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In the early morning..with dim lighting in the room,I can…

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In the early morning..with...

In the early morning..with dim lighting in the room,I can clearly see what looks like hundreds of microscopic flagalits (worms) inside my eyes..I have had serious sinus infection for forty years..two major surgery. cysts in the mouth. I have told doctors about this.thhey ignore me..

Doctor's Assistant: Have you noticed any recent swelling? Do you have any tooth pain?

..big time/off and on//lost several teeth

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have fibromyalgia..arythmias,liver desease,kidney desease..ive got five doctors.

Submitted: 7 months ago.Category: Eye
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Answered in 9 hours by:
12/3/2017
Eye Doctor: Dr. Rick, Board Certified MD replied 7 months ago
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 12,162
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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Hi. I'm Dr. Rick and I have two decades of ophthalmology and retina surgery experience. I'm online and happy to answer your question today.

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Eye Doctor: Dr. Rick, Board Certified MD replied 7 months ago

You are likely experiencing a PVD or posterior vitreous detachment, a common event that happens in many people.

You have a thick gel material in the middle of your eyes called the vitreous. Over time as it liquefies, this gel material collapses on itself, forms little clumps that you can see as dots, lines or bugs. As these clumps form the vitreous pulls away from the wall of the eye. In the process it can stimulate the retina -- causing the flashes that you may see.

It is recommended that you see your ophthalmologist to look at the retina to make sure there are no problems such as a retinal hole or tear. In most cases, there are no problems, but this exam is precautionary and allows for preventative treatment of any lesions that are found.

If you notice a sudden increase in floaters, flashes of light (like a lightning storm), a shadow/veil in the periphery of your vision, or a decrease in your vision that doesn't improve in a few minutes this can be worrisome for a retinal detachment. You would need to contact your ophthalmologist promptly in that case.

What can you do about the floaters? Well, floaters don't go away, and they don't really get worse. Over time they tend to "sink" out of your central vision and you brain "filters" them out so you don't notice them so much anymore. They almost never cause significant visual problems except, of course, if they cause a secondary retinal detachment as discussed above. The only way to decrease or remove the floaters is with a major surgery called a vitrectomy. As a retinal specialist for almost 2 decades I only do this procedure to remove floaters in extreme cases.

In January 2013 a new drug, called Ocriplasmin, was approved by the FDA to dissolve vitreous strands in a particular eye condition called vitreomacular traction. Perhaps someday this drug could be used to also remove floaters…. Only time will tell.

Does this make sense to you?

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you can please give me the top rating in all areas. It has been a pleasure to assist you today.

Thanks in advance,

Dr. Rick MD FACS

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