Eye Floaters and Eye Health: Causes, Concerns, and Remedies - Ophthalmology

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Vitreous hemorrhage with floaters?


Hello Dr.
Wang,
I have myopia of 800 to 950 degrees and have been experiencing floaters, but they haven't been a major issue until I went to Huangshan two years ago.
After descending the mountain, I woke up the next day to find a prominent black, solid, cone-shaped spot appearing in my vision, radiating outward! I was startled and thought it would go away after blinking my eyes upon waking, but it did not improve.
It wasn't until the third day that the black spot completely faded.
Additionally, I have noticed that on the left side of my sclera, near the pupil, blood vessels suddenly burst every two to three months, resulting in blood clots that take anywhere from two days to a week to resolve.
Recently, both of my sclerae have been persistently red—not very red, but noticeable, as if I have been staying up late! I am concerned about my retina and went to the hospital for an examination.
After dilation, the doctor found that my retina is thinner but normal and not torn.
I would like to ask you a few questions:
1.
What could be the cause of the sudden appearance and disappearance of the black spots? Is it related to climbing high mountains? If I plan to go to Tibet, what should I pay attention to or prepare for?
2.
What are the causes of the blood vessels and blood clots? How should I manage them?
3.
Given my eye condition, are there any suitable health supplements or foods I should consider?
4.
Is it appropriate to take lutein, carotenoids, corn extract, and Goji berry and Chrysanthemum herbal pills together?
I apologize for asking so many questions.
Thank you for your patience, and I wish you all the best.

Chuan Fa, 40~49 year old female. Ask Date: 2010/04/05

Dr. Wang Zhishun reply Ophthalmology


Hello,
1.
The reason your floaters appear and disappear is that they are moving within the vitreous body of the eye.
As long as the retina is normal, there is no need for special concern.
There have been articles mentioning that high altitudes can trigger the appearance of floaters, but as stated above, there is no need for special prevention.
It should be treated the same as general altitude sickness precautions.

2.
It sounds like a subconjunctival hemorrhage (but it still needs to be confirmed by a physician).
This will resolve on its own and does not require treatment.
If it occurs frequently, it may be advisable to undergo a general medical examination and supplement with vitamin C.

3.
Lutein, carotenoids, and goji berries are beneficial for the eyes, but they should not be taken in excess, as this can increase the burden on the liver.

Thank you! Wishing you good health!

Reply Date: 2010/04/05

More Info


Understanding eye floaters and overall eye health is crucial, especially for individuals with high myopia (nearsightedness) like yourself. Your concerns about sudden changes in your vision, such as the appearance of black spots and the presence of blood vessels in the eye, are valid and warrant careful consideration.


Eye Floaters and Sudden Changes in Vision
The sudden appearance of black spots or floaters can often be attributed to changes in the vitreous gel that fills the eye. As we age or due to certain activities (like descending from a high altitude), the vitreous can shrink or pull away from the retina, leading to the perception of floaters. These floaters can appear as small dots, lines, or even more complex shapes, and they may seem more pronounced against a bright background. The fact that they disappeared after a few days suggests that this was likely a temporary change in the vitreous rather than a more serious issue.

Regarding your experience after descending from Huangshan, it is possible that the altitude and subsequent descent could have caused temporary changes in your eye pressure or vitreous gel, leading to the appearance of these floaters. If you plan to travel to high-altitude areas like Tibet, it is advisable to take precautions such as acclimatizing properly and staying hydrated. If you experience any sudden changes in vision during your trip, seek medical attention promptly.


Blood Vessels and Eye Redness
The occurrence of blood vessels bursting in the eye, leading to blood spots, can be due to several factors, including increased pressure in the eye, trauma, or even strenuous activities. In individuals with high myopia, the retina and blood vessels can be more fragile, making them susceptible to such occurrences. If the blood spots resolve within a week, it is generally not a cause for alarm, but it is essential to monitor the frequency and severity of these events. If they become more frequent or are accompanied by pain or vision changes, further evaluation by an eye specialist is warranted.

The redness in your eyes could be a sign of irritation or fatigue, often exacerbated by factors such as prolonged screen time, lack of sleep, or environmental irritants. Maintaining good eye hygiene, taking regular breaks from screens, and ensuring adequate sleep can help alleviate these symptoms.


Nutritional Support for Eye Health
Regarding nutritional supplements, certain vitamins and minerals can support eye health. Lutein and zeaxanthin, found in leafy greens and other vegetables, are known to help protect the retina from damage. Carotenoids, such as beta-carotene (found in carrots), are also beneficial for overall eye health. While there is no specific "cure" for floaters or myopia through diet alone, a balanced diet rich in antioxidants can contribute to long-term eye health.

As for the combination of supplements like lutein, beta-carotene, and traditional Chinese medicine such as "杞菊地黃丸," it is generally safe to take them together, but it is advisable to consult with a healthcare provider to ensure that there are no contraindications or interactions, especially if you are taking other medications.


Conclusion
In summary, while your experiences with floaters, blood vessels, and eye redness can be concerning, they are often manageable with proper care and monitoring. Regular eye check-ups are crucial, especially given your high myopia, to ensure that any potential issues are caught early. If you notice any sudden changes in your vision, do not hesitate to seek immediate medical attention. Maintaining a healthy lifestyle, including a balanced diet and proper eye care practices, will also contribute positively to your eye health.

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