Managing High Myopia: Eye Care Tips and Mental Well-being - Ophthalmology

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Care and Mindset Adjustment for High Myopia


Hello, Doctor.
Due to genetic factors, I have developed high myopia at an early age (currently around 900-1000 degrees).
I undergo dilated eye examinations every six months.
During my recent check-up, the doctor informed me of a mild cataract condition and prescribed Corneal Unidex and Visine eye drops for use.
Everything else appeared normal, and I was advised to be cautious.
I have the following questions for you:
1.
The doctor mentioned that the floaters I see are a normal phenomenon, and as long as they do not suddenly increase, turn into black spots, or present other symptoms like flashes, I shouldn't worry too much.
However, I notice that the floaters are more pronounced in bright environments, such as in my all-white office or when looking at bright screens, while they are less noticeable at night.
Is this a normal occurrence? Should I consider adjusting my phone or computer screens to darker settings?
2.
Can these two eye drops be used long-term? Are there any associated side effects?
3.
I am currently trying to manage my eye usage, although my work demands make it unavoidable.
I take breaks every hour, apply warm compresses daily, and consume lutein, fish oil, vitamins, and goji berries, along with maintaining a light diet and exercise routine.
However, the doctor mentioned that the eye drops can only delay the progression of the condition.
Additionally, after reading some articles online, I can't shake the feeling that I might eventually lose my vision, which causes me anxiety.
I would like to ask for your advice on how to adjust my mindset regarding this situation.
Should I also consider having more frequent check-ups, even though I feel very anxious during each examination? I apologize for the lengthy message, and I appreciate your help, Doctor.

Niming, 20~29 year old female. Ask Date: 2023/11/27

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
The perception of floaters being more noticeable in bright light is a common phenomenon, especially among patients with high myopia.
Typically, these floaters are caused by small fluctuations in the vitreous gel within the eye.
In most cases, these floaters are harmless, as long as they do not suddenly increase or are accompanied by unusual symptoms such as flashes of light or dark spots, they are generally considered normal.
Adjusting your computer or mobile screen to a dark theme can help reduce the perception of floaters in bright light, but ensure that the screen is not too dim to affect your reading and usage.
2.
The use of Carboxymethylcellulose (CMC) eye drops and artificial tears is safe for long-term use.
Artificial tears can be used as needed, without a strict schedule.
CMC eye drops should be used regularly.
3.
Your commitment to maintaining good lifestyle habits and controlling eye strain is excellent, as it helps alleviate discomfort and maintain eye health.
However, please remember that certain eye issues are caused by genetics or aging.
While a healthy lifestyle can help slow the progression of these conditions, it cannot completely prevent the development of eye diseases.
When facing eye problems, adjusting your mindset is very important.
Excessive anxiety and worry can increase stress, which in turn affects overall health.
Regarding the frequency of eye examinations, it is advisable to follow your ophthalmologist's recommendations.
If there are no specific recommendations or symptoms, an examination every six months should be sufficient.

Reply Date: 2023/11/27

More Info


Managing high myopia, especially when it reaches levels like 900 to 1000 degrees, requires a comprehensive approach that encompasses both eye care and mental well-being. Given your situation, it’s understandable that you have concerns about your vision and overall eye health. Let’s address your questions one by one.

1. Floaters and Visual Perception: It’s common for individuals with high myopia to experience floaters, which are often benign. The fact that you notice them more in bright environments, such as a well-lit office or when looking at bright screens, is also typical. Floaters can become more noticeable against a bright background. Switching to a darker theme on your devices may help reduce the visibility of floaters, but it’s not a necessity. The key point your doctor made is crucial: as long as you don’t notice a sudden increase in floaters, or experience flashes of light or other visual disturbances, you shouldn’t be overly concerned.

2. Eye Drops and Long-term Use: The eye drops you mentioned, such as Corning Unisight and Vision Eye Drops, are typically safe for long-term use, but it’s essential to follow your doctor’s instructions. Side effects can vary depending on the formulation, but common issues might include temporary stinging or redness. Always consult your eye care professional if you notice any adverse effects or if you have concerns about prolonged use.

3. Eye Care Routine and Mental Well-being: It’s great to hear that you’re taking proactive steps to manage your eye health, such as taking breaks every hour, using warm compresses, and maintaining a healthy diet rich in nutrients beneficial for eye health. However, the anxiety surrounding your vision is understandable, especially with the diagnosis of early cataracts. It’s important to remember that while high myopia can lead to complications, many people with high myopia maintain good vision for years with regular monitoring and appropriate care.
To manage your anxiety, consider incorporating relaxation techniques into your routine. Mindfulness, meditation, or even gentle exercises like yoga can help alleviate stress. Engaging in hobbies that don’t strain your eyes, such as walking, can also provide a mental break. If your anxiety persists, speaking with a mental health professional can provide additional strategies to cope with your fears about vision loss.

4. Frequency of Eye Exams: Regular eye exams are crucial for monitoring the progression of myopia and any associated conditions. While it’s understandable to feel nervous about these appointments, they are essential for your eye health. You might consider discussing your anxiety with your eye care provider; they may be able to offer strategies to help you feel more comfortable during exams. Depending on your specific situation, your doctor may recommend continuing with six-month intervals or adjusting the frequency based on your eye health status.

In summary, managing high myopia involves a combination of diligent eye care, regular check-ups, and mental health strategies to cope with anxiety. By maintaining a proactive approach and seeking support when needed, you can navigate the challenges of high myopia more effectively. Always remember that you’re not alone in this journey, and there are resources available to help you manage both your eye health and emotional well-being.

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