Visual Disturbances: Waves, Floaters, and Anxiety Effects - Ophthalmology

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Seeing things as if viewed through rippling water?


Hello, doctor.
I noticed around July last year that my glasses prescription was insufficient, so I got a new pair (one eye with myopia -3.00 and astigmatism -3.00, the other eye with myopia -2.00 and astigmatism -1.00).
After that, I gradually began to feel that the images I saw were like static from a television broadcast.
During that period, I was also diagnosed with anxiety disorder.
I visited an ophthalmologist in July when I first noticed the issue and again in November when I felt it had worsened.
The doctor said there were no problems with my retina.
Recently, the symptoms have worsened to the point where everything looks like I’m viewing it through rippling water, which makes me very anxious.
I even noticed that when looking at a striped shirt, the stripes seem to blur together, creating a jagged appearance.
I consulted an ophthalmologist again, and they confirmed that my retina is fine.
The doctor also had me undergo a CT scan, and the macula showed no issues.
Although my vision appears shaky, there are gaps that can be seen.
The doctor mentioned that I might be experiencing floaters.

I would like to ask the doctor about my rapidly worsening floaters over a short period (about six months).
I understand that this condition may not improve, and I really don’t want it to worsen further.
Is there any way to manage this? Could it be related to my new glasses not fitting properly? Sometimes, I feel pressure when wearing them.
Additionally, can I apply heat or cold compresses to my eyes? If my eyes feel warm, is it okay to use a cold compress? Furthermore, could these symptoms potentially be due to issues other than floaters? Is it possible that they are related to my anxiety disorder?

Ju Er, 20~29 year old female. Ask Date: 2016/01/29

Dr. Wang Zhishun reply Ophthalmology


Hello, based on your description, it seems that the likelihood of other issues with your eyes and glasses is low.
If you are experiencing an increase in floaters but your examination shows no problems, it is likely that the vitreous is continuing to undergo degeneration and hydration.
Heat or cold compresses are unlikely to provide direct relief for this phenomenon.
Anxiety may have some impact, and symptoms might improve after treatment.

Reply Date: 2016/01/29

More Info


Hello, thank you for sharing your concerns regarding your visual disturbances. Based on your description, it seems that you are experiencing a range of visual symptoms, including a sensation of waves or distortions in your vision, floaters, and possibly some anxiety-related effects. Let’s break down your symptoms and explore potential causes and management strategies.


Visual Disturbances
1. Wavy or Distorted Vision: The sensation of seeing images as if through a wavy or distorted lens can be associated with several conditions. One possibility is that this could be related to the health of your retina, particularly the macula, which is responsible for central vision. However, since your ophthalmologist has indicated that your retina and macula are healthy, this may suggest that the issue could be related to the vitreous humor, which can become more liquid and lead to floaters or visual distortions as it pulls away from the retina.

2. Floaters: Floaters are small specks or strands that float in your field of vision. They are often more noticeable when looking at a bright background, such as a clear sky or a computer screen. The rapid increase in floaters you’ve experienced could be due to changes in the vitreous gel inside your eye, which is common, especially in individuals with myopia (nearsightedness). While floaters are usually benign, a sudden increase in them can sometimes indicate a more serious condition, so it’s good that you have had your eyes checked.

3. Anxiety and Visual Symptoms: Anxiety can indeed exacerbate visual disturbances. Stress and anxiety can lead to heightened awareness of bodily sensations, including visual anomalies. When you are anxious, your body goes into a heightened state of alertness, which can make you more sensitive to visual changes. This could explain why your symptoms seem to worsen during times of stress.


Potential Causes and Management
1. Eyewear Adjustment: You mentioned that you recently got new glasses and that they sometimes feel uncomfortable. It’s possible that the prescription may not be perfectly suited to your needs, especially if you are experiencing pressure or discomfort. I recommend returning to your optometrist to discuss your symptoms and see if an adjustment to your prescription or frame fit is necessary.

2. Eye Care Practices: While there is no specific treatment for floaters, maintaining good eye health is essential. You can try warm compresses if your eyes feel strained or tired, as this can help relax the eye muscles. However, if you feel heat in your eyes, it’s advisable to use a cool compress instead, as this can help reduce any inflammation or discomfort.

3. Managing Anxiety: Since you have been diagnosed with anxiety, it may be beneficial to address this aspect of your health. Techniques such as mindfulness, cognitive behavioral therapy (CBT), or even medication prescribed by a healthcare professional can help manage anxiety symptoms. Reducing anxiety may also help alleviate some of the visual disturbances you are experiencing.

4. Regular Eye Check-ups: Continue to have regular check-ups with your ophthalmologist. If your symptoms worsen or new symptoms arise, it’s crucial to seek immediate medical attention to rule out any serious conditions.


Conclusion
In summary, your visual disturbances could be a combination of factors, including changes in your vitreous humor, the effects of anxiety, and possibly an adjustment issue with your new glasses. While floaters are typically benign, it’s essential to monitor your symptoms and maintain open communication with your eye care provider. Additionally, addressing your anxiety through appropriate channels may help improve your overall well-being and potentially reduce the frequency or intensity of your visual symptoms. If you have further concerns or if your symptoms persist, don’t hesitate to seek further evaluation from your healthcare provider.

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