Floaters and Halos: Symptoms and Concerns for Eye Health - Ophthalmology

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Halo and floaters syndrome?


Hello Doctor, I discovered a year ago that I have floaters, and after an examination, the doctor said they are benign.
A few months ago, I noticed dark shadows in my upper and lateral vision (which do not move or disappear).
The doctor mentioned that my retina is thinning and performed laser treatment on my left eye.
Last week, I noticed that when looking at bright lights, I see halos; sometimes it appears as a blurry mass, and other times as radiating light rays.
Next week is my midterm exam, so I can't find time to visit an ophthalmologist, but I am really anxious right now.
Could you please tell me what these symptoms might indicate? Thank you, Doctor, and I wish you peace and health.

Jiao Lü de Zhong Xue Sheng, 10~19 year old female. Ask Date: 2022/10/10

Dr. Gao Pilin reply Ophthalmology


Hello: I cannot diagnose the reason for this, but this phenomenon may be related to the cornea.
If your vision is also blurry, please seek medical attention as soon as possible; the importance of your eyes should outweigh that of a midterm exam.

Reply Date: 2022/10/10

More Info


It sounds like you are experiencing a combination of symptoms that can be concerning, especially given your history of floaters and the recent laser treatment for your retina. Let's break down your symptoms and address your concerns regarding floaters, halos, and overall eye health.


Understanding Floaters and Halos
Floaters are small spots or strands that drift through your field of vision. They are often caused by changes in the vitreous gel that fills your eye, which can become more liquid and form clumps as you age. While floaters are common and usually benign, they can be more pronounced in individuals with conditions like high myopia (nearsightedness) or after certain eye surgeries.

Halos are visual phenomena that can appear as rings or circles of light around bright objects, particularly at night or in low-light conditions. This can be caused by several factors, including:
1. Corneal Issues: Conditions such as corneal swelling or irregularities can lead to halos.

2. Lens Problems: Changes in the lens of the eye, such as cataracts, can also cause halos.

3. Vitreous Changes: As the vitreous gel changes, it can affect how light is perceived, leading to halos.

4. Refractive Errors: If your prescription is not optimal, it can cause visual distortions, including halos.


Your Current Symptoms
You mentioned that you have noticed halos when looking at bright lights, which can be particularly distressing. The fact that you also see a "fuzzy" appearance or radiating lines can be indicative of several things:
- Visual Disturbances from Floaters: Sometimes, floaters can cast shadows on the retina, especially in bright light, leading to visual distortions.

- Retinal Concerns: Given your history of retinal thinning and previous laser treatment, it is crucial to monitor any new symptoms closely. While your doctor previously deemed your floaters benign, new symptoms warrant further evaluation.

- Anxiety and Stress: It is also important to consider that anxiety can exacerbate your perception of visual disturbances. Stress, especially around exam times, can heighten your awareness of these symptoms.


Recommendations
1. Seek Medical Attention: While you mentioned that you have a busy schedule with exams, it is essential to prioritize your eye health. If your symptoms worsen or if you experience sudden changes in vision (such as flashes of light or a sudden increase in floaters), you should seek immediate medical attention.

2. Manage Anxiety: It’s understandable to feel anxious about your vision, especially with your medical history. Consider practicing relaxation techniques, such as deep breathing or mindfulness, to help manage your anxiety. If your anxiety persists, it may be beneficial to speak with a mental health professional.

3. Eye Care Practices: Ensure you are taking care of your eyes by maintaining a healthy lifestyle. This includes staying hydrated, eating a balanced diet rich in antioxidants (like leafy greens and fish), and taking regular breaks from screens to reduce eye strain.

4. Follow-Up Appointments: Once your exams are over, schedule a follow-up appointment with your eye doctor. They can perform a thorough examination to assess your current symptoms and determine if any further treatment is necessary.


Conclusion
In summary, while floaters and halos can be benign, your recent symptoms, especially in the context of your retinal history, should not be ignored. It’s vital to consult with your eye care professional for a comprehensive evaluation. Remember that taking care of your mental health is just as important as your physical health, so don’t hesitate to seek support if you’re feeling overwhelmed. Wishing you the best of luck with your exams and your eye health!

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