Floaters: Concerns for Myopia and Eye Health - Ophthalmology

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Floaters issue?


Hello Doctor: I have myopia, approximately 400 degrees in my left eye and 600 degrees in my right eye.
About a month ago, I started experiencing symptoms of floaters in my right eye, and after visiting a clinic, I was diagnosed with benign floaters and advised to adapt to them.
However, I feel very anxious as there is always a line in my field of vision indoors.
Recently, I noticed irregular lines floating in both eyes when I am outside.
Since my work requires me to focus on a screen, I can't ignore it.
I'm really afraid that the floaters will increase.
I visited other hospitals for further examination, and the doctors said my retina is fine but somewhat thin, with no major issues.
They prescribed eye drops for me and advised me to rest and continue my normal activities, with a follow-up in a month.
Although the doctors said there is no problem, I am still anxious about why my retina is thinner.
Does this mean it is more prone to tears or deterioration? Could this be the reason why my floaters are getting worse? Additionally, I want to exercise, swim, and even sneeze without worrying.
Are these activities safe for me? Since I am planning to travel abroad soon, can I fly? I apologize for the trouble, but I would appreciate your answers.
I am feeling very anxious and scared.

sunny, 20~29 year old female. Ask Date: 2015/10/30

Dr. Gao Pilin reply Ophthalmology


Hello Sunny: These symptoms are manifestations of vitreous degeneration, known as floaters.
While floaters are harmless, they should not be taken lightly.
However, since you have already been examined and found to have no issues, there is no major concern.
Individuals with higher myopia tend to have thinner peripheral retinas, but general activities such as exercising and flying are permissible.
There is no need for anxiety.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoon from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2015/10/30

More Info


It's understandable to feel anxious about your eye health, especially when experiencing symptoms like floaters, particularly in the context of myopia (nearsightedness). Let's break down your concerns regarding floaters, myopia, and overall eye health.


Understanding Floaters
Floaters are small spots, lines, or cobweb-like images that drift across your field of vision. They are caused by tiny pieces of gel or cells inside the vitreous, the clear gel-like substance that fills the eye. As we age, the vitreous can shrink and become more liquid, leading to the formation of these floaters. In your case, since you have myopia, the risk of floaters can be higher because myopic eyes tend to be longer and can experience changes in the vitreous more frequently.


Myopia and Retinal Health
You mentioned that your retina is thinner than average. While this can be a concern, especially in myopic individuals, it does not necessarily mean that you will experience severe complications. A thinner retina can be more susceptible to issues like retinal tears or detachments, but regular monitoring and following your eye doctor's advice can help manage these risks. It’s reassuring that multiple doctors have assessed your condition and found no immediate threats to your retinal health.


Managing Anxiety and Symptoms
Your anxiety about the floaters and the potential for them to worsen is quite common among individuals experiencing similar symptoms. Here are some points to consider:
1. Adaptation: Many people with floaters learn to adapt to them over time. They often become less noticeable as your brain learns to ignore them.

2. Monitoring: Since your doctors have advised you to return for follow-up, it’s important to keep those appointments. They will monitor any changes in your condition and can provide reassurance.

3. Lifestyle Adjustments: You can continue with your regular activities, including exercising and swimming, unless your doctor advises otherwise. Physical activity is generally beneficial for overall health and can help reduce anxiety.

4. Traveling: Flying is typically safe for individuals with floaters or mild retinal issues, but if you experience any sudden changes in vision, such as an increase in floaters or flashes of light, you should seek medical attention promptly.


When to Seek Help
While floaters are often benign, you should seek immediate medical attention if you experience any of the following:
- A sudden increase in the number of floaters.

- Flashes of light in your vision.

- A shadow or curtain effect in your peripheral vision.

- Sudden changes in your vision.


Conclusion
Your concerns about floaters and retinal health are valid, especially given your myopia. However, with regular check-ups and by following your eye doctor's recommendations, you can manage your symptoms and reduce anxiety. Remember, it's essential to communicate openly with your healthcare provider about your fears and symptoms. They can provide the best guidance tailored to your specific situation. In the meantime, try to focus on activities that you enjoy and that help distract you from your worries. Your vision is important, and taking proactive steps to care for it is the best approach.

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