Vitreous Degeneration and Floaters: What You Need to Know - Ophthalmology

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Vitreous degeneration, commonly referred to as vitreous floaters, is a condition that many individuals experience, especially as they age or if they have high myopia (nearsightedness). The vitreous is a gel-like substance that fills the eye and helps maintain its shape. Over time, this gel can become more liquid and less cohesive, leading to the formation of floaters—small specks or strands that drift through your field of vision.
In your case, with a high degree of myopia (1000 degrees), the risk of vitreous degeneration and subsequent floaters is indeed higher. The yellow circle you see when your eyes are closed is likely a manifestation of these floaters, which can be more pronounced in individuals with myopia due to the elongation of the eyeball and changes in the vitreous gel.

It's important to note that while floaters are generally harmless, they can sometimes indicate more serious conditions, such as retinal tears or detachments, especially if there is a sudden increase in their number or if they are accompanied by flashes of light or a shadow in your peripheral vision. Since you mentioned that your retinal examination was normal, this is reassuring, but it’s crucial to remain vigilant.

Regarding your concerns about vitreous detachment, it is difficult to predict when or if the vitreous will detach completely. Vitreous detachment occurs when the vitreous gel separates from the retina, which can happen naturally over time. In many cases, this process is benign and does not lead to complications. However, in some instances, it can lead to retinal tears or detachment, particularly in individuals with high myopia.

As for activities and exercises, there are generally no specific restrictions for individuals with floaters or vitreous degeneration unless advised by your eye care professional. However, it is wise to avoid high-impact sports or activities that could increase the risk of trauma to the eye. Gentle exercises, such as walking or yoga, are typically safe and can be beneficial for overall health.
If you are concerned about the risk of retinal tears or detachment, it is advisable to have regular follow-ups with your ophthalmologist. They can monitor the condition of your vitreous and retina and provide personalized recommendations based on your specific situation. Additionally, if you experience any new symptoms, such as a sudden increase in floaters, flashes of light, or a shadow in your vision, seek immediate medical attention.

In summary, while vitreous degeneration and floaters can be concerning, they are often a normal part of aging or myopia. Regular eye examinations and open communication with your eye care provider are essential for monitoring your eye health and addressing any concerns you may have. Remember, maintaining a healthy lifestyle, protecting your eyes from injury, and managing any underlying conditions can contribute to better eye health as you age.