Optometrist Questions Optometrist

Myopia and Floaters?

I am a 19 year old female. Every year my eyesight is increasing by 1 dioptre from -3.75 to -4.50 in right and my left eye is -4.75. I am very worried. I once had a ring of black dots in my left eye and I tend to get a lot more floaters in my left. What should I do?

Female | 19 years old

10 Answers

OptometristOptometrist
Hello. Thank you for your questions. What I would do is I would recommend you getting a dilated eye examination to assess your full retina to make sure there are not holes or tears in the retina that could be a result of those floaters. Once that is assured, I would look into different ways there are to reduce myopia progression such as Atropine drops, Orthok Lenses or center distance multifocal focal contacts like Misight from Coopervision. Thanks.
Thank you for your question, and we understand your concern. Your myopia is progressing at a relatively fast rate, which is common in younger individuals as the eye continues to grow. Myopia typically worsens because the eyeball elongates, making it harder for light to focus correctly on the retina. This is something we can monitor closely using a specialized device that measures the length of the eye called axial length. This helps us predict how your vision may change in the future. You also mentioned floaters and seeing a ring of black dots these are often harmless and more common in people with higher levels of myopia, but they should always be evaluated to rule out any retinal issues. To help slow down the progression of your myopia, we may recommend Orthokeratology OrthoK a safe, nonsurgical treatment that uses customdesigned nighttime contact lenses. These lenses gently reshape the cornea while you sleep, so you can see clearly during the day without glasses or contacts. More importantly, OrthoK has been shown to help control myopia progression. We invite you to come in for a free OrthoK consultation so we can assess your eyes thoroughly and discuss the best options for you. Please call us at 425 2830440 to schedule your appointment. Weve specialized in myopia management for over 25 years, and were here to help.
https://www.aao.org/eye-health/diseases/what-are-floaters-flashes
People with high myopia are at a higher risk to develop certain ocular conditions such as: retinal tears that lead to detachments, glaucoma, and/or cataracts. It is important to have yearly dilated fundus examinations to monitor condition.
Get your eyes dilated. Make sure retina is okay. It’s common for myopic progression in teenage years.
Whereas I cannot make any assessments or recommendations in your particular case, in general, floaters are a common complaint that patients bring up in the retina clinic. While floaters can be a symptom of a serious eye disease, often floaters are benign. Floaters tend to be more common in nearsighted people. A dilated eye exam should help distinguish benign floaters from floaters arising in the setting of a serious eye disease.
Hello!

Floaters are usually benign. As we get more nearsighted, the eye may grow longer, this can create floaters. It’s a good idea to have an eye exam with dilation when you notice new floaters to rule out retinal tears and detachments.
Have a complete check up
You should get a dilated eye exam. Myopic eyes are more prone to rips and tears. To slow myopic progression, spend 2 hours outside in the natural light daily.
Important to have an annual eye exam with dilation and/or ultra-wide field (photography with Optos) unless you have new onset symptoms then you should be seen sooner by your eye doctor.