Can Fish Oil Help with Vitreous Degeneration in Myopia? - Ophthalmology

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Vitreous degeneration and the use of fish oil?


Hello, I am a person with high myopia and my vitreous body has started to degenerate.
Occasionally, I experience slight flashes of light in dark places or when I close my eyes.
The doctor has examined my retina and found no issues, recommending regular check-ups.
May I ask if it is safe to take fish oil in this situation?

Li, 30~39 year old female. Ask Date: 2023/06/23

Dr. Gao Pilin reply Ophthalmology


Hello: Fish oil is a dietary supplement rich in Omega-3 fatty acids, and some studies suggest it may be beneficial for eye health.
Omega-3 fatty acids are believed to have a protective effect on the retina and other structures of the eye, so it can be taken according to the instructions.
However, it is likely ineffective for vitreous degeneration.

Reply Date: 2023/06/23

More Info


Fish oil, particularly its omega-3 fatty acids (EPA and DHA), has gained attention for its potential benefits in various health conditions, including eye health. As a person with high myopia and early signs of vitreous degeneration, it is understandable to seek dietary supplements that may support your eye health.
Firstly, let's clarify what vitreous degeneration is. The vitreous is the gel-like substance that fills the eye and helps maintain its shape. As we age or due to certain conditions like high myopia, the vitreous can begin to liquefy and shrink, leading to symptoms such as floaters or flashes of light, which you described. While these symptoms can be concerning, they are often benign, especially if the retina is intact, as confirmed by your doctor.

Regarding the consumption of fish oil, there is some evidence suggesting that omega-3 fatty acids may have protective effects on eye health. Omega-3s are known to reduce inflammation and may help in maintaining the health of the retinal cells. Some studies have indicated that omega-3 supplementation can benefit dry eye syndrome and may play a role in reducing the risk of age-related macular degeneration (AMD), although the direct impact on vitreous degeneration specifically is less clear.

In your case, taking fish oil could potentially offer some benefits, but it is essential to approach this with caution. Here are a few considerations:
1. Consult Your Eye Care Professional: Before starting any new supplement, it is crucial to discuss it with your ophthalmologist or healthcare provider. They can provide personalized advice based on your specific condition and overall health.

2. Dosage: If you and your doctor decide that fish oil is appropriate, the dosage can vary. For general health, a common recommendation is about 1,000 mg of combined EPA and DHA per day, but this can differ based on individual health needs.

3. Quality of Fish Oil: Not all fish oil supplements are created equal. Look for high-quality products that are third-party tested for purity and potency. This ensures that you are getting a product free from contaminants like heavy metals and PCBs.

4. Monitor for Side Effects: While fish oil is generally safe for most people, it can cause side effects such as gastrointestinal discomfort or an increased risk of bleeding, especially if you are taking blood-thinning medications. If you notice any adverse effects, discontinue use and consult your doctor.

5. Dietary Sources: In addition to supplements, consider incorporating omega-3-rich foods into your diet. Fatty fish like salmon, mackerel, and sardines are excellent sources of EPA and DHA. Flaxseeds and walnuts provide ALA, another type of omega-3 fatty acid, which the body can convert to EPA and DHA, albeit inefficiently.

6. Overall Eye Health: Besides omega-3s, maintaining a balanced diet rich in antioxidants (like vitamins C and E, lutein, and zeaxanthin) can also support eye health. Foods like leafy greens, carrots, and berries can be beneficial.

In summary, while fish oil may offer some potential benefits for eye health, particularly in reducing inflammation and supporting retinal health, it is essential to approach its use thoughtfully and under medical guidance. Regular check-ups with your eye doctor will also help monitor any changes in your condition and ensure that you are taking the best steps to protect your vision.

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