The destruction of the vitreous body (DST) is manifested by the flickering of white or black midges before the eyes. They are the result of opacification of the vitreous body of the eye – a watery gel that fills the space between the lens and the retina and acts as a biological lens. Usually every second person at the age of 65 years complains of flies soaring in front of his eyes, but sometimes the problem occurs in young people. Find out if the destruction is dangerous for vision and health, and how to treat it?
Is the destruction of the vitreous body dangerous?
The main symptom of the disease are the flies in the eyes. They can be seen in clear weather with a clear sky or white snow. Flies can have different brightness, which depends on the distance of opacities in the vitreous body from the retina: the closer to it, the brighter. They move with the gaze, and if you try to focus on them, they will slowly begin to “fall.”
The vitreous body is normally transparent and uniform. But if the gel structure collapses, destruction develops. It usually takes one of four forms:
- Grainy. The elements that surround the eyes are seals of disintegrated pigment cells or lymphocytes. They look like mugs, black flies or grains.
- Filamentous. Spots, strings or points before the eyes are the result of collagen collapse in the vitreous body. This is the only form of destruction that does not affect visual acuity.
- Wrinkled. One of the dangerous forms of DST, in which the vitreous body is deformed and changes in volume, which often entails the detachment of the retina. Vision can suffer significantly, even blindness.
- Crystalline. Difference from other forms – soaring before eyes spangles with silver or gold shimmer. The reason for this specificity lies in the fact that the “flies” are particles of cholesterol, which overflow in the sun, floating in the gel-like structure of the vitreous body.
Destruction only in the form of wrinkling of the vitreous body is a serious danger to vision. All other forms of DST do not affect the health and working capacity of a person, so he can live a full life. However, frequently seen black dots before the eyes are the cause of the development of psychological problems. Perhaps the development of depression. Also, with numerous flies, the load on the cervical spine and eyes due to their overstrain increases.
Important! If black or white spots, cobwebs and midges do not lead to a decrease in field and visual acuity, treatment of vitreous degradation is not necessary. Only periodic observation by an ophthalmologist and differential diagnosis with retinal diseases and neurological disorders is important. If the DST interferes with your full-fledged life, or there is a risk of deterioration and loss of vision, you need conservative treatment or surgery.
Ophthalmologist’s advice for patients with vitreous degradation
In most cases, the destruction develops due to the physiological aging of the body. But sometimes the disease develops in young people for the following reasons:
- Vascular diseases (atherosclerosis, vegetative-vascular dystonia, arterial hypertension);
- Chronic inflammation of the eye membranes;
- Myopia (myopia);
- Pregnancy or menopause (amid hormonal changes);
- Head and eye injuries;
- Stress and depression;
- Constant eye strain.
Since there are no effective methods for conservative treatment of the destruction of the vitreous body of the eye, ophthalmologists advise patients on how to stop the progress of the disease. Usually they are associated with the prevention of situations and diseases that provoke the destruction of the structure of the vitreous body. If, however, completely change the way of life, over the years, turbidity and seals may disappear altogether.
- Stop smoking and alcohol;
- Enrich the diet with foods high in vitamin A;
- Monitor the state of the blood vessels (prevention or treatment of vascular diseases);
- Monitor blood pressure;
- To do gymnastics, which improves blood circulation in the back and neck;
- Reduce the time spent at the computer or TV.
The destruction of the vitreous body is often the result of chronic diseases. And in order to remove the flies soaring before his eyes, their treatment will be needed. Usually the symptoms of chronic diseases disappear during treatment, but appear again after the end of the treatment course. To completely forget about health problems will help a healthy lifestyle.
Conservative treatment methods for DST
With a slight destruction of the vitreous body treatment should be conservative. It involves the use of medicines, gymnastics for the eyes and popular methods to help dissolve seals. These methods can not be called effective, but with long-term treatment, it gives a positive result.
During the destruction of the vitreous body, ophthalmologists prescribe eye drops, which contribute to the resorption of opacities and seals by improving metabolic processes. They do not remove the seemingly flies, but as a result of the therapy, the patients notice that the spots have become more transparent and their number is decreasing.
The most popular drugs are:
- Taufon. Normalizes metabolism at the cellular level;
- Cavinton. Designed to strengthen the walls of blood vessels that feed the eyes;
- Emoxipin. The drug improves blood circulation in the tissues of the eyeball;
- Potassium iodide. The substance helps directly dissolve seals, which are perceived by the eye as flies;
- Quinax. This medication is recommended for the treatment of cataracts. However, ophthalmologists have noticed that it gives positive results in the DST.
Well-established metabolism in the eyes can be saved, enriching the body with essential vitamins. Usually, vitamin preparations are prescribed inside. Among them:
- Star bones;
- Blueberry Forte;
- Vitrum Vision.
Sometimes vitamins are prescribed as eye drops:
Since vitamins of group B are useful for eyes and blood vessels, their deficiency must be replenished. To do this, conduct a course of intramuscular injections, or designate a long-term medication (for example, brewer’s yeast pills).
In the resorption of collagen formations in the vitreous body, drugs Wobenzym and Flogenzy help. This is also facilitated by eye ointments containing corticosteroids (dexamethasone, prednisolone or hydrocortisone).
Sometimes effective are 10-day courses of electrophoresis with lidzoy or aloe extract. Some patients are helped by homeopathic medicines: Okohohel, Arnica and Sulfur Iodine.
Gymnastics for the eyes at DST
Since the vitreous body does not have a solid, but a gel-like structure, the fluid that fills it can move freely. Together with this fluid move and seals. Such an exercise will help redistribute the vitreous mass so that the turbid areas disappear from view for a while:
- Sit on the chair, look ahead. Make sure that the head and back are straight, and the shoulders are flattened;
- With a sharp eye movement look to the left, and then to the right;
- Now look again in front of you;
- Sharply glance up and down.
Attention! Before you do this exercise, check with an ophthalmologist and make sure that in your case the destruction of the vitreous does not cause retinal detachment. Otherwise, you can speed up this process and increase the risk of vision loss.
An exercise that was originally proposed by William Bates as a way to relax the eyes to improve vision will help to get the flies to go to the periphery. It is called “palming.” Technique:
- Sit at the table so that the spine is in line with the neck. It is necessary for normal blood circulation.
- Relax and think of something good;
- Rub your palms together so that they emanate warmth from them;
- Fold your palms crosswise and close their eyes. The nose should remain free, and the rays of light should not penetrate to the eyes.
- Close your eyes by holding your palms on them for 2-3 minutes.
Slow exercises will also help to bring down flies to the periphery:
- Looking left and right;
- Looking up and down;
- The rotation of the eyeballs around the circle clockwise and against it;
- Focusing the gaze on the tip of the nose.
These exercises can be performed as soon as a sight or web springs out into view. And so that their number decreases, try to perform daily full gymnastics according to Norbekov or Zhdanov, Bates. They will also help you maintain sharp eyesight, improve it, or stop its deterioration.
Traditional methods of treatment of DST
Now let’s talk about how to get rid of soaring flies in the eyes at home using traditional medicine methods. On your own you can:
- Make a century massage. Close your eyes and fingertips Massage your eyelids. Do this with a little pressure on the eyeballs. Massage will help speed up the flow of lymph and blood, which will positively affect the resorption of the seals in the vitreous body. It should be done several times a day for 1-2 minutes.
- Prepare honey drops for the eyes. Mix aloe juice and liquid (non-crystallized) honey in proportions: 4 to 1. Soak the mixture in a dark place for 2 hours. Bury the compound in the conjunctival sac with a pipette 2 drops 3 times a day. Instead of aloe juice, you can take cooled boiled water, but the effect will be worse. The course of treatment is 30 days. To avoid unpleasant sensations, hold the pipette in your hands before instillation in order to warm its contents.
- Prepare eye drops based on propolis. For greater effectiveness of this tool, use schungite water as a base. Put propolis in it and let it brew. Then use the infusion as usual eye drops: put 1-2 drops in a conjunctival sac 2-3 times a day.
- Make a compress from the infusion of star. Dry 2 tablespoons of brewed grass as tea in 1 cup of boiling water. Let it brew for 4 hours, then strain the infusion and soak the cotton pads in it. Apply them to the eyes for 15 minutes.
Attention!Shungite water can be prepared at home. This requires only water and a special stone – shungite. These components need to be taken in a ratio of 10 to 1 (100 grams of shungite per 1 liter of water, 200 grams per 2 liters). Dip shungite into drinking water for three days. During this time, the water will lose harmful heavy metals and become decontaminated.
Surgical destruction treatment
If treatment with folk remedies, and especially therapeutic gymnastics, lifestyle changes, and drug therapy do not give a positive dynamic, and the number of flies, and their brightness, increase, surgical intervention is necessary. This is the only effective method of getting rid of the destruction of the vitreous body. But since this is an operation, it is resorted to only when a person risks losing his sight, or the disease significantly reduces his quality of life.
In case of DST, two types of surgery are performed: vitreolysis and vitrectomy. Consider both options.
This is the name of the operation to remove clots in the vitreous body by exposing them to a laser. In Russia, it is rarely used, because medicine in our country is still poorly mastered the technique of its implementation. However, abroad, it is already used everywhere.
Vitreolysis is performed on an outpatient basis. The patient arrives at the appointed time, and after the operation the doctor observes him for some time. If all goes well, he is allowed to go home. Removal of the “fly” is done in several stages:
- Pupil dilation with special drops;
- Placing a lens in front of the eye with three mirrors necessary to focus the laser beam on the object of impact;
- Local anesthesia;
- Direct laser exposure to opacities and seals in the vitreous body for their destruction.
The course of the operation is complicated by the fact that the seals in the vitreous body are constantly moving. They are very difficult to catch. Therefore, the outcome of the operation depends largely on the human factor, on the skill of the surgeon and the quality of the equipment used. Since it is impossible to predict the result in advance, be prepared for the consequences of a laser operation:
- The appearance of cataracts;
- Development of glaucoma (increase in intraocular fluid pressure);
- Detachment of the retina;
- Hemorrhages in the tissue of the eyeball.
Ophthalmologists consider vitreolysis a successful way of dealing with the destruction of the vitreous body. However, today the operation is rarely used: the risk of complex consequences is too great. But in the future, when the technique of its implementation will be honed to perfection, it is quite possible that it will become more popular than another method of surgical treatment of DST – vitrectomy.
This is a very difficult ophthalmologic operation, consisting in the complete removal of the vitreous body. There must be a good reason for its appointment. It is usually recommended when the fibers of the body become so turbid that visual acuity has decreased significantly, and the person cannot live a full life because of this. In this case, the wearing of glasses or contact lenses does not help, since the biological lens between the lens and the retina is not capable of adequately transmitting the light rays.
Removal of the vitreous body is performed under anesthesia for 30-90 minutes. To preserve the visual capacity of the cavity formed in the eyeball, the surgeon fills with a substance similar in optical properties to the vitreous body (it consists mainly of hyaluronic acid and collagen protein). It may be:
- Gas composition;
- Salt solution;
- Artificial polymer filler;
- Silicone-based oil.
Vitrectomy is fraught with consequences:
- Development of cataracts;
- Swelling of the cornea;
- Detachment of the retina;
- Hemorrhage inside the eye;
- Endophthalmitis infectious nature.
If the operation was carried out successfully, and the development of consequences is not observed, then the vision is restored within a few days.
Important! Before treating DST with a surgical method, the attending physician must be convinced of the ineffectiveness of conservative therapy. And with opacities associated with physiological aging, the operation is contraindicated. This is due to the peculiarities of the structure of blood vessels in the elderly. They are too weak for a vitrectomy to be successful.
In most cases, destruction of the vitreous does not pose any danger. It manifests itself only at times when a person looks at a bright background in bright light. But if the flies soar before the eyes constantly, this indicates a significant destruction of the structure of the vitreous body. And if this is the cause of the deterioration of vision, treatment is necessary. Surgical intervention is used only in extreme cases due to the high risk of postoperative consequences.