Eye Health: Addressing Concerns of High Myopia and Floaters - Ophthalmology

Share to:

Many issues?


Hello Doctor: I am 24 years old and have high myopia in both eyes.
Right eye: -9.50, left eye: -6.75 (with astigmatism of 2.00-2.50 in both eyes).
I have undergone retinal laser treatment for holes in both eyes twice; the last treatment for my left eye was on December 24, 2021.
The doctor mentioned that the hole is very small, but I have a lot of floaters, making it difficult to count them accurately.
I feel like there are hundreds, with some being very faint.
In January 2021, I first experienced flashes of light, which occurred about two to three times a day at that time.
Now, I experience flashes about ten times a day, especially when I close my eyes, and I see several light spots passing by.
I am very worried, but I just had an eye examination less than a month ago.

1.
Sometimes, when I let my eyes relax, I feel like there are water ripples, similar to the blades of a fan spinning.
However, when I try to look closely, I can't see them, and they only happen occasionally.
Why is this happening?
2.
If I forcefully open my eyes wide or move my head too quickly, I feel a sensation as if my nerves are being pulled, but it only hurts briefly.
Is this normal?
3.
The world I see with my left eye appears darker and more yellow compared to my right eye.
The doctor examined me and said there is no macular degeneration, but when I ask people around me, they don’t notice any color difference between my eyes.
Is this a normal phenomenon, or is there something wrong with my eyes?
4.
Sometimes, after a short nap, like ten minutes or half an hour, when I wake up and look at things, my entire field of vision seems to be filled with flashing dots, somewhat like seeing stars, but it lasts less than ten seconds.
What could be the issue?
The doctor advised me to have regular check-ups every three months, so I visit a major hospital for follow-ups every two to three months.
The doctor has also taken many photos of my eyes and performed two visual field tests (more than six months apart), and he said the results are normal.
However, I have had several retinal holes, which makes me very anxious, especially since I am still young.
The world I see is filled with floaters, and I feel depressed every day, constantly fearing that my eyes will deteriorate or that I might go blind one day.
I hope you can provide me with some answers.
Thank you.

Krystal, 20~29 year old female. Ask Date: 2022/01/14

Dr. Gao Pilin reply Ophthalmology


Hello Krystal: 1.2.
These are phenomena of vitreous degeneration, which are usually benign and harmless.
As long as the retina has been checked and is fine, you can rest assured.
3.
It is likely a sensation caused by the rapid pulling of the extraocular tissues.
This is considered normal.
4.
It may be congenital, or it could be due to differences in the retinas of both eyes caused by myopia.
5.
Those that disappear quickly are likely physiological phosphenes.
Floaters are harmless; they can be a bit bothersome, but many people experience them, and it is a common phenomenon.
Regular check-ups are sufficient, and there is no need for worry or depression.

Reply Date: 2022/01/14

More Info


Hello! Thank you for sharing your concerns regarding your eye health, particularly in relation to high myopia and the symptoms you are experiencing. As a 24-year-old with significant myopia and a history of retinal laser treatments, it's understandable that you are feeling anxious about your vision. Let's address your questions and concerns one by one.

1. Flashes of Light: The occurrence of flashes of light, especially in the context of high myopia, can be concerning. These flashes are often due to the vitreous gel in the eye pulling on the retina, which can happen as the vitreous body shrinks with age or as a result of myopia. While occasional flashes can be normal, an increase in frequency or intensity warrants immediate attention. Since you have a history of retinal holes, it is crucial to monitor these symptoms closely. Regular check-ups, as your doctor has advised, are essential to ensure that there are no new developments.

2. Water Ripple Effect: The sensation of seeing water ripples or wave-like patterns can be attributed to several factors, including the presence of floaters or changes in the vitreous gel. These visual disturbances can be more pronounced in individuals with high myopia due to the elongation of the eyeball and changes in the vitreous. If these sensations are infrequent and not accompanied by other symptoms like increased flashes or a sudden increase in floaters, they may not be a cause for concern. However, it’s always best to discuss any new or worsening symptoms with your eye care provider.

3. Eye Movement Sensations: Feeling a pulling sensation when you move your eyes quickly or strain them can be a normal response, especially in individuals with high myopia. However, if this sensation is accompanied by pain or significant discomfort, it’s worth mentioning to your doctor. The eyes are delicate structures, and any unusual sensations should be evaluated to rule out any underlying issues.

4. Color Perception Differences: Noticing a difference in color perception between your two eyes can be disconcerting. While some individuals may perceive colors differently due to variations in the lens or retinal health, it’s essential to ensure that there are no underlying conditions affecting your vision. Since your doctor has ruled out macular degeneration, it may simply be a result of the differences in your eye's refractive error or other benign factors. However, continued monitoring is advisable.

5. Visual Disturbances Upon Waking: Experiencing visual disturbances, such as seeing spots or flashes after waking, can be related to several factors, including changes in blood flow to the eyes or the brain, especially after a brief sleep. This phenomenon is often temporary and resolves quickly, but if it becomes a frequent occurrence, it should be discussed with your healthcare provider.

Given your history of retinal issues and the presence of numerous floaters, it is understandable that you feel anxious about your vision. High myopia can increase the risk of retinal complications, including retinal detachment, but with regular monitoring and appropriate care, many individuals manage their condition effectively.
It's essential to maintain open communication with your eye care provider, adhere to the recommended follow-up schedule, and report any new or worsening symptoms immediately. Additionally, consider discussing your anxiety and concerns with your doctor, as they may provide further reassurance or refer you to a specialist if needed.

In conclusion, while your symptoms can be concerning, regular check-ups and monitoring are key to managing your eye health. Stay proactive about your vision care, and don't hesitate to seek help if you feel something is not right. Your well-being is paramount, and addressing these concerns with your healthcare team is the best course of action. Thank you for reaching out, and I wish you the best in maintaining your eye health!

Similar Q&A

Concerns About Vision Loss: Managing High Myopia and Eye Health

I am severely myopic (both eyes close to 1000 degrees). In recent years, I have been paying close attention to my eyes while studying, having regular check-ups every three to six months to monitor my retina at an ophthalmology clinic. Fortunately, the doctors have informed me tha...


Dr. He Jianxian reply Ophthalmology
Hello: Basically, you have been undergoing regular check-ups, so there is no need to worry too much. Your work will not cause blindness, and you can feel reassured. Wishing you good health.

[Read More] Concerns About Vision Loss: Managing High Myopia and Eye Health


Managing Eye Health: Tips for High Myopia and Retinal Concerns

Hello, Doctor. I am a person with high myopia, with both eyes around -1200 diopters. Recently, my floaters have slightly worsened, and I am increasingly concerned about my eye condition. I have regular retinal examinations every six months and fundus photography annually. Current...


Dr. Gao Pilin reply Ophthalmology
Hello, Ah Wei: Since you have been consistently undergoing examinations and there have been no new issues, it's important to note that the condition of the retina cannot be assessed through description alone; it requires a direct examination by a physician for proper evaluat...

[Read More] Managing Eye Health: Tips for High Myopia and Retinal Concerns


Managing High Myopia: Eye Care Tips and Mental Well-being

Hello, Doctor. Due to genetic factors, I have developed high myopia at an early age (currently around 900-1000 degrees). I undergo dilated eye examinations every six months. During my recent check-up, the doctor informed me of a mild cataract condition and prescribed Corneal Unid...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. The perception of floaters being more noticeable in bright light is a common phenomenon, especially among patients with high myopia. Typically, these floaters are caused by small fluctuations in the vitreous gel within the eye. In most cases, these floaters are harmle...

[Read More] Managing High Myopia: Eye Care Tips and Mental Well-being


Understanding Floaters and Eye Health: Concerns for Myopic Patients

1. Hello, doctor. Thank you for your response. I am 22 years old, and my eyesight is approximately -7.00 diopters in both eyes. I developed floaters five years ago, and a few years back, an eye doctor examined my fundus and mentioned signs of degenerative changes due to high myop...


Dr. Wang Zhishun reply Ophthalmology
Hello, 1. Based on your description, your floaters are likely a consequence of myopia, specifically due to vitreous degeneration. The quantity of floaters is not particularly significant, but if there is a sudden increase, an examination is necessary. 2. The activities you me...

[Read More] Understanding Floaters and Eye Health: Concerns for Myopic Patients


Related FAQ

Floaters And Related Issues

(Ophthalmology)

Floaters

(Ophthalmology)

High Myopia

(Ophthalmology)

Eyeball

(Ophthalmology)

Vision Care

(Ophthalmology)

Vision Correction For Myopia

(Ophthalmology)

Farsightedness

(Ophthalmology)

Macular Degeneration

(Ophthalmology)

Contact Lenses

(Ophthalmology)

Visual Disturbance

(Ophthalmology)