Eye Symptoms: White Spots and Floaters After Contact Lens Use - Ophthalmology

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Hello! Thank you for your detailed inquiry regarding your eye symptoms, particularly the appearance of floaters and white spots after contact lens use. Given your history of high myopia and the recent developments in your vision, it’s important to address your concerns with a comprehensive understanding of eye health.


Understanding Floaters and Visual Disturbances
1. Floaters: 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. In individuals with high myopia, the risk of developing floaters can be higher due to the elongation of the eyeball and changes in the vitreous. The appearance of white spots or flashes of light, especially after contact lens use, can be alarming but is often benign. However, it’s crucial to monitor these symptoms, as they can sometimes indicate more serious conditions, such as retinal tears or detachments.

2. Visual Flashes: The phenomenon you described as "seeing flashes" upon waking or during certain activities could be related to the vitreous pulling on the retina, especially if you have a history of floaters. This is often referred to as "photopsia" and can occur when the vitreous gel begins to separate from the retina. While this can be a normal occurrence, it’s essential to report any persistent or worsening symptoms to your eye care professional.


Addressing Your Concerns
1. Using the "Scissor Hand" Technique: While this method of removing contact lenses is common, it’s crucial to ensure that you are not inadvertently applying pressure or pulling on the eye. If done carefully, it should not directly affect the retina. However, if you are experiencing floaters or flashes, it may be wise to consider alternative methods for lens removal or consult with your eye care provider for guidance on the safest techniques.

2. Psychological Factors: The perception of flashes or changes in vision can sometimes be influenced by anxiety or stress, especially if you are already concerned about your eye health. It’s important to remain calm and monitor your symptoms. If the flashes are fleeting and not accompanied by other symptoms like significant vision loss or a curtain-like shadow, they are likely benign.


Recommendations
- Regular Eye Exams: Given your high myopia and the recent symptoms, regular eye examinations are crucial. Your eye doctor can monitor for any changes in your retina or vitreous and ensure that your eye pressure remains within a healthy range.

- Avoid Eye Strain: If you are experiencing discomfort or visual disturbances after prolonged contact lens wear, consider giving your eyes a break. Use lubricating eye drops if your eyes feel dry or irritated, and ensure that your lenses are properly fitted.

- Be Aware of Symptoms: Keep track of any new symptoms, such as increased floaters, persistent flashes, or changes in vision. If you notice any significant changes, seek immediate medical attention.

- Consultation on Contact Lens Use: Discuss with your eye care provider about the best practices for contact lens use, including proper removal techniques and the potential need for a different type of lens if you are experiencing discomfort.

In conclusion, while floaters and flashes can be concerning, they are often benign, especially in the context of high myopia. However, ongoing monitoring and communication with your eye care provider are essential to ensure your eye health remains stable. If you have further questions or if your symptoms change, don’t hesitate to reach out to your eye doctor for personalized advice.