Floaters and Retinal Degeneration: Your Eye Health Questions Answered - Ophthalmology

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Hello! Thank you for your questions regarding your eye health, particularly concerning high myopia, floaters, and retinal degeneration. It's understandable to feel anxious about these issues, especially when they can potentially affect your vision. Let's address your concerns one by one.

1. Understanding Retinal Degeneration: When your doctor mentions that there is degeneration around the retina but no holes, it indicates that there are changes occurring in the retinal structure, which can be associated with high myopia. This degeneration is not uncommon in individuals with high myopia, as the elongation of the eyeball can lead to stretching and thinning of the retina. However, the fact that there are no holes is a positive sign, as retinal tears or detachments are more serious conditions that require immediate attention. It’s essential to monitor these changes regularly with your eye care professional.

2. Increase in Floaters: Floaters can become more noticeable when looking at a bright, uniform background, such as the sky or a white wall. If you notice an increase in floaters, it can be a sign of changes in the vitreous gel inside your eye, which is common with age and high myopia. While an increase in floaters can be alarming, it does not always indicate a severe problem. However, if you experience a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, you should seek immediate medical attention, as these could be signs of retinal detachment.

3. Seeing Bright Spots: The small bright spots you see when your eyes are closed can be related to various factors, including pressure on the eyes or the natural activity of the retinal cells. This phenomenon, known as "phosphene," is generally harmless. However, if these spots are persistent or accompanied by other visual disturbances, it would be wise to mention them to your eye doctor during your next visit.

4. Variability in Floaters Visibility: It is normal for the visibility of floaters to fluctuate. Factors such as lighting conditions, your level of fatigue, and even your emotional state can affect how noticeable floaters are at any given time. If they seem less prominent at times, it may simply be due to changes in your focus or lighting conditions. However, if you notice a significant change in their frequency or appearance, it’s advisable to consult with your eye care provider.

In summary, while your concerns are valid, it’s important to remember that many individuals with high myopia experience similar symptoms without severe consequences. Regular check-ups with your eye doctor are crucial for monitoring your eye health, especially given your history of high myopia and floaters. Maintaining a healthy lifestyle, protecting your eyes from excessive strain, and being aware of any changes in your vision will help you manage your eye health effectively.

If you have any further questions or if your symptoms change, don’t hesitate to reach out to your healthcare provider. Your vision is important, and staying informed and proactive about your eye health is the best approach.