Vitreous Degeneration: Symptoms, Causes, and Risks - Ophthalmology

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Vitreous degeneration


Hello, doctor.
I am currently 18 years old.
I have myopia of over 100 degrees in my left eye and over 300 degrees in my right eye.
A few months ago, I noticed many transparent floaters in my vision, including round dots and thread-like shapes, and sometimes they appear wavy.
I underwent a dilated fundus examination, and the doctor mentioned it could be vitreous degeneration.
I have several questions: 1.
Is this really vitreous degeneration? 2.
What are the causes of degeneration? 3.
Is it caused by the use of electronic devices? 4.
Will the degeneration worsen and lead to other diseases? 5.
Does vitreous degeneration increase the risk of retinal detachment? I apologize for the many questions, and I appreciate your clarification.

Bu fang bian gong kai, 10~19 year old female. Ask Date: 2024/04/12

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
Yes, based on the symptoms you described, including the appearance of floaters and the results of the dilated fundus examination, this may be a manifestation of vitreous degeneration.
The vitreous is the gel-like substance inside the eye, which may gradually degenerate or become opaque with age or other factors, leading to the sensation of floaters.
2.
Generally, vitreous degeneration is typically age-related and not directly associated with the use of electronic devices.
However, prolonged screen time can lead to eye strain and dryness, which may exacerbate the sensation of floaters, but it is not a direct cause of vitreous degeneration.
3.
Vitreous degeneration itself usually does not cause other diseases, but in certain cases, it may increase the risk of developing retinal diseases, such as retinal tears or retinal detachment.
Therefore, it is important for individuals with vitreous degeneration to have regular eye examinations to monitor their eye health.
4.
Yes, vitreous degeneration may increase the risk of retinal detachment.
When the vitreous degenerates or becomes unstable, it can pull on the retina, increasing the likelihood of retinal detachment.
Therefore, patients with vitreous degeneration, especially those with other risk factors for retinal issues, such as high myopia, should closely monitor their retinal health and have regular check-ups.

Reply Date: 2024/04/12

More Info


Vitreous degeneration, also known as vitreous floaters, is a common condition that can occur as part of the natural aging process of the eye. It is characterized by the presence of floaters—small, transparent specks or strands that drift across your field of vision. These floaters are typically harmless, but they can be bothersome, especially if they become more pronounced. Let's address your questions one by one.

1. Is this indeed vitreous degeneration?
Based on your description of seeing transparent floaters, it is likely that you are experiencing vitreous degeneration. As we age, the vitreous gel that fills the eye can begin to liquefy and shrink, leading to the formation of floaters. This process is common and often occurs in individuals over the age of 50, but it can happen earlier, especially in those with myopia (nearsightedness), which you mentioned you have.

2. What causes vitreous degeneration?
The primary cause of vitreous degeneration is aging. As the vitreous gel ages, it undergoes changes in its structure, becoming less viscous and more liquid. Other factors that can contribute to vitreous degeneration include high levels of myopia, previous eye surgeries, trauma to the eye, and certain eye diseases. While excessive screen time from 3C products (computers, tablets, and smartphones) can lead to eye strain and discomfort, it is not directly linked to vitreous degeneration.

3. Will degeneration worsen and lead to other diseases?
Vitreous degeneration itself is generally a benign condition. However, in some cases, it can lead to more serious issues, such as retinal tears or detachment, particularly if you experience a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision. Regular eye examinations are crucial to monitor any changes in your condition and to ensure that no other complications arise.

4. Does vitreous degeneration increase the risk of retinal detachment?
Yes, vitreous degeneration can increase the risk of retinal detachment. As the vitreous shrinks, it can pull on the retina, potentially causing a tear. If a tear occurs, fluid can seep underneath the retina, leading to detachment. This is why it is essential to be vigilant about any new symptoms, such as sudden flashes of light or a significant increase in floaters, and to seek immediate medical attention if they occur.

In summary, while vitreous degeneration is a common and typically harmless condition, it is important to monitor your symptoms and maintain regular check-ups with your eye care professional. They can provide guidance on managing your symptoms and ensuring that your eye health remains stable. If you have concerns about your vision or the frequency of your floaters, do not hesitate to reach out to your eye doctor for further evaluation and advice.

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