High myopia and vitreous floaters?
Hello, Doctor.
I am currently a ninth-grade student.
Over three months ago, I started experiencing floaters in my vision (both eyes have high myopia of about 1020 degrees).
I would like to ask if it is okay not to return for a follow-up appointment if the floaters have not worsened.
I saw a doctor two months ago, and they said the floaters were due to high myopia and that resting more would help improve the situation.
However, recently I sometimes see a sudden flash of white spots.
I would like to know if this is related to the retina.
Since the onset of the floaters, I have also been experiencing frequent episodes of high eye pressure and dryness.
Is it beneficial to use eye drops frequently? I would also like to ask another question: even though my myopia is over 1000 degrees, I am currently wearing glasses with a prescription of over 500 degrees, and I can see clearly.
Could you explain why this is the case? Wishing you a Happy New Year and good health!
Jian Tongxue, 10~19 year old female. Ask Date: 2023/01/20
Dr. Cai Wenyuan reply Ophthalmology
Hello, Student Jian.
Happy New Year and best wishes for your academic progress.
If your glasses prescription is insufficient but you can see clearly, it is due to the eye's ability to accommodate.
However, over a long period, this is not appropriate, and you should consider adjusting or replacing your glasses.
If your floaters have not changed significantly, regular check-ups will suffice.
Reply Date: 2023/01/20
More Info
Hello! Thank you for your questions regarding floaters, high myopia, and eye care. It's great that you're being proactive about your eye health, especially as a student. Let's address your concerns one by one.
1. Floaters and Retinal Concerns: Floaters are common in individuals with high myopia, as the vitreous gel in the eye can undergo changes, leading to the perception of small spots or strands drifting in your field of vision. The appearance of flashes of light, especially if they are new or increasing in frequency, can be a sign of retinal issues, such as retinal tears or detachment. While your previous examination indicated that your floaters were related to high myopia, the sudden appearance of flashes warrants a follow-up with your eye care provider. It's essential to monitor these symptoms closely, as early detection of retinal problems can significantly impact treatment outcomes.
2. Eye Pressure and Dryness: High myopia can sometimes be associated with increased eye pressure and dryness. Frequent use of eye drops can help alleviate dryness, but it's crucial to use preservative-free drops to avoid potential irritation from preservatives. If you're experiencing high eye pressure, it's essential to have regular check-ups to monitor this condition, as elevated eye pressure can lead to glaucoma over time. Your eye doctor can provide guidance on the appropriate use of eye drops and whether you need to adjust your treatment plan.
3. Eyeglass Prescription Discrepancy: The fact that you are wearing glasses with a prescription of around 500 degrees while your actual myopia is much higher (around 1020 degrees) is intriguing. This could be due to several factors, including the possibility that your glasses are compensating for other visual issues, such as astigmatism or that your eyes have adapted to a lower prescription. It’s also possible that your current prescription is providing adequate correction for your daily activities, but it may not be optimal for all situations, especially for tasks requiring precise vision. It’s advisable to discuss this with your eye care provider to ensure that your prescription is appropriate for your needs.
4. When to Seek Eye Care: If your floaters or flashes increase in number or intensity, or if you experience any sudden changes in vision, it is crucial to seek immediate eye care. Regular eye examinations are vital, especially for individuals with high myopia, as they are at a higher risk for retinal complications. Even if your floaters have not worsened, maintaining regular check-ups can help catch any potential issues early.
5. General Eye Care Recommendations: To manage your eye health, consider the following tips:
- Follow the 20-20-20 Rule: Every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.
- Stay Hydrated: Drink plenty of water to help maintain eye moisture.
- Use Proper Lighting: Ensure your study area is well-lit to reduce strain on your eyes.
- Limit Screen Time: Take regular breaks from screens to minimize fatigue.
- Protect Your Eyes: Wear sunglasses with UV protection when outdoors.
In summary, while floaters are common in high myopia, any new symptoms such as flashes of light should be evaluated by an eye care professional. Regular monitoring of eye pressure and maintaining a suitable eyeglass prescription are also essential for your overall eye health. If you have any further questions or concerns, don’t hesitate to reach out to your eye doctor. Wishing you all the best in your studies and health!
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