Eye floaters?
Hello, doctor! I am a patient with high myopia (left eye -12.25; right eye -11.00) and I also have floaters.
I am currently thirty years old.
When I move my left eye, I experience a brief shadow that lasts for about less than a second.
In my right eye, when I move it, I see a temporary black lightning-like line appearing near the side of my nose, which also lasts for less than a second (this does not occur when my eyes are closed).
I have undergone retinal examinations at both a hospital and a clinic, and the doctors have confirmed that there are no issues with my retina, advising me to have regular check-ups.
However, since my work requires prolonged computer use, I am really concerned about these phenomena.
Mr. Zhang, 30~39 year old female. Ask Date: 2022/05/08
Dr. He Jianxian reply Ophthalmology
Your description seems to indicate a phenomenon known as "floaters." If you have undergone a dilated eye exam and no issues were found, there is likely no need for excessive concern.
Regular follow-up appointments to check the retina should suffice.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.
Reply Date: 2022/05/08
More Info
Understanding temporary eye shadows, especially for high myopia patients, is crucial for maintaining eye health and managing anxiety related to visual disturbances. High myopia, defined as a refractive error greater than -6.00 diopters, can lead to various ocular complications, including changes in the vitreous body, retinal detachment, and other visual anomalies.
The symptoms you describe—temporary black shadows and flashes of light—are not uncommon among individuals with high myopia. These phenomena can often be attributed to vitreous changes. In high myopia, the vitreous gel, which fills the eye, can undergo liquefaction and posterior vitreous detachment. This process may lead to the perception of floaters (the "flying mosquitoes" you mentioned) and flashes of light, particularly when the vitreous pulls on the retina. The transient nature of your symptoms—lasting less than a second—suggests that they may be related to these vitreous changes rather than a more serious retinal issue, especially since your recent eye examinations have shown no signs of retinal detachment or other significant pathology.
It's important to note that while these symptoms can be alarming, they are often benign, especially in the context of normal retinal examinations. However, vigilance is necessary, as high myopia increases the risk of retinal complications. Here are some recommendations to help you manage your symptoms and maintain eye health:
1. Regular Eye Exams: Continue with your routine eye examinations as recommended by your eye care provider. Regular monitoring is essential for early detection of any potential complications.
2. Visual Hygiene: Since your work involves prolonged computer use, ensure that you practice good visual hygiene. This includes taking regular breaks (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds) to reduce eye strain.
3. Lighting Conditions: Ensure that your workspace is well-lit to minimize glare and reduce the strain on your eyes. Adjust your screen brightness and contrast to comfortable levels.
4. Avoid Eye Strain: If you notice that your symptoms worsen with specific activities, such as rapid eye movements or prolonged focus, consider adjusting your work habits. Use ergonomic setups to maintain a comfortable viewing distance and angle.
5. Monitor Symptoms: Keep a log of your symptoms, noting when they occur and any associated activities. This information can be valuable for your eye care provider in assessing your condition.
6. Seek Immediate Care if Necessary: If you experience a sudden increase in floaters, flashes of light, or a curtain-like shadow over your vision, seek immediate medical attention, as these could be signs of retinal detachment.
7. Lifestyle Considerations: Maintain a healthy lifestyle, including a balanced diet rich in antioxidants (found in fruits and vegetables), regular exercise, and proper hydration. These factors can contribute to overall eye health.
8. Stress Management: Since anxiety can exacerbate the perception of visual disturbances, consider stress management techniques such as mindfulness, meditation, or yoga.
In conclusion, while the temporary black shadows and flashes you experience can be concerning, they are often benign in the context of high myopia. By adhering to regular eye care practices and being mindful of your visual habits, you can manage your symptoms effectively. Always consult with your eye care provider if you have concerns or if your symptoms change, as they can provide personalized advice based on your specific condition.
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