Common Eye Issues: Managing High Eye Pressure and Visual Disturbances - Ophthalmology

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Eye problems


Hello, Doctor.
I have a few questions: 1.
My intraocular pressure seems to be a bit high; do you have any methods to help lower it? 2.
I wear orthokeratology lenses at night, but when I blink quickly in the dark, I see a circular light in the center of my vision.
3.
I have floaters, and during class, I sometimes see flashes of light that look like glitter, and the duration of these flashes varies.
I would like to ask you about these issues.
Thank you, Doctor.

Mr. Hsieh, 10~19 year old female. Ask Date: 2024/06/02

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
Management of elevated intraocular pressure:
- Pharmacological treatment: If intraocular pressure is elevated, topical medications to lower eye pressure are typically used.
The specific medication should be based on the ophthalmologist's prescription.

- Lifestyle habits: Avoid excessive consumption of caffeinated beverages, as this may temporarily increase intraocular pressure.
Maintaining good sleep and engaging in appropriate exercise can also help stabilize eye pressure.

- Regular check-ups: Regular visits to an ophthalmologist are essential to ensure that intraocular pressure remains within a safe range and to assess the risk of glaucoma.
2.
Rapid blinking in the dark while wearing orthokeratology lenses and seeing halos:
- This situation may be due to abnormal light refraction caused by the pressure of the orthokeratology lenses on the cornea during wear.
If it affects vision or causes discomfort, it is advisable to consult an ophthalmologist to confirm the fitting of the lenses and the correctness of their usage.
3.
Floaters and flashes:
- Floaters: In most cases, floaters are caused by the liquefaction of the vitreous body and are a normal aging phenomenon.
However, if there is a sudden increase or if accompanied by changes in the visual field, an immediate visit to an ophthalmologist is necessary to rule out the possibility of retinal tears or detachment.

- Flashes: This may be related to vitreous traction on the retina and can sometimes occur alongside floaters.
If flashes occur frequently, it is recommended to see an ophthalmologist as soon as possible to ensure retinal health.

Reply Date: 2024/06/02

More Info


Hello! Thank you for your questions regarding your eye health. It’s important to address concerns about high eye pressure, visual disturbances, and related symptoms. Let’s break down your questions and provide some insights based on current medical knowledge.

1. Managing High Eye Pressure: High eye pressure, or ocular hypertension, can be managed through various methods. The first step is to consult with an eye care professional who can prescribe medications, such as prostaglandin analogs or beta-blockers, which help lower intraocular pressure (IOP). Additionally, lifestyle changes can be beneficial. Regular exercise, maintaining a healthy diet, and staying hydrated can contribute to overall eye health. It's also crucial to avoid activities that may increase eye pressure, such as prolonged head-down positions or straining.

2. Seeing Light Spots with Orthokeratology Lenses: When wearing orthokeratology (ortho-k) lenses, some individuals may experience visual disturbances, especially in low-light conditions. The circular light you see when blinking rapidly in the dark could be due to the lens design or the way light interacts with the cornea. If this issue persists or worsens, it’s advisable to consult your eye care provider to ensure the lenses fit properly and are not causing any adverse effects.

3. Floaters and Flashes of Light: Floaters are common, especially in individuals with myopia (nearsightedness) or those who are aging. They occur when tiny fibers in the vitreous gel of the eye clump together and cast shadows on the retina. Flashes of light, on the other hand, can indicate a more serious condition, especially if they are new or accompanied by a sudden increase in floaters. This could suggest retinal detachment or other retinal issues. It’s essential to have these symptoms evaluated by an eye care professional promptly.


Additional Considerations:
- Regular Eye Exams: Regular check-ups with an ophthalmologist are crucial, especially if you have a history of high eye pressure or visual disturbances. They can monitor your eye health and adjust treatment as necessary.


- Understanding Symptoms: Symptoms like seeing flashes or experiencing visual disturbances can be alarming. While they may not always indicate a severe problem, they warrant a thorough examination to rule out conditions like retinal tears or detachments, which require immediate attention.

- Stress and Eye Health: Stress can exacerbate visual disturbances and may lead to increased eye strain. Practicing relaxation techniques and ensuring adequate breaks during prolonged screen time can help alleviate some symptoms.

- Hydration and Diet: Staying hydrated and consuming a balanced diet rich in antioxidants (found in fruits and vegetables) can support overall eye health. Omega-3 fatty acids, found in fish, are also beneficial for eye health.

In summary, managing high eye pressure and visual disturbances involves a combination of medical treatment, lifestyle adjustments, and regular monitoring. If you experience any sudden changes in your vision or have concerns about your symptoms, do not hesitate to reach out to your eye care provider for a comprehensive evaluation. Your eye health is vital, and proactive management can help maintain your vision for the long term. Thank you for your questions, and I hope this information helps you!

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