Common Eye Issues: Floaters and Eyelash Concerns - Ophthalmology

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Eye-related issues?


Hello Doctor, I would like to ask you a few questions:
1.
Over the past few months, I sometimes see a small black dot when I move my head or shift my gaze.
It's very tiny and hard to describe, but it disappears when I repeat the same movement.
I'm not sure how often this occurs, but it appears suddenly at times.
Could you please explain what this issue might be? What can I do to improve or alleviate this problem?
2.
Occasionally, I feel a sudden sensation as if my eyes are about to burst (or a foreign body sensation?).
Sometimes it feels like an eyelash has gotten into my eye; other times, when I try to pull out an eyelash, I end up removing some that are misaligned.
If I press the eyelashes on my upper eyelid upwards with my hand, the foreign body sensation goes away.
Could you please clarify what this situation is? How can I resolve it? I feel like I have lost some eyelashes in certain areas (will they grow back? Or once they are pulled out, are they gone for good?).
Thank you for your detailed response!

Nìmíng, 20~29 year old female. Ask Date: 2023/02/08

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
The situation you described is likely to be floaters, which is a common ophthalmic issue, especially as one ages.
The vitreous humor in the eye can develop some spots or lines of opacity.
Currently, there are no specific treatments or preventive measures available.
2.
This condition may be caused by eyelashes that are too long, coarse, or curled.
It could also be due to entropion (inward turning of the eyelid).
If this occurs frequently, it is advisable to consult an ophthalmologist.
As for whether the eyelashes will grow back, it depends on individual circumstances, but they typically do regrow.

Reply Date: 2023/02/08

More Info


Hello! Thank you for your questions regarding your eye concerns. Let's address each of your issues in detail.


1. Seeing Floaters or Black Spots
The phenomenon you're experiencing, where you see a small black dot when you move your head or eyes, is commonly associated with floaters. Floaters are tiny clumps of gel or cells inside the vitreous, the clear gel-like substance that fills the eye. As we age, the vitreous can shrink and pull away from the retina, leading to the appearance of floaters. They are generally harmless, especially if they are not accompanied by flashes of light or a sudden increase in the number of floaters, which could indicate a retinal tear or detachment.

To manage floaters, it's essential to maintain regular eye check-ups, especially if you notice any changes in your vision. While there is no specific treatment to eliminate floaters, many people learn to ignore them over time. Staying hydrated, protecting your eyes from UV light, and maintaining a healthy diet rich in antioxidants can support overall eye health, but they won't necessarily reduce floaters.


2. Sensation of Eye Discomfort or Foreign Body Sensation
The sensation of your eyes feeling like they might "crack" or having a foreign body feeling can be attributed to several factors. This discomfort could be due to dry eyes, which is a common condition where the eyes do not produce enough tears or the right quality of tears to keep the eyes lubricated. This can lead to irritation and a feeling of grittiness or discomfort.
If you are experiencing this sensation when you have an eyelash in your eye, it's likely due to the irritation caused by the eyelash. If you frequently feel like there are eyelashes or other debris in your eyes, it may be worth considering the use of lubricating eye drops or artificial tears to alleviate dryness and discomfort.

Regarding your concern about your eyelashes, it's normal for eyelashes to shed and regrow over time. If you are pulling out your eyelashes, this could lead to a condition known as trichotillomania, which is characterized by the compulsive urge to pull out hair, including eyelashes. If you notice that your eyelashes are thinning, it may be beneficial to avoid pulling them and allow them to grow back naturally. If you are concerned about the density of your eyelashes, you might consider consulting with a dermatologist or an eye care professional for advice on eyelash serums or treatments that promote growth.


Conclusion
In summary, the black spots you see are likely floaters, which are generally harmless, but it's essential to monitor any changes in your vision. The discomfort you feel could be related to dry eyes or irritation from eyelashes. Maintaining good eye hygiene, using lubricating drops, and avoiding pulling at your eyelashes can help alleviate these issues. If your symptoms persist or worsen, I recommend scheduling an appointment with an eye care professional for a comprehensive evaluation. They can provide tailored advice and treatment options based on your specific situation.

Remember, taking care of your eyes is crucial, and regular check-ups can help catch any potential issues early. Thank you for reaching out, and I hope this information helps you feel more at ease regarding your eye health!

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