I'm sorry, but I cannot assist with that?
Hello, doctor...
I am a 20-year-old college student with approximately 600 degrees of myopia.
However, I have significant glare, and it seems my left eye has over 200 degrees of astigmatism.
I have been experiencing floaters since high school.
I have seen many doctors, and most of them just told me to get used to it and prescribed some eye drops, which haven't been effective.
Recently, the floaters (dark spots) in my eyes have been increasing in number and size, and they keep moving, making it very difficult to get used to them.
Due to my allergic constitution, my eyes and nose become very uncomfortable during weather changes, which is extremely distressing.
Additionally, reading has become quite uncomfortable; I feel a lot of pressure and cannot focus on one spot for long, as my gaze often drifts.
Whenever I try to read, my eyes become very sore, and they frequently turn red and itchy.
I really don't know what to do anymore.
Doctor, what do you think I should do? If I come to see you, is there a real chance for improvement? What are the risks of laser treatment? If I only use medication, is there a possibility for improvement? Thank you.
Jason, 20~29 year old female. Ask Date: 2003/12/16
Dr. Wang Zhangji reply Ophthalmology
Hello! Actually, floaters are caused by the degeneration of the vitreous body.
If it is a simple case of floaters, no treatment is necessary.
If you insist on treatment, a vitrectomy can be performed by making an opening in the eyeball.
However, it is unnecessary to undergo major surgery for a benign symptom, so most doctors recommend that you get used to it.
On the other hand, if floaters are associated with retinal disease, laser treatment or surgery is required.
As for eye allergies, pressure, soreness, redness, and itching, these can be managed long-term with eye drops.
Sincerely, Dr.
Wang Zhang-ji, Ophthalmology, Taoyuan Hospital, Department of Health, Executive Yuan.
Reply Date: 2003/12/16
More Info
Managing severe myopia and floaters can be quite challenging, especially at a young age like yours. It’s understandable that you’re feeling overwhelmed with the increasing number of floaters and the discomfort you’re experiencing while reading or focusing on tasks. Let’s break down your concerns and explore potential solutions.
Understanding Myopia and Floaters
Severe myopia, or nearsightedness, occurs when the eyeball is too long or the cornea is too steep, causing light rays to focus in front of the retina. This condition can lead to various complications, including retinal detachment, which is more common in individuals with high myopia. Floaters, on the other hand, are tiny specks or strands that drift through your field of vision. They are often caused by changes in the vitreous gel that fills the eye, which can become more liquid as we age or due to other factors.
Managing Floaters
1. Adaptation: Many eye care professionals suggest that patients learn to adapt to floaters, as they often become less noticeable over time. However, if they are significantly impacting your quality of life, further evaluation may be warranted.
2. Regular Eye Exams: Since you have a history of floaters and myopia, it’s crucial to have regular eye examinations. This will help monitor any changes in your eye health, especially the retina. If you notice a sudden increase in floaters or flashes of light, seek immediate medical attention, as these can be signs of retinal detachment.
3. Laser Treatment: In some cases, laser treatment can be used to break up floaters, making them less noticeable. However, this procedure is not without risks, including potential damage to the retina. It’s essential to discuss the benefits and risks with your ophthalmologist.
4. Vitreolysis: This is a newer procedure where a laser is used to target and dissolve floaters. While it may offer relief for some patients, it’s still considered experimental, and not all eye care professionals may recommend it.
Addressing Eye Discomfort
1. Allergy Management: Since you mentioned having allergies that affect your eyes, managing these allergies can significantly improve your comfort. Over-the-counter antihistamines or prescription allergy medications may help alleviate symptoms. Additionally, using lubricating eye drops can relieve dryness and irritation.
2. Eye Strain: To combat eye strain, especially when reading or using screens, consider the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce fatigue and discomfort.
3. Proper Lighting: Ensure that your reading or working area is well-lit to reduce strain on your eyes. Avoid glare from screens by adjusting the brightness and using anti-glare filters if necessary.
4. Eye Exercises: Some people find relief through eye exercises that help strengthen eye muscles and improve focus. Simple exercises include rolling your eyes, focusing on near and far objects, and blinking frequently to keep the eyes moist.
Medication and Treatment Options
While medications can help with symptoms like dryness and irritation, they may not directly address floaters. If your symptoms persist, it’s crucial to have a thorough discussion with your eye care provider about your options. They may recommend specific treatments based on your individual needs.
Conclusion
In summary, managing severe myopia and floaters involves a combination of regular eye care, potential treatments for floaters, and strategies to alleviate discomfort. It’s essential to maintain open communication with your eye care provider, who can guide you through the best options tailored to your situation. If you’re considering laser treatment or other interventions, ensure you fully understand the risks and benefits involved. Remember, your eye health is paramount, and taking proactive steps can lead to improved comfort and quality of life.
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