Floaters and Blurry Vision: Eye Health Concerns Explained - Ophthalmology

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Floaters and blurred vision?


Hello, doctor.
I have high myopia of over 1000 and astigmatism of 300, along with floaters.
Recently, I've been experiencing a flickering sensation when looking at the sky.
I would like to know if this is related to the floaters and if it could indicate a problem with my retina (I had an examination two months ago, and the doctor only advised me to rest more).
Additionally, I've noticed that my right eye feels prickly when overly fatigued.
I suspect it might be dry eye syndrome, so I bought eye drops, which seemed to help, but lately, after a full day of classes or excessive screen time, my right eye often feels like there's something in it and appears blurry (vision deteriorates).
It improves after I rub or press my eyes.
Is this condition related to the retina? Also, if this situation persists but does not worsen, what is the likelihood of blindness in the future? Thank you, doctor, and I wish you good health.

Jian, 10~19 year old female. Ask Date: 2023/04/12

Dr. Liang Ce reply Ophthalmology


1.
It is recommended to discuss the above situation further with your attending physician to determine if additional examinations are necessary.
2.
Alternatively, you may seek consultation at another ophthalmology clinic.

Reply Date: 2023/04/12

More Info


When it comes to eye health, particularly for individuals with high myopia (nearsightedness) and symptoms like floaters, glare, and blurry vision, it’s essential to understand the potential implications and necessary actions to take. Your concerns regarding floaters, visual disturbances, and the fear of retinal issues are valid, especially given your history of high myopia, which can increase the risk of various eye conditions.


Understanding Floaters and Visual Disturbances
Floaters are small specks or strands that drift through your field of vision. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can shrink and become more liquid, leading to the formation of floaters. In individuals with high myopia, the risk of developing floaters can be higher due to the elongation of the eyeball, which can also lead to retinal changes.

The flickering sensation you experience when looking at the sky could be related to your floaters. However, it’s crucial to differentiate between benign floaters and more serious conditions like retinal tears or detachments. Symptoms such as flashes of light, a sudden increase in floaters, or a shadow over your vision warrant immediate medical attention, as they can indicate retinal issues.


Dry Eyes and Visual Fatigue
Your description of experiencing a "foggy" sensation and discomfort in your right eye after prolonged screen time or after a day of classes suggests that you may be dealing with dry eye syndrome. This condition can occur when the eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms can include a gritty sensation, redness, and blurred vision, which can improve with blinking or using artificial tears.

Given your high myopia and the associated risk factors, it’s essential to manage dry eyes effectively. Regular use of preservative-free artificial tears can help alleviate symptoms. Additionally, practicing the 20-20-20 rule—taking a 20-second break to look at something 20 feet away every 20 minutes—can help reduce eye strain from screens.


Risk of Vision Loss
Regarding your concerns about the risk of blindness, it’s important to note that while high myopia can increase the risk of conditions such as retinal detachment, glaucoma, and macular degeneration, not all individuals with high myopia will experience these complications. Regular eye examinations are crucial for monitoring your eye health, especially since you have a history of floaters and visual disturbances.
If your symptoms persist or worsen, it is advisable to seek a comprehensive eye examination from an ophthalmologist. They may perform tests such as a dilated eye exam or optical coherence tomography (OCT) to assess the health of your retina and vitreous. Early detection of any potential issues can significantly improve outcomes and reduce the risk of vision loss.


Conclusion
In summary, while floaters and visual disturbances can be concerning, they are not always indicative of severe eye problems. However, given your high myopia and the symptoms you are experiencing, it is essential to maintain regular check-ups with your eye care provider. Managing dry eyes and reducing visual fatigue can also help improve your overall comfort and vision quality. If you notice any new or worsening symptoms, do not hesitate to seek immediate medical attention. Your proactive approach to eye health is commendable, and staying informed will empower you to take the best care of your vision.

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