trauma is irreversible? Is there still a chance for self-healing without surgery, allowing my vision to return to normal? (Currently, my vision is very blurry.) Thank you, Doctor.
Ivy, 30~39 year old female. Ask Date: 2021/10/18
Dr. Gao Pilin reply Ophthalmology
Hello Ivy: 1.
The score is likely unchangeable, but that's okay.
2.
Vitreous detachment typically does not affect the visual field; it may create a sensation of something obstructing the vision.
Over time, the area of cloudiness may decrease or shift to a more peripheral location, which could improve the obstruction.
If there are no retinal pathologies, surgery to remove the vitreous is usually not performed.
Please continue to observe for a while and return for follow-up as directed by your physician.
Reply Date: 2021/10/18
More Info
When it comes to eye injuries, particularly those involving the vitreous body, there are several important considerations regarding healing and potential recovery. Vitreous detachment, which can occur due to trauma, is a condition where the vitreous gel that fills the eye cavity separates from the retina. This can lead to various visual disturbances, including blurred vision or floaters.
1. Understanding Vitreous Detachment: Vitreous detachment is a common occurrence, especially as people age. However, when it results from trauma, it can be concerning. The vitreous gel is normally attached to the retina, and when it detaches, it can sometimes lead to complications such as retinal tears or detachment. If the detachment is due to an injury, it may not always be reversible, but it does not necessarily mean that surgery is required.
2. Natural Healing Potential: In many cases, the body can adapt to vitreous detachment over time. The brain often learns to ignore the floaters or visual disturbances caused by the detachment. While the initial phase may involve significant visual disturbances, many patients report gradual improvement in their symptoms as they adjust. However, this process can vary widely among individuals.
3. Monitoring and Follow-Up: It is crucial to have regular follow-ups with an ophthalmologist, especially after an eye injury. They can monitor for any complications, such as retinal tears, which may require surgical intervention. If your vision remains significantly blurred or if you experience new symptoms, such as flashes of light or a sudden increase in floaters, you should seek immediate medical attention.
4. Non-Surgical Management: For many cases of vitreous detachment, especially if there are no associated complications, non-surgical management is often sufficient. This may include monitoring the condition and managing symptoms. In some cases, vision may improve as the brain adapts to the changes.
5. When to Consider Surgery: Surgery may be considered if there are complications such as retinal tears or if the visual disturbances significantly impair quality of life. Procedures such as vitrectomy can be performed to remove the vitreous gel, but these come with their own risks and are typically reserved for more severe cases.
6. Lifestyle Adjustments: While waiting for natural healing, it may be beneficial to make some lifestyle adjustments. Reducing eye strain, ensuring proper lighting when reading or using screens, and taking regular breaks can help alleviate discomfort. Additionally, maintaining a healthy diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support overall eye health.
In summary, vitreous detachment resulting from trauma can potentially heal naturally over time, but it is essential to remain vigilant and maintain regular check-ups with your eye care professional. They can provide personalized advice based on your specific situation and help you navigate any necessary treatments or interventions. If you have ongoing concerns about your vision or the healing process, do not hesitate to reach out to your healthcare provider for further guidance.
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