Eye Sensations: Blood Flow Issues and Care Tips

The left eye feels like there is poor blood circulation?

Hello Dr.
Tsai, I sometimes feel a twitching sensation in my left eye, and it feels like the sensation you get after squatting for a long time and suddenly standing up.
It comes and goes, not continuous.
Over the past two to three months, I have consistently visited the clinic and had my fundus and eyeball examined, as well as a check of my optic nerve at a major hospital.
The doctors all said everything looks fine and healthy; they only prescribed me anti-fatigue medication and artificial tears, telling me it might just be floaters and aging.
I have high myopia (600-900), some floaters, and also suffer from dry eyes, eye allergies, and entropion, but I have never experienced this sensation before.
I am unsure what this condition is, but no specific issues have been identified.
I would like to ask if there are any additional tests I should consider beyond the fundus, eyeball, and optic nerve examinations.
Is it possible that there is poor blood circulation in my eyes, and what other ways can I take care of my eyes? Thank you.

Niming, 20~29 year old female. Ask Date: 2023/01/12

Dr. Cai Wenyuan reply Ophthalmology

All tests are normal, so there should be no major issues.
Try to reduce the use of electronic devices and take more rest.

Reply Date: 2023/01/12

More Info

Hello! It sounds like you've been experiencing some concerning sensations in your left eye, and it's understandable to seek clarity and reassurance regarding your symptoms. Based on your description, it seems you have undergone a thorough examination, including assessments of your retina, eyeball, and optic nerve, and received a diagnosis of high myopia, dry eyes, allergies, and some floaters. Let's delve into your concerns about blood flow issues and eye care.

Understanding Your Symptoms
The sensations you describe, such as a twitching feeling or a sensation akin to standing up too quickly, can be attributed to several factors. Given your history of high myopia and the presence of floaters, it's possible that these sensations are related to changes in the vitreous humor, which can become more prominent with age or changes in eye health. Floaters are typically harmless, but they can be more noticeable in individuals with high myopia.

The feeling of pressure or discomfort in the eye can also be linked to dry eyes or allergies, which you mentioned. Dryness can lead to irritation and a sensation of heaviness or fatigue in the eyes. Additionally, if you have a condition like entropion (where eyelashes turn inward), this can exacerbate discomfort and lead to sensations that feel unusual.

Blood Flow and Circulation
Regarding your concern about blood circulation in the eye, while it's less common for individuals to experience significant blood flow issues in the eye without underlying systemic conditions, it's not impossible. High myopia can sometimes lead to complications such as retinal detachment or macular degeneration, which can affect blood flow and overall eye health. However, since your recent examinations have not indicated any serious issues, it seems less likely that blood flow is a primary concern at this time.

Recommendations for Eye Care
1. Regular Eye Exams: Continue to have regular check-ups with your ophthalmologist, especially given your high myopia. They can monitor for any changes in your eye health over time.

2. Manage Dry Eyes: Use artificial tears regularly to alleviate dryness. Consider using preservative-free options if you find yourself needing to use them frequently.

3. Eye Hygiene: If you have issues with allergies or ingrown eyelashes, maintaining good eye hygiene is crucial. This includes cleaning your eyelids gently with a warm compress or eyelid scrub to reduce irritation.

4. Limit Screen Time: Given your symptoms, it's essential to take regular breaks from screens. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Healthy Lifestyle: Ensure you maintain a balanced diet rich in antioxidants (like vitamins A, C, and E) and omega-3 fatty acids, which can support eye health. Staying hydrated and managing stress can also contribute positively to your overall well-being.

6. Monitor Symptoms: Keep a log of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in understanding your condition better.

7. Consider Further Testing: If your symptoms persist or worsen, you might want to discuss with your doctor the possibility of further tests, such as visual field testing or a more detailed examination of the blood vessels in your eyes.

Conclusion
While your symptoms may be concerning, it's reassuring that your recent evaluations have shown no significant issues. Continue to monitor your symptoms and maintain open communication with your healthcare provider. If you experience any sudden changes in vision, increased floaters, or flashes of light, seek immediate medical attention. Remember, taking proactive steps in your eye care can help maintain your vision and overall eye health. Thank you for your question, and I hope this information helps you feel more at ease!

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