How I cured the destruction of the vitreous body of the eye. Eye drops for destruction of the vitreous body. Drops for destruction of the vitreous body

Small dots, floaters, darkening, lightning, flashes and specks flying before the eyes - all these are signs of the development of destruction of the vitreous body of the eye in a person. They occur in approximately 50% of people over 65 years of age.

The onset of the disease in old age is considered to be a normal age-related change. But, as noted by experts, various opacities in the vitreous body appear at a young age.

What are the causes of flying dots and floaters and what methods do ophthalmologists use to combat them? How to get rid of destruction of the vitreous humor of the eye? Are eye drops effective? Or is the only way to get rid of the destruction through surgery?

Is it possible to treat destruction of the vitreous body of the eye with folk remedies? In this article we will discuss the answers to these questions.

Interestingly, 99% of the vitreous body is water, the remaining one percent includes collagen, hyaluronic acid and other biological components.

This one percent composition of active substances alone gives the vitreous body the form of a gel and provides it with a transparent structure.

The vitreous body is located between the retina and the lens. For certain reasons, the molecules inside this part of the eyes break down and change color permeability.

As a result of this, the patient begins to think that he sees stars, dots, cobwebs, dark spots or floaters before his eyes.

Most often, these processes occur due to the aging of the human body, which brings with it the loss of the vitreous body’s natural protective function.

But, as experts note, the risk group includes not only people of retirement age. Similar symptoms can be observed at a young age under the following circumstances:

At an early age, mechanical damage to the eye often leads to the disease. As a result of such injuries, part of the eye is destroyed; the ruptured microscopic particles form clumps of bodies and float freely in the space of the vitreous body, thereby causing the effect of destruction.

The main symptomatic sign of the presence of destruction of the vitreous body of the eye is the floating of all kinds of visual effects right before the eyes - “floaters”, “cobwebs”, “spots”, “opacity”.

Such optical elements are very different from the effects that arise as a result of a sharp jump in blood pressure, blows to the head, or when lifting heavy weights.

So, the main symptoms of destruction:

• the presence of “spots” and various opacities is not temporary, but permanent;
• visual phenomena always have constant size and shape;
• visual effects are noticeable only in good lighting conditions (especially on a white surface).

The thicker and more clearly visible the floating elements are, the more advanced the destruction of the vitreous body is..

If opacities of a clear filamentous structure appear, the patient may be diagnosed with atherosclerosis or a severe form of hypertension.

The presence of “lightning” and “flashes” is the main symptom of vitreous detachment or other severe complications.

If filamentous destruction of the vitreous body of the eye is diagnosed, unorganized floating of fibrils is dispersed over the entire surface of the eyeball, but at the same time they stick together and twist, forming into formations that resemble balls of yarn.

As a result of illness, eye injury, or in the case of tumor formations, destruction of the vitreous body often manifests itself in the form of small clusters of small grains.

In the absence of timely treatment, doctors do not rule out partial or even complete loss of vision.

"Floaters" in the eyes. Vitreous detachment

Is it possible to cure the destruction of the vitreous body of the eye? If yes, then how to stop the development of this unpleasant disease?

In the early stages of the development of this disease, treatment with medications often proves to be ineffective. In addition, at the very beginning of the development of the disease, such formations can disappear on their own, leaving your field of vision, but this in no way means that the pathological process in the vitreous body is complete.

How to cure this disease or at least slow down the process of destruction of the vitreous body of the eye using proven folk remedies?

Compresses with chickweed herb have proven to be the most effective and popular.. They can be prepared in two ways:

1. You should sew two small pillows from natural linen fabric and fill them with freshly picked chickweed grass. Then you need to boil them for several minutes, and after that cool them to room temperature and, after squeezing them a little, apply them to the affected eyes for 15 minutes.
2. Pour a few tablespoons of fresh chickweed herb into a glass of boiling water and leave for 4 hours. After this time, soak a paper napkin in the herbal infusion and apply it to your eyes for 20 minutes.

Folk remedies for the destruction of the vitreous body of the eye should only be auxiliary to the main therapy if the disease has been going on for a long time.

For minor visual impairment, as well as in the absence of allergies to honey and other components, it is recommended to use the following homemade drop recipes:

Recipe number 1. Mix one teaspoon of honey and 4 teaspoons of aloe juice in a clean bowl. Leave the resulting mixture for several hours in a cool, dark place. After this time, you should drip the prepared tincture three drops three times a day.

However, you should also remember about the quality of raw materials: honey must be natural, in which there would be no impurities, additives and preservatives, after all, we are talking about your vision.

Recipe No. 2. A variant of the following recipe is drops without aloe: honey must be mixed with boiled clean water at room temperature in a ratio of 1:5.

You can instill 2 drops of this mixture into your eyes three times a day. The duration of the course of treatment is 30 days. It is recommended to store the solution in the refrigerator for no more than one week.

Before you start instilling eye drops, the pipette along with the collected drops must be thoroughly warmed in your hands.

Recipe number 3. Take 1 teaspoon of cloves (without a slide) and add it to 50 ml of boiled water; In the same composition, add ¼ teaspoon of honey, previously melted in a water bath until liquid, and the same amount of freshly squeezed aloe juice.

Infuse this medicine for two days, shaking its contents periodically. After this time, filter the composition using a gauze napkin.

Apply drops to your eyes every morning and evening at the rate of 1-2 drops for each eye. The course of treatment for this disease with such drops is one month.

Recipe No. 4. Take 2 small aloe leaves, chop them thoroughly and pour them into a jar with 100 ml of silver water. Infuse this composition for 3 hours.

After this time, strain it thoroughly using a gauze cloth and add half a teaspoon of honey. Take the prepared medicine 1-2 drops three times a day. The course of treatment with such drops is 30 days.

Recipe number 5. In addition, traditional healers often suggest treating the destruction of the vitreous body of the eye with an aqueous tincture of propolis (it should also be instilled into the eyes).

Also, special exercises, which are one of the safest methods of combating the destruction of the vitreous body of the eye, have an excellent effect on the work of the intraocular muscle.

At the moment, many techniques have been developed: the Norbekov, Zhdanov, Bates system. Movements that are completely simple to perform will help, although not completely get rid of flying flies forever, but allow them to move out of sight.

Palming - an exercise to relax the eyeball. To completely relax your eyes, you need to cover them with your hands so that there is not a single crack left for light. Then you should close your eyes tightly and place your elbows on the table. The body must be completely relaxed, and the spine and neck are almost in line. While in this position, think about something pleasant. It is advisable to carry out such exercises to relax the eyeball for at least 2-3 minutes, but it is better to spend 15 minutes on this.

Many experts recommend the following exercises: sharply move your gaze from left to right, and then also from top to bottom. However, such sudden eye movements are not suitable for everyone: first you should make sure that there is no retinal detachment. This is dangerous because intense eye movements can accelerate its detachment.

In most cases, doctors recommend slowly turning the eyes from left to right, stopping your gaze at the tip of the nose, and slowly rotating your eyes both clockwise and in the other direction. All such eye movements should be accompanied by calm breathing. If you do these exercises daily, there are many chances that floaters will move from the center of the eye to the periphery of the eye.

There are simply no special measures to prevent this disease. However, first of all, it should be remembered that a person’s visual acuity is most directly influenced by his lifestyle.

Thus, the predominance of refined foods in the diet, smoking or alcohol abuse inevitably contributes to the deterioration of blood vessels, and this also affects the functioning of visual function.

Is it possible to play sports if the vitreous body is destroyed? In this case, playing sports is not contraindicated, but you can resort to them only if there are no dangerous degenerative changes in the retina.

If a patient with destruction of the vitreous humor of the eye leads an active lifestyle, he should not forget to visit an ophthalmologist in a timely manner so that the specialist dilates the pupil and examines the retina.

It is imperative to follow all the rules of working at a computer, since most professions are currently associated with working at a monitor.

It's essential to give your eyes time to rest, so make it a habit to switch your gaze from the screen or just rest for a few minutes with your eyes closed. It is recommended by experts to carry out such a break in work at the monitor every 40 minutes.

People who already suffer from various eye diseases need to visit an ophthalmologist regularly to fully monitor the condition of their eyes.

This disease, destruction of the vitreous body of the eye, in a mild form, has recently been increasingly found in schoolchildren as a result of a heavy load on the eyes: at school, students read and write a lot, and at home they are used to watching TV or playing computer games.

Therefore, parents should control the pastime of children near the monitor, and, if necessary, strictly limit it.

To prevent destruction of the vitreous body of the eye, you just need to be more attentive to your health and try to avoid any eye injuries.

In case of slight changes in vision, the doctors' prognosis is favorable. Various floating elements can stabilize in the area of ​​the eyeball, but specialists rarely observe remissions.

Nevertheless, as a result of the constant need to free the field of vision from flying flies, the patient may experience a persistent state of depression. In addition, in this case, there is excessive stress on the muscles of the eyes and neck due to frequent head movements.

In most cases, people get used to such a vision defect, but it’s too early to delude yourself. The progression of destruction of the vitreous body can even lead to loss of vision, so it is imperative to monitor the condition of your eyes with regular examinations by an ophthalmologist.

Destruction of the vitreous body is a pathology of the eye with destruction of the structure of a special substance that fills the cavity between the retina and the lens. During destruction, the thread-like element becomes denser, the transparency of the glass ocular body begins to gradually decrease, which will subsequently lead to visual impairment. Treatment of DST must be timely and correct, otherwise complete blindness in one eye may occur.

DST of the eye occurs due to pathological processes of the eyeball, which are of a physicochemical nature. In most cases, this is due to past infectious diseases of the eye or due to injury. The reasons may also be associated with diseases such as myopia, retinal detachment, visual impairment after severe traumatic brain injury.

Often, destruction may not be associated with ophthalmic diseases. In patients with a disease such as sclerosis, or due to physiological changes in the body associated with old age, the risk of destruction of the glass body of the eye increases significantly.

The vitreous body may darken after suffering mechanical damage to the eye or a chemical burn to the cornea. In the first case, the structure of collagen fibers is destroyed, as a result of which the substance begins to flow into the area of ​​the vitreous body, leading to its partial or complete clouding.

Other factors in the development of vitreous destruction that are not associated with ophthalmological pathologies are the following:

• diseases of the liver and kidneys;
• disruption of the glands;
• producing internal secrets.

In elderly people, clouding and destruction of the vitreous body in most cases is associated with the natural physiological processes of aging of the whole organism.

In more rare cases, diseases of the vitreous body are associated with abnormalities in the structure of the organs of vision, in particular with improperly developed vessels of the cervical spine or brain. The causes of clouding of the glass body are the following diseases:

• diabetes;
• Parkinson's disease;
• severe forms of acute respiratory infections;
• constant excessive load on the eyeball;
• lack of vitamins and minerals in the body;
• pregnancy.

How does vitreous pathology manifest?

The vitreous body may be completely or partially darkened. According to research, in most cases, the pathological process affects the center of the glass body of the eye, the peripheral area is less often affected by destructive processes. Signs of vitreous disease begin to appear gradually: first the structure of the fibers is disrupted, then their integrity, they begin to wrinkle and separate, causing it to liquefy.

Films and ties appear, at first minor, and later, if there is no timely treatment, they get worse, which leads to various pathological changes in the eyeball. Obvious symptoms that a person might feel are practically absent in the first stages of the development of the pathology. A person begins to constantly see various small spots that prevent him from adjusting his visual acuity.

Description of causes and symptoms

Severe visual impairment begins at the moment when destruction that is not treated in a timely manner leads to hemorrhage and retinal detachment begins. In rare cases, the disease can lead to excessive accumulation of cholesterol crystals. In this case, any movement of the eyes leads to the crystals shimmering, and various multi-colored flies jump before the person’s eyes.

Types of disease

In total, in medicine there are 3 types of destruction of the vitreous body of the eye, which differ in the causes and nature of pathological processes in the eye:

• filamentous destruction;
• grain-like destruction;
• crystalline type of destruction.

The filamentous type of destruction occurs mainly in people who have atherosclerosis or have progressive myopia. Often pathology occurs due to age-related changes in the body.

To diagnose this type of destruction, a method such as a slit lamp is used, with which an ophthalmologist examines the fibers. With the development of filamentous destruction, they have different lengths and sizes. There is space between the strands of fiber, which is a symptom of liquefaction.

Destruction of a grain-like appearance - the destruction of fibers is visible on a biomicroscopic examination. Factors in the occurrence of pathology are associated with past infectious processes in the eye, accompanied by inflammation, in particular associated with a violation of the structure of the retina, especially its inner layer.

Destruction of crystals - this type of pathological process is the most rare. The vitreous body changes its structure gradually as substances such as tyrosine, cholesterol and calcium accumulate.

Diagnostic methods

The vitreous body is examined in two ways - using an ophthalmoscope and a slit lamp. Most people are in no hurry to see a doctor after discovering symptoms such as goosebumps in their eyes, decreased visual acuity and constant spots that prevent them from fully seeing the picture. But it is precisely these signs that indicate that pathological processes have begun to develop in the eye, which require immediate diagnosis.

Destruction of the vitreous body of the eye without timely treatment can lead to severe pathological processes and cause blindness. In addition to examining the fundus and the general condition of the visual organs, the doctor needs to examine the patient’s detailed history for concomitant diseases that may cause destruction.

If the patient has floaters before his eyes for a long period of time, the disease is already progressing, it is necessary to contact not an ophthalmologist, since the diagnosis is already obvious, but a specialist such as a retinologist. This is a narrowly focused medical specialty that treats various diseases and pathological processes only in the eyeball.

If it is necessary to conduct an additional examination in order to clarify the primary diagnosis, ultrasound examination and coherent tomography are performed.

Conservative treatment

Destruction of the vitreous body, the treatment of which must be timely, is a serious pathology, and in order to restore normal vision to the eye, both traditional medicine methods and various folk recipes are used. The latter can only be used as an additional treatment to the main one - therapeutic.

As a rule, if a person did not consult a doctor when the first appearance of floaters was detected before the eyes, and the destruction began to worsen, this pathological process is very difficult to treat. Even with all the necessary medical measures, often the patient will forever have cholesterol or calcium crystals in the eye.

The destructive process can be stopped in several ways - medical and therapeutic methods. Which method of treatment to choose, only the doctor decides, depending on how long ago the first visual disturbances appeared in the patient and whether they are constantly present or they are temporary in nature with periodic appearance.

Regardless of which treatment method was chosen, the patient must follow a number of preventive measures. First of all, the eyes need to be relieved of excessive stress, which means there is a need to reconsider the work and rest schedule. It is mandatory to regularly perform special exercises for the eyeball, which are prescribed by the attending physician.

The method of vision correction using surgery is carried out only in extreme cases, when other methods of treatment over a long period of time do not provide the desired positive result.

Therapy for the treatment of DST

Destruction must be treated in a timely manner to avoid the development of severe vision complications. In most cases, when the patient seeks help from doctors on time, symptomatic therapy is prescribed. As a rule, we are talking about the use of a variety of procedures; in more severe cases, the method of angioprotectors is used. The operation is performed only if there is severe opacification of the vitreous and its damage, which cannot be corrected with conservative therapy.

Vision can only be corrected using an integrated approach. The patient is required to be prescribed inhalations using calcium iodide. A special German drug, Emoxipan, is injected under the eye. To resolve accumulated substances that lead to darkening of the vitreous body, the drugs Traumeel and Wobenzym must be administered orally.

In order to restore the transparency of the vitreous body of the eye as quickly as possible and thereby return full vision to a person, Vitreolysis is prescribed - laser exposure. Surgery to restore the vitreous is called vitrectomy. Surgical intervention, as well as laser techniques, are used in very rare cases.

This is due to the fact that these methods, despite their effectiveness, carry the risk of a number of complications. In particular, the risk of retinal detachment or the development of cataracts cannot be excluded. You can use any drops in the treatment of destruction only with the permission of the attending physician.

ethnoscience

Among the traditional methods in the treatment of eye destruction, compresses, the use of a honey-based solution and therapeutic massage are used. A compress made from the chickweed plant is an excellent remedy in the fight against pathology. It needs to be crushed and distributed in small portions into 2 pieces of fabric, which will be folded like bags.

The main thing is that the fabric is natural. Preference is given to linen or cotton material. Bags with the crushed ingredient must be placed in boiling water for 1-2 minutes. Remove the compresses from the boiling water, let them cool and apply to both eyes. Keep 15-20 minutes.

Honey is a remedy for many diseases, including ophthalmology. Treatment of destruction of the vitreous body of the eye using traditional methods must be agreed upon with the attending physician. A honey-based solution (water and honey are mixed in proportions 2:1) must be dripped into the eyes.

This method can only be used if there is no allergic reaction to honey. Treatment with folk remedies also involves massage of the eyeball. This procedure can significantly improve blood circulation, thereby inhibiting pathological changes in the vitreous body.

Without timely treatment, changes occur in the organs of vision. Knowing what destruction is and the main manifestations of pathology, the patient should contact an ophthalmologist immediately as soon as spots appear in the eyes, even if the first time they were short-lived. An autoimmune process in the organs of vision is the most dangerous type of complication when destruction of the vitreous body is not treated in a timely manner.

The only method for detecting pathology is a regular medical examination by an ophthalmologist. The prognosis for the future with a diagnosis of CTD depends on how quickly the disease was detected. An important role is also played by how accurately the patient will comply with all the doctor’s instructions.

Video

Today in medicine the need to restore vision is becoming increasingly important. Patients complain of decreased visual acuity and clarity of perception. For many, the perceived object doubles, or “floaters” appear before the eyes. In an attempt to figure out what these “floaters” are and where they come from, scientists came to the conclusion that the cause is destruction of the vitreous body of the eye. This is a rather complex disease that is difficult to treat.

Why is destruction of the vitreous dangerous?

The most dangerous are detachments, liquefaction, and wrinkling.

Liquefaction is accompanied by the formation of empty spaces. There is also an accumulation of intraocular fluid and protein compounds. Fibers are formed from fibrils, which stick together and form various configurations in the field of view; they are the ones associated with flies, cobwebs, and octopuses. In this case, threads and balls of yarn are formed.

An even more dangerous type of destruction is wrinkling, the end result of which is retinal detachment. It represents a significant decrease in size of the vitreous body and the formation of folds. Gradually, the structure becomes deformed, the vitreoretinal structures become tense, which can lead to rupture or detachment.

Epidemiology

Based on their form, there are three types of destruction: filamentous, crystalline and granular. In terms of frequency of occurrence, the filamentous form predominates: 52%. Crystalline accounts for 4%, granular – 44%. The trigger factor that triggers the development of the filamentous form of the pathology is predominantly (in 71% of cases) atherosclerotic processes and progressive myopia.

The development of the granular form of the pathology is facilitated by the inflammatory process in the internal retinal layer. It is for this reason that 68% of cases of granular destruction develop.

Causes of destruction of the vitreous body

Destruction can occur for various reasons. Almost always, the vitreous body undergoes degenerative and dystrophic changes with age. Such changes begin at about 40 years of age, and are finally formed by 60 years of age. Congenital myopia, a weakening of the eye muscle, can lead to similar changes. Often the pathology is a consequence of vascular disorders and occurs against the background of vegetative-vascular dystonia, arterial and venous disorders. Dystrophic changes in blood vessels can also lead to pathology. Cervical osteochondrosis, various hormonal and neuropsychic changes, pregnancy, and taking hormonal medications can trigger the disease.

Various injuries and damage to the head, neck, eyes, and eye surgery are also considered as a cause. Prolonged physical activity, stress, neuropsychic stress, exposure to radiation, toxins, and biological objects on the body also act as one of the causes of pathology.

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Risk factors

The risk group includes older people, pregnant women, people during the period of hormonal changes (adolescence, menopause). The risk also increases significantly when taking certain medications, in particular hormonal drugs. To avoid risk, the development of osteochondrosis, myopia and weakness of the eye muscles should not be allowed.

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Pathogenesis

The pathogenesis is based on a violation of the normal structure of the transparent substance located between the lens and the retina of the eye. Normally, the vitreous body is transparent and is represented by special threads (fibrils) that are localized in the gel. Various pathological conditions and diseases entail aging fibrils, which quickly break down and lose elasticity. On top of them, various aging products are deposited in the form of grains.

The process is accompanied by clouding and the formation of spots, which are quite clearly visible on a white background or in the daytime, in the light. It is these grains, fragments of fibrils that a person perceives as flies and threads. They can envelop the eye like a film, significantly reducing vision.

Most often, the central sections of the colloidal gel undergo destructive transformations. The process takes place in several stages. At the first stage, a cavity is formed that contains liquid and coagulated collagen masses. Subsequently, an increasing number of fibrillar proteins are involved in the pathological process. They undergo coagulation, go far beyond the boundaries of the formation, as a result, the gelatinous substance turns into liquid and fills the space between the lens and the retina.

Gradually, substances of various configurations are formed, attached to the fundus of the eye and entail wrinkling, starting the adhesive process. There is a decrease in volume of the vitreous body, its deformation, as a result of which the vitreoretinal connections are stretched and subsequently retinal detachment occurs.

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Symptoms of vitreous destruction

Destruction of the vitreous body manifests itself as a defect that occurs in the visual field. These can be structures of various configurations, for example, threads of various thicknesses, balls of yarn, flies that constantly fly before your eyes. The forms can be absolutely any, but for the same person they remain constant. Quite often flashes and lightning appear before your eyes.

These phenomena are especially noticeable against a light background, in the daytime, against the background of any bright surfaces. If the lighting is insufficient, or in the dark, a person, as a rule, does not notice anything like this and does not experience any discomfort. Sometimes such phenomena can occur due to nervousness: after stress, nervous strain, overwork. Some people experience the feeling that objects move with their eyes, making it impossible to focus their eyes.

First signs

The first signs of destruction are the appearance of various small objects before the eyes. They move, less often they stand still. Most often, people compare such objects to spots, spots, and blurred vision. In ophthalmology, such periodically occurring images are usually called optical phenomena. They occur mainly when blood pressure increases and when there is a blow to the head. They can occur as a result of a sudden change in position when lifting heavy objects.

Optical objects are characterized by permanence, stable shape and good visibility against a light background. When these first symptoms appear, you need to consult a doctor as soon as possible in order to diagnose the disease, identify its cause and take the necessary measures.

Forms

Destruction of the filamentous form is characteristic of patients suffering from atherosclerosis. Also, the formation of threads may be a consequence of dystrophic changes in the retina. One of the most common pathologies that occurs in patients with myopia. Such changes may appear in old age.

If you examine the manhole floor using a slit lamp, you can note the presence of fibers that differ significantly in shape and size. Optically empty gaps are clearly visible between them. This is the zone in which the vitreous fluid liquefies. There are different forms of severity of the disease: from minimal to extremely severe.

When conducting a biomicroscopic examination of the eye, a suspension of microparticles of various sizes, shapes and colors is detected. The suspension is represented by the remains of the disintegrated structure of the vitreous body. It also contains cellular elements and components of cell membranes. You can detect retinal ciliary cells, leukocytes, lymphocytes, pigment cells that came from defective vessels. A powerful destructive process develops, which is based on inflammation of the inner layer of the retina. Often occurs against the background of chronic or acute uveitis, diabetic retinopathy, hemophthalmos. In hemophthalmia, the grains are red in color.

• Like golden shower

Patients often claim that golden sparks appear before their eyes. They become especially pronounced during eye movements. This indicates functional disorders of various organs, in particular: kidneys, liver, endocrine glands. Often the cause is a metabolic disorder, which only gets worse over time. As a result, the colloidal environments of the body change and their composition changes.

Similar processes occur in the vitreous body. Pathological local changes develop in it, active processes of precipitation and coagulation unfold. Crystals are deposited, consisting mainly of cholesterol and tyrosine. The main accumulation occurs in the vitreous body. When they move, they oscillate in a pendulum manner, and active glow and shimmering begin. It is for this reason that the symptom is called “golden shower”. This form of destruction is quite rare.

Pathology can be diagnosed using ophthalmoscopy, a standard technique that is quite often used in diagnostic practice.

By mixed destruction we mean a type of pathology in which two types of destruction, or all three, develop simultaneously. Most often, both filamentous and granular pathology are observed simultaneously, in which both filamentous elements and granular components can be found in the eye cavity. The combination with crystalline destruction is observed extremely rarely, in approximately 1.5% of cases.

Destruction of the vitreous in both eyes

Destruction can develop in one or both eyes. In most cases, first one eye undergoes destructive changes, then, gradually, the pathological process spreads to the second eye. Most often, granular and filamentous destruction spreads to both eyes. Crystalline is rarely observed.

Destruction of the vitreous body in a child

In children, destruction is observed much less frequently than in adults or the elderly. Most often in children, destruction is a consequence of injuries or damage to the eye or brain. Congenital myopia, myopia, as well as stress, overwork, nervous and mental stress can lead to destruction of the vitreous body. Most often, children experience filamentous destruction, less often granular destruction. Cases of crystalline destruction are little known, and arose mainly against the background of delayed mental and physical development, and metabolic disorders.

Complications and consequences

A consequence of the destruction of the vitreous body should be the formation of voids in which fluid accumulates. Gradually they fill with intraocular fluid. The eye is exposed to necrotic and dystrophic processes. The most dangerous complication is retinal rupture or detachment.

How to stop the destruction of the vitreous?

In order to stop the destruction of the vitreous body, qualified assistance from specialists is required. It is not possible to do this on your own. First of all, you need to contact a retinologist who will conduct an examination of the fundus. In order to identify pathology, the ophthalmoscopy method is used, which is an examination of the eye using a slit lamp.

The main condition is early diagnosis, which makes it possible to promptly identify the cause of the formation of flies. This significantly increases the chances of successful treatment and prevents further progression of the disease. The doctor determines the specifics of therapy, depending on the identified pathologies. Surgery or laser correction may be required, since there is no specific conservative treatment.

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Diagnosis of vitreous destruction

The basis of diagnosis is the recognition of pathology mainly based on the clinical picture. Therefore, it is important to carefully study the patient’s life and illness history and obtain the necessary information and information about the patient. Based on the patient’s subjective feelings and objective examination data, a preliminary diagnosis is made. If there is insufficient data, additional laboratory and instrumental studies may be prescribed. Differential diagnosis is also carried out, which allows you to clearly distinguish the signs of one disease from another. At the same time, it is important to pay attention to concomitant diseases, since they can also cause the development of destruction. Often, destruction is not the main disease, but a secondary pathology that develops as a result of another disease.

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Analyzes

The need for laboratory tests rarely arises, since the main research method is instrumental diagnostics. Rarely, bacteriological examination of tear fluid may be necessary. This need arises mainly in case of bacterial infection of the eye or suspected conjunctivitis.

In case of acute inflammatory process, a clinical blood test is taken. In the case of a crystalline form of destruction, which occurs against the background of metabolic disorders, a biochemical blood test and a detailed immunogram may be required.

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Instrumental diagnostics

Instrumental diagnostics are based on ophthalmoscopy and biomicroscopy, which allow a detailed study of the eye itself and the fundus of the eye. Additional research methods that can provide the required amount of information are ultrasound, tonometry and visometry.

Using the ophthalmoscopic method, it is possible to identify optically empty cavities, which in most cases are represented by vertical slits. In the presence of complete destruction, a single cavity is found filled with fibril fragments. The limiting membrane may be destroyed, then the retrolental space is absent. If the opacification is localized at the edge of the retina, specific changes will not be detected.

Using a slit lamp, a biomicroscopy examination reveals a colloidal gel, cloudiness in the form of flakes. With filamentous destruction, loop-shaped collagen fibers are detected. Granular destruction manifests itself as an accumulation of small particles. The particles are predominantly gray or brown. At later stages, clusters of grains can be identified as a separate conglomerate.

Ultrasound is also a very informative research method. It is used most often in the presence of hemorrhages in the retina or vitreous body. Makes it possible to identify the source of hemorrhage. The presence of echo-negative signals from crystal lattices inside the colloid, as well as the mobility of crystals, grains and collagen accumulations indicates liquefaction of the vitreous body.

Optical coherence tomography is performed if other research methods have not provided the required amount of information. Destruction will be indicated by a decrease in size and an atypical shape of the vitreous body, its cloudiness and heterogeneous consistency. In case of massive hemophthalmia, the method is contraindicated.

Visometry can be used to diagnose the degree of vision loss.

Tonometry is used to examine intraocular pressure.

Differential Diagnosis

In order to make a final diagnosis, it is necessary to clearly separate the signs of destruction from other diseases that have similar manifestations. So, similar floaters and spots before the eyes can occur with retinal tears, head trauma and neurological disorders.

These diseases can be ruled out by physical examination, vision testing, fundus examination, and examination using a slit lamp and ophthalmoscope.

Treatment of vitreous destruction

The treatment is quite complex and is selected strictly individually for each patient. The intensity and focus of therapy is determined by the nature and extent of the lesions, as well as how much the patient’s vision is impaired. The impact of pathology on the performance, physical and mental state of the patient is also taken into account.

No specific treatment has been developed to date. There are still no methods that would effectively remove fibrillary growths without additional risks. Therefore, therapy is based on identifying the underlying disease and further combating it. For example, if the cause of destruction is diabetes, then it is necessary to fight it first, then the destruction will be normalized as a secondary pathology.

The basis of drug therapy is the use of absorbable agents, drugs that improve cerebral circulation. There is no specific treatment aimed directly at restoring destroyed fibrils and preventing destruction.

Now on the market there is a large number of biologically active additives, drugs that can indirectly affect the restoration of tissues, including fibrils. You can try the use of physiotherapeutic methods, folk recipes and homeopathic remedies. Surgical treatment and laser correction are also used.

Is it possible to cure vitreous destruction?

There are no direct methods aimed at treating destruction. But destruction can and should be treated. Today, treatment includes means aimed at resolving deposits and fibrillar formations inside the eye, as well as reducing the load on the visual analyzer. Etiological therapy is used, aimed at eliminating the cause that caused the destruction. Symptomatic therapy is also used, which eliminates the main symptoms of the pathology. These methods allow you to achieve good results and prevent further development of pathology. In case of inefficiency, surgical methods or laser correction are used.

Medications

First of all, I would like to note that there are no specific drugs aimed at treating the destruction of the vitreous body. Therefore, at this time, any claims that any drug or supplement is aimed at eliminating destruction are false or erroneous. Any drug will have only an indirect effect, this must be remembered. It is important to take precautions - use the products only as prescribed by a doctor, according to a strictly prescribed regimen. This is due to the fact that the funds are selected for each case individually, and are based on the results of laboratory and instrumental studies. Numerous side effects are possible, in particular, worsening of the pathology or the occurrence of other diseases of the organ of vision.

To improve cerebral circulation, and as a result, improve blood supply to the brain, use 0.4 grams of piracetam 2-3 times a day.

To eliminate hypoxia and normalize metabolic processes in the brain, cinnarizine is used: 25 mg 2-3 times a day.

Mexidol has proven itself well, having a relaxing and antioxidant effect. Eliminates dystrophic and necrotic processes, accelerates the transmission of nerve impulses, and promotes the resorption of compactions. The drug should be taken with a gradual increase in load from minimum to maximum. Start with 200 mg per day, gradually increase to 600 mg. It also needs to be completed gradually. In this case, you need to return to the minimum dosage – 200 mg per day.

Mydocalm is used to stabilize the nervous system, normalize metabolic processes and reduce muscle tone. Take one tablet three times a day.

Drops for destruction of the vitreous body

Eye drops are used to treat destructive processes. They are vitamin and absorbable, aimed at resolving deposits and formations inside the eye. Drops such as oftadex, taufon, ciprofloxacin, and chloramphenicol drops have recommended you well. Potassium iodide is also used as a strong absorbent agent. The drops have a local effect. Their use alone will not be enough to eliminate the pathology and alleviate the condition. Therefore, they resort to systemic therapy, taking medications orally.

• Wobenzym

A drug intended to normalize microcirculation in the tissues of the eye. It has a resolving effect, eliminating the inflammatory process and reducing the amount of deposits and neoplasms in the eye. Restores normal blood circulation. It is an enzyme preparation that resolves collagen fibers and their clots. Use strictly as prescribed by a doctor, in compliance with an individually developed regimen. In this case, the scheme is developed based on the results of laboratory and instrumental studies.

• Emoxipin

The drug is aimed at normalizing microcirculation in the tissues of the eye. Classified as vascular drugs. Restores cerebral circulation, normalizes intraocular pressure. Apply strictly according to the doctor's prescription in accordance with the prescribed scheme.

• Taufon

It is an eye drop that stimulates metabolic processes in the cells and tissues of the eye. It contains an active vitamin complex. It is used for minor violations of the visual field. For more severe disorders, complex therapy is required, including systemic drugs. Apply 2-3 drops 3-4 times a day.

• Glycine

Glycine is a drug aimed at stimulating activity and normalizing brain function, improving cerebral circulation, maintaining normal blood supply and metabolism. Normalizes the function of the brain and auditory analyzer. Take 2-3 tablets, 3-4 times a day.

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vitamins

To maintain the normal functioning of the visual analyzer and prevent destructive and dystrophic processes, it is recommended to take vitamins in the following daily concentrations:

• Vitamin H – 150 mcg
• Vitamin PP – 60 mg
• Vitamin C – 500-1000 mg
• Vitamin E – 45 mg.

Physiotherapy treatment

Electrophoresis is used as the main physiotherapeutic procedure. This is a procedure based on the effect of microcurrent on the skin and mucous membranes. Under the influence of microcurrent, medicinal substances quickly penetrate deep into the tissues, penetrating directly into the tissue that needs treatment. This increases the accuracy and direction of action, reduces the need for the amount of substance. Accordingly, the likelihood of side effects and overdose is also reduced. The main medications are absorbable, vascular, vitamins and enzyme complexes.

Traditional treatment

To prepare a decoction, 25 grams of cumin is required. Boil for 5 minutes in boiling water. Then they do not filter, but add a tablespoon of blue cornflower flowers to the resulting decoction. They set aside from the fire, insist for an hour, wrapped in warmth. After this, the decoction is filtered and 1-2 drops are dropped into the eyes when discomfort, burning, floaters, or decreased vision appear.

Toadflax grass has long been used for washing and eye drops. To prepare the decoction, take 15 grams of herb and infuse it in boiling water for 8 hours. Drop 2-3 drops three times a day.], ,

Treatment of destruction of the vitreous body of the eye with an egg

In folk medicine, eye destruction is treated with an egg. To carry out the therapeutic effect, you need to boil a hard-boiled egg. Take out the yolk and grind it with honey until a homogeneous mass is formed. The protein is boiled again. As soon as it has become moderately hot, apply it to the eyes from above, lie down and lie there for 10-15 minutes. After removing the white, apply a mixture of yolk and honey to the area around the eyes and lie there for another 5-10 minutes. Perform the procedure daily for at least 5 days in a row. Promotes the resorption of tumors and deposits, relieves the inflammatory process.

Herbal treatment

Herbs are actively used to treat various inflammatory and destructive processes, including the treatment of eye diseases.

Plantain decoction has proven itself well for the appearance of spots and circles before the eyes. To prepare a decoction, take a tablespoon of herb and pour a glass of boiling water. Infuse for 1-2 hours, use for eye rinsing, washing or lotions.

Also use a decoction of knotweed. To prepare, add 1-2 cups of boiling water to a tablespoon of herb. Use warm for rinsing and lotions.

A decoction of mint is used for the appearance of floaters and other unpleasant sensations before the eyes. As a local remedy, it is used for lotions, washing and eye drops. As a systemic drug, the prepared decoction is taken orally.

To prepare, pour a tablespoon of herbs into two glasses of boiling water. Leave for 30 minutes. Then divide into two glasses. Drink one glass throughout the day. It is recommended to drink a third of a glass three times a day. The second glass is used for external use.

Homeopathy

Homeopathic remedies are quite effective and cause minimal side effects. But, despite this, you need to take precautions: take only after prior consultation with your doctor, strictly follow all recommendations and dosage regimen.

Means aimed at eliminating necrotic, dystrophic and destructive processes in body tissues have proven themselves well. These are mainly herbal infusions, which have long been used to activate metabolic processes and stimulate regeneration in tissues.

• Recipe number 1.

To prepare the infusion, mix 15 grams of white cinquefoil with 10 grams of hop cones, pour in 500 ml of vodka. Drink 50 grams per day.

• Recipe No. 2.

Take 10 grams of burnet, mix with 15 grams of elecampane, pour in 500 ml of vodka. Drink 3-4 tablespoons twice a day.

• Recipe number 3.

Take burnet herb, black poplar buds in a ratio of 2:1, pour a glass of vodka, leave for a day. Drink 2-3 tablespoons twice a day.

• Recipe No. 4.

Take meadow geranium tincture and hop cone extract, mix in a 2:1 ratio, and infuse for 24 hours. Drink a tablespoon three times a day.

Surgery

The main method of surgical treatment is vitrectomy - a technique aimed at complete or partial removal of the vitreous body. After this, the removed areas must be replaced with a special artificial environment. This is a radical method that is used only as a last resort in the presence of serious indications.

The operation is effective, but it is rarely performed due to high risks. Complications are often observed, such as: hemorrhage into the eye cavity, retinal detachment, cataracts.

Treatment of vitreous destruction with laser

If the destruction is quite severe and does not respond to conservative treatment, surgical methods are used. The main technique is vitreolysis, aimed at crushing large fragments of collagen. Local anesthesia is used for the operation.

First, the pupils are dilated using short-acting mydriatics, then the necessary manipulations are performed using a laser. The operation is complicated by the high mobility of pathological accumulations inside the colloidal gel. However, in general, such operations are quite quick and successful, there are practically no complications after them, and vision does not decrease.

Unfortunately, today the operation is not widespread enough. Only a few specialists practice it.

Nutrition for destruction of the vitreous body

During destruction, you need to eat gentle food. It is advisable to use boiled, steamed dishes. It is also important to include in your diet a large amount of foods containing carotenoids, vitamins A, E, B. Blueberries should be a must-have product on the table, since the berries have a restorative effect on the eyes. You need to eat carrots daily, both fresh and as part of various salads. Products such as lettuce, spinach, celery, and turnips are good for vision. Fatty meats, fried, smoked, spicy foods, marinades, and smoked foods should be excluded from the diet.

Prevention

Prevention is based on timely diagnosis. When the first signs of the disease appear, you need to consult a doctor as soon as possible. It is important to undergo preventive examinations in a timely manner and treat identified diseases of other organs, especially vascular pathologies. This is due to the fact that destruction is often a secondary pathology that occurs as a result of a disease of another organ or system.

Avoid fatigue and eye strain. If poor vision occurs, it is necessary to properly correct it. It is also important to maintain a nutritious diet containing the required amount of nutritional components and vitamins. You need to include more fresh fruits and vegetables in your diet, especially carrots and blueberries.

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Destruction of the vitreous body is a pathological condition that results in the destruction of the normal structure of the vitreous body. The process is accompanied by thickening of collagen fibers, liquefaction of the gel-like mass and, in some cases, its wrinkling. To understand the essence of the disease, let us briefly consider the structure of the vitreous body.

Anatomy of the vitreous

The vitreous body is located between the retina and the lens and is a gel-like substance. It consists of 99% water and 1% hyaluronic acid, collagen fibers and other substances. Even though collagen and hyaluronic acid are present in such small quantities, they are very important components. Collagen forms the framework of the vitreous body and gives it elasticity, and hyaluronic acid provides a jelly-like consistency.

The vitreous body performs a number of important functions:

• Compensates for changes in intraocular pressure;
• Provides turgor (elasticity) of the eyeball;
• Participates in transmitting images to the retina.

How does destruction of the vitreous body form?

Normally, the vitreous body is completely transparent. However, under the influence of certain factors, collagen chains are split into small fragments that are no longer transparent. They are the ones that are perceived by the eye as spots, etc.

Violation of the structure of the vitreous body in some cases leads to mechanical damage to the retina and then a person sees sparks, flashes of light and other light effects before the eyes.

In advanced cases, destruction is severe. At the same time, there are a lot of collagen fragments, they float throughout the vitreous body and form peculiar tangles that interfere with vision. This usually happens in older people who suffer from atherosclerosis or other vascular diseases.

In advanced cases, destruction is severe

One of the types of destruction is destruction in the form of silver or golden rain. It is caused by the deposition of cholesterol crystals inside the vitreous. As the eye moves, these microscopic particles smoothly move and shimmer in the rays of passing light, which creates the picture of a brilliant golden rain.

In especially severe cases, destruction leads to wrinkling of the vitreous body and its further detachment. This breaks the thin fibers connecting it to the retina. As a result, a rupture occurs with massive hemorrhages (you can read more about retinal rupture).

Causes of destruction

In elderly people, destruction of the vitreous body is a physiological phenomenon and is caused by the aging process of the body. The emergence The following factors may contribute to destruction at a younger age::

• Intense eye strain (reading, watching TV, etc.).
• Long-term hypoxia is a condition in which the brain does not receive enough oxygen (for example, working in a stuffy room).
• Chronic psycho-emotional stress.
• Effect of radioactive radiation.
• Smoking and alcohol abuse.
• Insufficient amount of minerals and vitamins.
• Atherosclerosis of the vessels of the head and neck.
• Hormonal imbalances caused by pregnancy, age or diseases of internal organs.

Classification of types of destruction

In practice, the following types of vitreous destruction are distinguished:

Symptoms of the disease

The main complaint with destruction of the vitreous body is floating spots before the eyes

The main complaint that is made with the destruction of the vitreous body is floating spots in front of the eyes. In the medical literature they are called myodesopsies.

Cholesterol crystals, blood clots, protein, and short chains of collagen fibers can bind together and cast a shadow on the retina. At this moment the person sees strange floating elements in his field of vision.

At first, when you look away, the front sights move sharply. However, as soon as you fix your gaze on a specific point, they slowly fall down.

The closer the collagen fragments are to the retina, the more clearly the patient distinguishes floaters.

Depending on the type and severity of destruction flies can take on the following shapes:

• Threads. They look like opaque or translucent stripes of brown, gray or black. Their ends are neatly rounded or sharply torn off. Can be long or short. Long threads constantly wriggle: they compress and straighten, twist, stretch, etc. Some people describe them as small moving worms. As for short threads, they practically do not change their shape and look like sticks or hooks. The described structures are an integral part of the filamentous destruction of the vitreous body.

If additionally sparks or flashes of light begin to appear before your eyes, this may indicate a more severe visual impairment (for example, vitreous or retinal detachment).

Diagnostics

Diagnosis of vitreous destruction is usually not difficult and is mostly based on the clinical picture. At the same time, it is important not to miss concomitant diseases, which also manifest themselves as spots before the eyes (hypertensive crisis, concussion, diabetes mellitus, etc.).

When the vitreous body is destroyed, the floaters are constant, do not depend on the position of the body, and are best seen when looking at a light background.

Treatment of destruction of the vitreous body of the eye

Treatment is aimed at eliminating the cause that caused this pathology.

Unfortunately, to date, no treatment methods have been developed that can safely and efficiently eliminate the unpleasant symptoms of vitreous destruction. In this regard, treatment is aimed at eliminating the cause that caused this pathology.

There are several directions in the treatment of vitreous destruction:

• Non-drug methods;
• Drug treatment;
• Surgical methods.

Non-drug methods

Leading a healthy lifestyle

First of all, you need to give up smoking, alcohol, and a sedentary lifestyle. It has long been proven that nicotine is the most terrible enemy for blood vessels, which causes a number of diseases, including destruction of the vitreous body.

If you have to lead a sedentary lifestyle due to work, you should get a massage, especially in the neck area. This is due to the fact that incorrect posture during work can interfere with adequate blood circulation to the organs of the head, including the eyes. An alternative to massage can be yoga.

It is very important to reconsider your attitude towards nutrition. The daily diet should include as much fresh herbs, vegetables and fruits as possible. Foods such as blueberries and carrots are natural sources of retinol (vitamin A), which has a beneficial effect on vision.

Destruction can occur as a result of overwork of the nervous system. Therefore, we must try to avoid conflicts and stressful situations.

The measures described may seem more preventive than curative. However, normalization of lifestyle often reduces or completely eliminates the symptoms of vitreous destruction, which makes it possible to classify it as a therapeutic approach

Healthy activities for the eyes

The first step is to reduce the amount of strain on your eyes. If your professional activity involves working at a computer, then you need to take at least a five-minute break every half hour. In this case, just close your eyes and try to relax. It is also useful to make a special one.

Currently, the author's eye health systems developed by Dr. Norbekov, Shichko-Bates, Avetisov, are very popular.

Massotherapy

Professional massage of the face and eye area improves blood circulation and lymphatic drainage, which has a beneficial effect on all metabolic processes.

If the massage is performed efficiently, a person will notice a significant improvement in well-being after the first session.

Folk methods of treatment

The most effective treatment for vitreous destruction are drops made from honey and aloe juice:

• 4 tsp aloe juice should be mixed with 1 tsp. natural honey to form a homogeneous substance, and leave for a couple of hours.
• It is necessary to instill three drops into each eye three times a day.

The described product saturates tissues well with nutrients and improves local blood flow.

Medical methods

As prescribed by a doctor, the following medications can be taken for destruction of the vitreous body:

• (has antioxidant activity and normalizes microcirculation processes);
• Cinnarizine, Cavinton(improves intracerebral blood circulation and strengthens the vascular wall);
• Wobenzym(an enzyme preparation that has the ability to dissolve collagen clots);
• Topical application of potassium iodide(has a resolving effect).

Surgical treatment of destruction

There are two methods of surgical treatment of destruction:

Vitrectomy

Removal of all or part of the vitreous. The vacated space is filled with an artificial medium (saline solution, silicone oil, gas bubble, etc.).

This operation is used only in extreme cases and is quite dangerous, as it can be complicated by retinal detachment, cataracts, and intraocular hemorrhage.

Vitreolysis

Dissolution of opaque vitreous clots using a laser beam. The essence of the intervention is that the laser beam splits the clots into microscopic particles that can no longer be perceived by the eye.

Unfortunately, vitreolysis is not widely used and is practically not performed on the territory of the Russian Federation. The fact is that it is very difficult technically, since you have to work with moving objects.

Forecast and prevention

Mild degrees of destruction, which occur in a large number of the population, have virtually no effect on ability to work and quality of life. It should be noted that people quickly get used to such visual effects and very quickly stop paying attention to them.

As for more pronounced destruction, it can cause certain problems (for example, overstrain of the visual analyzer and limited ability to work). In such cases, it is necessary to decide on surgical intervention.

To prevent changes in the vitreous body, you need to carefully monitor your lifestyle. Unfortunately, it is the “benefits of civilization” that in most cases become the cause of this pathology: a sedentary lifestyle, TV, computer, etc.

Nowadays, destruction of the vitreous body occurs in almost every schoolchild. In this regard, parents should accustom their child to compliance with visual hygiene rules: read only while sitting at a table and in good lighting, walk more in the fresh air, limit time spent in front of the monitor, etc.

In addition, everyone should visit an ophthalmologist at least once a year.

Half of people over 65 years of age complain that spots, dots, lightning, flashes, dashes, etc. flash before their eyes. This means that they develop destruction of the vitreous body of the eye.

In each case, this issue is resolved individually, but the final decision depends on many things: the extent of the lesion, what optical effects the patient observes, and how they affect the patient’s ability to work and his general condition. But the patient’s opinion is not in last place.

The reason for all this is that, despite the fact that the disease has been known for a long time, there is still no specific treatment. Therefore, the main efforts during the treatment procedure will be aimed at combating the cause of destruction, reducing the load on vision and symptomatic drug treatment. But how amblyopia is treated in adults at home, and how effective it is, is indicated here.

The video describes the disease and what can be done:

The use of drugs in the treatment of destruction is aimed at stabilizing the state of the vitreous body with further slowing down the development of the disease. According to patient reviews, the effect of using eye drops is minimal. But sometimes they significantly reduce the number of floaters in front of the eyes or at least make their appearance blurry.

Here are the drugs used in drug treatment:

But treatment with drops alone is not enough; homeopathic remedies are actively used - Sulfur iodine, Arnica, Oklohel.

Oklokhel

Electrophoresis with aloe extract provides good assistance in the fight against destruction. The course of treatment is 10 days. Instead of aloe, you can use lidase.

Vitamin complexes - Aevit, Blueberry forte, Vitrum Vision, star eyebright - they are designed to enhance the effect of the above-described drugs. B vitamins administered intramuscularly will have the same effect.

Vitrum Vision

Also, enzyme preparations - Wobenzym, Flogenzyme - are often used in the treatment process. They dissolve collagen clots. These drugs are taken orally in tablet form.

Hydrocortisone, prednisolone or dexamesatone - these corticosteroids are used to resolve the haze.

Recently, the drug Visudin has been widely used. Its peculiarity is that it is photosensitizing. Simply put, it begins to work in the body only after it is irradiated with a beam of light with a certain wavelength.

Visudin

In addition, oxygen must be present in the environment. This is due to the fact that after irradiation of the drug with light, a certain amount of energy is released, affecting the oxygen molecules. As a result, reactive oxygen species (triplet and singlet) are formed; their existence is short, but during this time the singlet form manages to interact with cellular structures, leading to their death.

The effect of the reaction is local, in a very small area. At which tissue destruction and thrombosis of destroyed vessels occurs. It is this latter property that is used in the treatment of destruction.

But what are the symptoms of destruction of the vitreous body of the eye, this article will help you understand.

There are contraindications to its use:

• Sensitivity to the main active substance or to one of the components;
• Presence of storage disease (Porphyria) – visudin, a porphyrin derivative;
• Cannot be used by pregnant women.

In some cases, surgery is used:

The only thing is that surgical intervention is used extremely rarely, especially if the patient is old. Firstly, almost all surgical interventions cause complications, so their use is not entirely justified.

Secondly, operations for older patients in most cases turn out to be useless due to age-related changes.

Folk remedies

Representatives of alternative medicine offer their own methods of treating this disease:

By the way, massage as a type of treatment has become much more widespread, or rather its various types. Massage of the collar area is widely used.

Gymnastics

This method is the safest way to treat destruction. There are many gymnastic techniques: systems according to the Bates, Norbekov or Zhdanov method.

The exercises are simple in most cases, not to say that they will help you completely get rid of floaters before your eyes. But they may well move them out of sight:

• Palming or an exercise to relax the eyeball. You need to close your eyes with your hands to ensure more complete relaxation. Cover your eyes with your hands tightly so that there are no gaps between your fingers. Then we sit down at the table and place our elbows on the table. We relax the body, while the neck and spine should be on the same line. It is advisable to spend at least 2-3 minutes in this position, and preferably up to 15 minutes;

Palming in the video:

• Let's move our gaze sharply from right to left and from top to bottom. This exercise is only recommended for those who do not have retinal detachment. Otherwise it will speed up;
• Instead of sudden movements, we use slow ones. In this case, breathing should be calm and uniform.

Doctors' forecast

Many doctors believe that optical effects in most cases are not an obstacle to a full life and do not have any negative impact on one’s ability to work. Well, the very lack of effective treatment forces patients to somehow adapt to their condition. However, it is recommended to undergo periodic examination by an eye doctor to identify possible complications.

But the concern is that many patients experience depression and other psychological problems under the influence of optical effects. The visual organ and cervical spine are also subject to serious overload due to constant eye strain.

Reviews

• Maria. 15 years “I’ve been suffering from this for two years now, there seem to be no special problems, but I’m tired of the constant stress. I tried many methods, but honey drops showed the best results.”
• Alexander, 35 years old “I suffered for about 4 years. I tried everything, nothing helped. At the end of last year I went to Singapore, where I had surgery to replace the vitreous. It’s been more than eight months and everything is fine.”

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Treatment methods for vitreous destruction

Destruction of the vitreous body (VHF) is manifested by the flickering of white or black midges before the eyes. They are a consequence of clouding of the vitreous humor 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 over the age of 65 complains about flies hovering before their eyes, but sometimes the problem occurs in young people. Let's find out whether destruction is dangerous for vision and health, and how to treat it?

Is destruction of the vitreous dangerous?

The main symptom of the disease is floaters in the eyes. They can be seen in clear weather against a background of clear skies or white snow. Flies can have different brightness, which depends on the distance of the opacities in the vitreous from the retina: the closer to it, the brighter. They move with your gaze, and if you try to focus your gaze on them, they will begin to slowly “fall.”

The vitreous body is normally transparent and homogeneous. But if the gel-like structure is destroyed, destruction develops. It usually takes one of four forms:

• Grainy. The elements hovering before the eyes are compactions of decayed pigment cells or lymphocytes. They look like circles, black flies or grains.
• Threaded. Spots, strings or dots before the eyes are a consequence of the breakdown of collagen 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 leads to detachment of the retina. Vision can be significantly affected, including blindness.
• Crystalline. The difference from other forms is that sparkles with a silver or gold tint hover before the eyes. The reason for this specificity lies in the fact that “floaters” are particles of cholesterol that shimmer in the sun’s rays, floating in the gel-like structure of the vitreous body.

A serious danger to vision is caused by destruction only in the form of wrinkling of the vitreous body. All other forms of DST do not affect a person’s health and ability to work, so he can live a full life. However, black dots often appearing before the eyes are the cause of the development of psychological problems. Depression may develop. Also, with numerous flies, the load on the cervical spine and eyes increases due to their overstrain.

Important! If black or white spots, cobwebs and midges do not lead to a decrease in visual field and visual acuity, treatment of vitreous destruction is not necessary. What is important is only periodic observation by an ophthalmologist and differential diagnosis with diseases of the retina and neurological disorders. If DST interferes with your full life, or there is a risk of deterioration and loss of vision, you need conservative treatment or surgical intervention.

Advice from an ophthalmologist for patients with vitreous destruction

In most cases, destruction develops due to 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 (nearsightedness);
• Pregnancy or menopause (due to hormonal changes);
• Diabetes;
• Injuries to the head and eyes directly;
• Stressful and depressive conditions;
• Constant eye strain.

Since there are no effective methods for conservative treatment of destruction of the vitreous body of the eye, ophthalmologists give patients recommendations to stop the progress of the disease. They are usually associated with the prevention of situations and diseases that provoke the destruction of the structure of the vitreous body. If you completely change your lifestyle, over the years, cloudiness and thickening may disappear altogether.

Ophthalmologists advise:

• Quit smoking and alcohol;
• Enrich your diet with foods high in vitamin A;
• Monitor the condition of blood vessels (prevention or treatment of vascular diseases);
• Monitor blood pressure;
• Do exercises that improve blood circulation in the back and neck;
• Reduce time spent at the computer or TV.

Destruction of the vitreous body of the eye is often a consequence of chronic diseases. And in order to remove the floaters hovering before your eyes, you will need to treat them. Typically, symptoms of chronic diseases disappear during treatment, but appear again after the end of the treatment course. A healthy lifestyle will help you completely forget about health problems.

Conservative methods of treating DST

With minor destruction of the vitreous body, treatment should be conservative. It involves the use of medications, eye gymnastics and folk methods to help lumps dissolve. These methods cannot be called effective, but with long-term treatment they give positive results.

Medical treatment

When the vitreous body is destroyed, ophthalmologists prescribe eye drops that promote the resorption of opacities and compactions by improving metabolic processes. They do not completely remove floaters, but as a result of therapy, patients notice that the spots have become more transparent and their number is decreasing.

The most popular drugs:

• Taufon. Normalizes metabolism at the cellular level;
• Cavinton. Designed to strengthen the walls of blood vessels that nourish the eyes;
• Emoxipin. The drug improves blood circulation in the tissues of the eyeball;
• Potassium iodide. The substance helps directly dissolve seals that are perceived by the eye as floaters;
• Quinax. This drug is recommended for the treatment of cataracts. However, ophthalmologists have noticed that it gives positive results in DST.

• Star eyebright;
• Blueberry Forte;
• Aevit;
• Vitrum Vision.

Sometimes vitamins are prescribed in the form of eye drops:

• Vitafacol;
• Octilia;
• Ifiral;
• Okovit.

Since B vitamins are beneficial for the eyes and blood vessels, their deficiency must be replenished. To do this, a course of intramuscular injections is carried out, or long-term medication is prescribed (for example, brewer's yeast in dragees).

The drugs Wobenzym and Phlogenzyme help in the resorption of collagen formations in the vitreous body. This is also facilitated by eye ointments containing corticosteroids (dexamethasone, prednisolone or hydrocortisone).

Sometimes 10-day courses of electrophoresis with lidase or aloe extract are effective. Some patients are helped by homeopathic medicines: Oculochel, Arnica and Sulfur Iodine.

Gymnastics for the eyes for DST

Since the vitreous body has a gel-like structure rather than a solid, the liquid filling it can move freely. The seals also move with this fluid. This exercise will help redistribute the glassy mass so that the cloudy areas disappear from view for a while:

1. Sit on a chair, look forward. Make sure your head and back are straight and your shoulders are back;
2. With a sharp movement of your eyes, look to the left, and then to the right;
3. Now look ahead again;
4. Move your gaze sharply up and down.

Attention! Before doing this exercise, check with an ophthalmologist and make sure that in your case the destruction of the vitreous body does not cause retinal detachment. Otherwise, you may speed up the process and increase your 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 force the floaters to the periphery. It's called "palming". Technique:

1. Sit at the table so that your spine is in line with your neck. This is necessary for normal blood circulation.
2. Relax and think about something good;
3. Rub your palms together so that warmth emanates from them;
4. Fold your palms crosswise and cover your eyes with them. The nose should remain free, and no rays of light should penetrate to the eyes.
5. Close your eyes, holding your palms on them for 2-3 minutes.

Slow exercises will also help to bring flies to the periphery:

• Look left and right;
• Look up and down;
• Rotation of the eyeballs in a circle clockwise and counterclockwise;
• Focus your gaze on the tip of your nose.

These exercises can be performed immediately as soon as a fly or cobweb comes into view. And to reduce their number, try to perform full-fledged gymnastics every day according to Norbekov or Zhdanov, Bates. They can also help you maintain sharp vision, improve it, or stop it from getting worse.

Traditional methods of treating DST

Now let's talk about how to get rid of floaters in the eyes at home using traditional medicine methods. On your own, you can:

• Make eyelid massage. Close your eyes and use your fingertips to massage your eyelids. Do this with slight pressure on the eyeballs. Massage will help speed up the flow of lymph and blood, which will have a positive effect on the resorption of seals in the vitreous body. It needs to be done several times a day for 1-2 minutes.
• Prepare honey drops for the eyes. Mix aloe juice and liquid (not crystallized) honey in proportions: 4 to 1. Keep the mixture in a dark place for 2 hours. Place the composition into the conjunctival sac using 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, before instillation, hold the pipette in your hands to warm its contents.
• Prepare eye drops based on propolis. To make this product more effective, use shungite water as a base. Dip propolis into it and let it brew. Then use the infusion as usual eye drops: instill 1-2 drops into the conjunctival sac 2-3 times a day.
• Make a compress from chickweed infusion. Brew 2 tablespoons of dry herb as tea in 1 cup of boiling water. Let it brew for 4 hours, then strain the infusion and soak cotton pads in it. Apply them to your eyes for 15 minutes.

Attention! You can prepare shungite water at home. To do this, you only need water and a special stone - shungite. You need to take these components in a ratio of 10 to 1 (for 1 liter of water - 100 grams of shungite, for 2 liters - 200 grams). Immerse shungite in drinking water for three days. During this time, the water will lose harmful heavy metals and become disinfected.

Treatment of destruction surgically

If treatment with folk remedies, and especially therapeutic exercises, lifestyle changes and drug therapy do not give positive dynamics, and the number of spots 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 is at risk of losing his sight, or the disease significantly reduces his quality of life.

For DST, two types of surgery are performed: vitreolysis and vitrectomy. Let's consider both options.

Vitreolysis

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, since medicine in our country has not yet mastered the technique of its implementation. However, it is already used everywhere abroad.

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 everything is in order, he is sent home. Removal of flies is carried out in several stages:

1. Pupil dilation using special drops;
2. Placement in front of the eye of a lens with three mirrors necessary to focus the laser beam on the object of influence;
3. Administration of local anesthesia;
4. Direct laser exposure to opacities and compactions in the vitreous body to destroy them.

The operation is complicated by the fact that the seals in the vitreous are constantly moving. They are very difficult to catch. Therefore, the outcome of the operation largely depends 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 laser surgery:

• The appearance of cataracts;
• Development of glaucoma (increased pressure of intraocular fluid);
• Detachment of the retina;
• Hemorrhages in the tissue of the eyeball.

Ophthalmologists consider vitreolysis a successful way to combat the destruction of the vitreous. 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 is honed to perfection, it is quite possible that it will become more popular than another method of surgical treatment of DST - vitrectomy.

Vitrectomy

This is a very difficult ophthalmological operation, consisting of complete removal of the vitreous humor. There must be a compelling reason for its appointment. It is usually recommended when the fibers of the body have become so cloudy that visual acuity has decreased significantly, and as a result a person cannot live a full life. In this case, wearing glasses or contact lenses will not help, since the biological lens between the lens and the retina is not able to adequately transmit light rays.

Removal of the vitreous body is performed under anesthesia for 30-90 minutes. To preserve visual ability, the surgeon fills the cavity formed in the eyeball with a substance similar in optical properties to the vitreous body (it consists mainly of hyaluronic acid and collagen protein). It could 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;
• Bleeding inside the eye;
• Endophthalmitis of an infectious nature.

If the operation was carried out successfully, and the development of consequences is not observed, then vision is restored within a few days.

Important! Before treating DST with surgery, the attending physician must make sure that conservative therapy is ineffective. And for opacities associated with physiological aging, surgery is contraindicated. This is due to the peculiarities of the structure of blood vessels in older people. They are too weak for vitrectomy to be successful.

In most cases, destruction of the vitreous body does not pose any danger. It appears only occasionally when a person looks at a light background in bright light. But if flies constantly hover before your eyes, this indicates significant destruction of the structure of the vitreous body. And if this causes vision deterioration, treatment is necessary. Surgical intervention is used only in extreme cases due to the high risk of postoperative consequences.

vizhunasto.ru

Destruction of the vitreous body - treatment with drugs and surgery!

Destruction of the vitreous body, or myodeszopsia, is a serious ophthalmological disease. It is characterized by the appearance of opacity in one of the most important optical structures of the eye, which a person sees as various foreign objects - threads, flies, pointed, granular, powdery, nodular or needle-shaped inclusions. They are sometimes called "floaters" or "floaters." Correct diagnosis is very important for this disease, since such symptoms can accompany other diseases - ophthalmological, neurological, mental. For a pathology such as destruction of the vitreous body, treatment is always complex and specific. In addition, relapses or episodes of incomplete cure often occur, so the disorder should be treated very carefully.

Destruction of the vitreous body - treatment

Causes of the pathological condition

The vitreous body is a substance whose structure resembles a gel, filling most of the entire eyeball. It is located in front of the retina and, as it were, supports the lens and other structural elements of the front part of the eye. The basis of its composition is water; it also contains proteoglycans and glycosaminoglycans (carbohydrate-protein structures), including hyaluronic acid. The functions of this optical medium are to give shape to the eye, ensure its preservation, and also refract incoming light and transmit it directly to the retina. During destructive processes, mainly the light-conducting function is disrupted, which affects the subjective perception of visual stimuli by a person.

Structure of the vitreous body

Table. Conditions that may be the causes of this pathology.

ReasonCharacteristic

Age disorders	Changes can begin as early as the age of 40, when the transparency of the structure decreases due to the accumulation of various pigments and changes in blood circulation. However, such problems are usually faced by people aged closer to 60 years.
Vascular pathology	This includes vegetative-vascular dystonia (but it is worth saying that to a greater extent this is a risk factor than a direct cause), hypertension, changes in any vessel walls (calcifications, plaques, elasticity disorders, etc.).
Pathology of the musculoskeletal system	Osteoarthrosis or osteochondrosis of the cervical spine
Metabolic changes - both physiological and pathological	State of pregnancy and lactation, adolescence, use of combined oral contraception, diabetes mellitus, hypo- and hyperthyroidism, atherosclerosis, dyslipidemia, etc.
	Craniocerebral, damage to the eyes or nose, post-operative wounds
Visual, psycho-emotional, physical
	Toxoplasma
Impact of environmental factors	Radiation background, toxins

Posterior vitreous detachment

Destruction of the vitreous body is often the cause or precursor of a much more serious pathology. If among all destruction processes the dominant position is occupied by a change in the consistency of the formation, primarily in the direction of liquefaction, which usually begins from the central part of the formation, then cavities, fibrous fragments, and necrotic masses can form in the vitreous body. Inclusions can be filmy, in the form of screeds or adhesions with different densities. All these pathological elements can grow to the bottom of the eye, and this represents a serious problem, because this situation often leads to retinal rupture or detachment.

Retinal detachment

There are more and less prognostically favorable options for destruction of the vitreous body. The most dangerous process is the process of partial or total wrinkling. This situation is accompanied by deformation and reduction in the volume of the eyeball. In some cases, the retina and vitreoretinal ligaments may rupture, the vitreous body may peel off, and hemorrhages may occur.

Another scenario is vitreous crystallization, in which free-floating white grains appear in the vitreous gel. When moving, they are able to create a picture similar to shiny raindrops.

Symptoms of vitreous crystallization

Symptoms

Destruction of the vitreous body is a disruption of the structure of individual fibers of the formation, as a result of which they become thicker and less transparent. Sometimes several fibers grow together into one conglomerate, intertwining in the form of octopuses, spiders, chromosomes or palm trees. In some cases, the collagen complex breaks down into two parts - a dense and liquid fraction. In this case, lightning flashes before a person’s eyes. This phenomenon, by its nature, is the reaction of the optic nerve to the appearance of empty space, which normally should not exist.

Lightning before my eyes

The “rain” that appears before your eyes does not have to be brilliant. Sometimes it takes on a yellowish-golden color. Crystals can have different sizes, shapes (points, balls, plates), colors (from whitish-yellow to dark brown). These small floaters are caused by the appearance of inclusions of crystallized cholesterol, calcium salt, elements such as magnesium and phosphorus. This situation is more typical for older people with atherosclerosis and dyslipidemia, when the metabolism of lipids and cholesterol in the body is disrupted. This condition often accompanies diabetes mellitus.

Floaters before eyes

Foreign objects in the field of vision are best distinguished when looking at a plain, clean surface (bright blue sky, snow cover, light-colored walls or ceiling without a pattern, a sheet of paper, plain bedding) under high-quality lighting. If there is insufficient light, an excess of small details, or a variety of colors, a person may not notice the appearance of “extra” objects before the eyes.

Apart from the presence of extraneous visual images without visual stimuli, there are no other symptoms - the eyes do not hurt, do not water, do not itch, and vision in general usually does not decrease. However, the presence of “flies” can affect the psychological state of the patient - irritate, anger or frighten. People find it difficult to concentrate on small details or painstaking work if objects in front of their eyes move or are too bright.

The patient becomes irritable

There is a possibility of confusing these foreign objects with the appearance of “extra” images that appeared for another reason (“dark spots” after holding the gaze in the bright sun, “sparks from the eyes” with a traumatic brain injury or arterial hypertension). Differential diagnostic signs of objects arising due to destruction of the vitreous body are the following:

• with sufficient lighting, they are always visible, regardless of the person’s general condition, blood pressure level, or the presence of a head injury;
• objects are always the same shape and size, color, they can move, but do not disappear or appear again.

It's like there's a thread in the eye

Conservative treatment

Conservative therapy for destruction of the vitreous is indicated in cases where there is no threat to vision, the changes are associated with physiological or age-related reasons, and foreign objects in front of the eyes do not cause significant discomfort to the patient. This type of treatment does not bring complete recovery, but it can slow down the development of the disease, the formation of new “visual interference” and improve the general condition of a person.

Using eye drops

1. Ethylmorphine. It is applied in the form of drops into the conjunctival sac, causing slight swelling and hyperemia, which are a consequence of improved blood circulation in this area.
2. Taurine ("Tauphon"). A drug that improves metabolism.
3. Methylethylpyridinol (for example, Emoxipin). This is a means to protect the vascular wall and improve blood circulation. Used in the form of drops. Pentoxifylline (“Trental”) and dipyridamole (“Curantil”) can be used internally.
4. Statins, fibrates (“Atorvastatin”, “Rosuvastatin”, “Simvastatin”, etc.). Used for atherosclerosis and lipid metabolism disorders.
5. Vitamins. B vitamins are used, as well as vitamin A (retinol) and vitamin C.

"Rosuvastatin"

Traditional recipes are widespread, but they have no evidence base for either effectiveness or safety, so their use is not recommended.

In the event that conservative treatment is ineffective, or initially the situation does not allow the use of medicinal methods of therapy, surgical methods for correcting the destruction of the vitreous body are used - laser intervention or surgical vitrectomy (removal of the vitreous body and replacing it with an artificial one).

Destruction of the vitreous body

Laser vitreolysis

With the help of a laser beam, inclusions, adhesions, strands or crystals are split into smaller objects that are not able to interfere with vision.

Preparing for the operation

For the first time, Frank Fankhauser, the author of several large studies on cataracts and laser treatment of vitreous pathology, spoke about laser vitreolysis. Today, this technique is used by many ophthalmological clinics, since in its history, spanning more than a dozen years, it has confirmed its effectiveness and safety.

Vitreolysis is performed using a special YAG laser technology. It is very important to accurately focus the laser beam, the maximum allowable fluctuation is no more than 6 microns. The laser operating frequency should be from 200 to 600 flashes. Typically, healing takes 1-2 procedures, but can take up to 4.

YAG laser vitreolysis is a technology for fragmentation and partial evaporation of opacities

Considering that pathological inclusions in the vitreous body are often mobile, the complexity of the procedure increases several times in contrast to dissection of the iris or splitting of the posterior capsule of the lens, used for cataracts. Therefore, the procedure is performed only if there is a risk of complications, for example, retinal detachment, destruction reduces the patient’s quality of life or level of vision.

However, despite its complexity, vitreolysis is an outpatient procedure in most cases. Only local anesthesia (drip anesthesia) is used, which does not load the heart muscle, vascular structures, liver, kidneys and other organs.

Patients who received combined surgical treatment - FEC and pneumatic vitreolysis

First of all, the patient receives atropine or similar substances as eye drops: this dilates the pupil and relaxes the ciliary muscle. Then a special lens is placed on the eyeball, allowing the laser beam to be focused strictly on the required area of ​​the vitreous body.

There are no cuts involved, so there is no chance of bleeding. In addition, during the procedure there is no pain, only the sensation of having a lens on the eyes.

Contraindications for surgery

Contraindications to vitreolysis:

• violation of the transparency of any optical medium (cataract, edema, corneal opacity);
• a situation where the lens is embedded in the vitreous body;
• violation of hemostasis (blood coagulation system, i.e. increased risk of bleeding);
• retinal detachment.

Hemostasis system

Complications of the procedure

Among the undesirable consequences recorded:

• increased pressure inside the chambers of the eye;
• microhemorrhages in the choroid;
• retinal reattachment disorder;
• development of cataracts.

However, the benefits of the procedure significantly outweigh the risks of complications.

The benefits of surgery far outweigh the risks

If laser correction is not possible, microinvasive vitrectomy can be performed.

Minimally invasive vitrectomy

This is a surgical method for correcting the destruction of the vitreous body, in which part of the vitreous body or the entire formation is removed. The main indication for this procedure is retinal detachment, because this method solves several problems at once:

• the need to work on the posterior parts of the eye;
• stopping bleeding;
• correction of retinal detachment;
• extraction of the vitreous body or part thereof;
• replacement of a remote formation with an artificial prosthesis with a certain number of characteristics.

Vitrectomy of the eye, surgery

The prosthesis used to replace the vitreous must meet a certain list of requirements:

• absolute transparency;
• strictly specific viscosity indicator;
• hypoallergenic;
• complete absence of toxicity.

Removal of the vitreous can be complete (total) or partial (subtotal). During the procedure, perforation (violation of the integrity) of the eye media is minimal, so the risk of bleeding or complications is low.

Vitrectomy - operation scheme

For surgery, the patient is usually hospitalized in a hospital, but in some cases the operation is performed on an outpatient basis. Local anesthesia is preferred, but in certain situations combined anesthesia may be required. The surgeon makes several punctures with a very small diameter needle, removes the vitreous body or part of it, and then performs an intervention on the retina - cauterizing it with a laser beam, and then restoring the integrity of the structures and strengthening them. The operation usually does not take more than 3 hours.

Rehabilitation after treatment may require from several days to several weeks. This depends on the amount of work performed, the type of vitreous prosthesis, and also on the condition of the retina.

It will take some time to recover

Thus, destructive changes in the vitreous today can be cured in various ways, both conservative and surgical. An important task is to see a doctor early. Early and correct diagnosis, as well as wisely chosen treatment tactics. If everything is done correctly, the likelihood of recovery, preservation of full vision and absence of relapses is very high.

Video - Destruction of the vitreous body of the eye (DVT)

linzopedia.ru

Treatment of vitreous destruction: what is important to know?

Flashing dots, opacities or floaters occur in 50% of people over 65 years of age. Flashes, lightning and spots flying in front of the eyes mean the development of destruction of the vitreous body of the eye. The development of the disease in old age is considered to be the norm of age-related changes. However, clouding of fibers in the vitreous body is also observed in young people. Where do flying spots and floaters in the eyes come from and what methods of combating them have been developed by ophthalmologists? How effective is using eye drops? Or is the only way to get rid of destruction - surgery?

Causes of destruction of the vitreous body

The vitreous body is 99% water, the remaining percentage is hyaluronic acid, collagen and other biological components. It is this percentage of active substances that maintains the state of the vitreous body in the form of a gel and provides a transparent structure.

The vitreous body is located between the lens and the retina

The vitreous body is located between the lens and the retina. For a variety of reasons, the molecules inside this part of the eye break down, changing color permeability.

As a result, it seems to a person that he is seeing dots, flies, cobwebs, stars or dark spots before his eyes. Most often this occurs due to aging of the body, loss of the protective function of the vitreous body.

However, it is not only people of retirement age who are at risk.

You can observe similar symptoms at a younger age under the following circumstances:

• in those suffering from myopia (myopia) - the disease changes the shape of the eye due to which the vitreous body is deformed and its adequate blood supply is disrupted;
• in case of ocular circulatory disorders - the causes of poor blood flow to the eyes are cervical osteochondrosis, cardiovascular diseases, hypertension, neurocirculatory dystonia, atherosclerosis of the vessels of the head;
• in case of metabolic diseases - the result of destruction may be Parkinson's disease, dystrophy or diabetes mellitus;
• after infectious diseases, severe poisoning, radiation exposure;
• as a result of complications of conjunctivitis or blepharitis;
• after prolonged oxygen starvation or excessive eye strain.

At a young age, mechanical damage to the eye often leads to the disease. As a result of the injury, part of the eye is destroyed, the ruptured microparticles form into clots and float throughout the vitreous body.

The cause of clouding of the fibers in the vitreous body may be a hormonal imbalance during pregnancy.

Symptoms and diagnosis of the disease

The main symptom of the disease is floating elements in the eyes. They are especially clearly visible in clear skies or on white snow. The brightness of the points before the eyes depends on the location of the floating segments to the retina: the closer, the brighter.

The flies move following the gaze, and after fixing the gaze on a certain point, they slowly descend down.

This disease has several types

There are several types of destruction:

• granular - floating elements are formed from lymphocytes and pigment cells, after decay they are grouped, degenerating into large particles; a person perceives them as small gray grains, dark dots or circles;
• filamentous - dots and floaters are a product of the breakdown of collagen chains; with this type of pathology, visual acuity does not change;
• wrinkling - a complex form of destruction means deformation of the shape and volume of the vitreous body, which significantly increases the risk of retinal detachment; the likelihood of a retinal rupture is indicated by periodic “flashes” and “lightning” in the patient’s eyes; when wrinkled, visual function is significantly reduced;
• crystalline inclusions - the main symptom of this form of destruction - iridescent gold and silver sparkles (“golden shower”), the specificity of the symptom is due to the composition of the elements:
• cholesterol microparticles smoothly move through the vitreous body and shimmer in the sun.

Read: What help is provided for heatstroke

It is important to carry out a differential diagnosis of destruction. Floating segments and lightning before the eyes are observed with retinal rupture, head injuries, and neurological disorders. Dark spots may appear with concomitant diseases (diabetes, high blood pressure, concussion).

Standard diagnosis of vitreous destruction includes fundus examination with an ophthalmoscope, vision test, and slit lamp examination.

Learn about the treatment of vitreous destruction from the Live Healthy program.

Treatment methods for DST

Ophthalmologists are still searching for the perfect solution to eliminate floaters and spots. So far, the treatment of vitreous destruction is extremely individual. With concomitant diseases, floating elements may disappear from view or dissipate.

Minor damage to the fibers does not pose a danger to vision, but a person will have to get used to living with flickering spots in the eyes, which is very difficult psychologically. A patient with mild destruction definitely needs a periodic visit to an ophthalmologist to monitor the current condition of the eye.

Unfortunately, large accumulations of crystals and remnants of collagen fibers are not able to resolve on their own.

In the treatment of pathology, doctors focus on eliminating the cause of destruction, reducing eye strain and drug therapy.

As general recommendations, ophthalmologists advise giving up smoking, eating carrots and blueberries that are good for vision, and doing exercises for the neck and spine that improve vascular blood circulation. You should definitely reduce the time spent in front of the TV or computer monitor.

In advanced cases, two types of surgical intervention are used.

Methods of drug treatment

Medicines are aimed at stabilizing the condition of the vitreous body and slowing the progression of the disease. According to patient reviews, the effect of eye drops is minimal, but in some cases there is a decrease in the number of floating midges or their more blurred appearance.

A number of drugs are used in medical treatment

In the treatment of vitreous destruction, the following are used:

• Emoxipin - normalizes microcirculation in the tissues of the eye;
• Taufon - stimulates metabolic processes in the eye tissues;
• Potassium iodide - has a resolving property;
• Cavinton - strengthens the walls of the blood vessels of the eye;
• Quinax - drops were originally intended for the treatment of cataracts, but ophthalmologists sometimes practice their use in the treatment of destruction.

The following homeopathic remedies are used: Sulfur iodine, Arnica, Okulohel. Many patients benefit from electrophoresis with aloe extract for 10 days. As an option, electrophoresis with lidase is performed.

For greater effect, patients are prescribed vitamin complexes (Aevit, Blueberry forte, Vitrum Vision, Star Eyebright), and B vitamins are administered intramuscularly.

Enzyme preparations are often used that dissolve collagen clots (Wobenzym, Flogenzym).

Corticosteroids (hydrocortisone, prednisolone, dexamesatone) are sometimes prescribed to resolve opacities.

Read: Causes and treatment of dizziness

Application of traditional medicine

Of all the folk recipes, instillation of honey or aloe extract is considered the most effective. Before use, you need to make sure that you are not allergic to these products.

In some cases, traditional medicine can help

For minor visual impairment, you can try drops created at home: mix 1 tsp. honey and 4 tsp aloe juice, the resulting composition is left for two hours in a dark place; in the future, you need to drip the tincture three drops three times a day. Do not forget about the quality of raw materials: honey must be natural, without impurities, additives and preservatives, because we are talking about vision.

A variant of this recipe is drops without aloe: honey is mixed with boiled water in a ratio of 1:5, 2 drops are dripped three times a day. The duration of treatment is 30 days. Before instillation, the pipette with drops must be warmed in your hands.

In addition to drops of honey or aloe, traditional healers use compresses with chickweed to treat destruction. The plant is used as a compress: 2 tbsp. l. Brew chickweed with a glass of boiling water and let it brew for 4 hours. Moisten a napkin in the resulting infusion and leave it on your eyes for 15 minutes.

Non-traditional methods of treatment include neck massage, hirudotherapy (leech treatment), and Alekseev’s shower.

Before using this or that folk method, you should consult an ophthalmologist.

Gymnastics for the eyes

One of the safest methods of dealing with floaters is eye exercises. To date, many techniques have been developed: the Norbekov, Bates, Zhdanov system.

It is useful to perform eye exercises

Easy-to-follow movements may not help you get rid of flying dots forever, but they do allow you to move them out of your field of vision.

• An exercise to relax the eyeball - palming. To fully relax, you need to cover your eyes with your hands so that there are no gaps for light. Then you need to close your eyes and put your elbows on the table. The body should be relaxed, and the neck and spine should be almost in line. It is advisable to spend at least 2 or 3 minutes in this position, and preferably 15 minutes.
• Some experts recommend the following exercises: sharply move your gaze from left to right, then also from top to bottom. However, sudden eye movements are not suitable for everyone: first, you should make sure that there is no retinal detachment. Vigorous eye rotation will speed up peeling.
• Typically, slow turns of the gaze from left to right, stopping the gaze at the tip of the nose, slow rotations clockwise and back are recommended. All movements should be accompanied by uniform breathing.

If you do the exercises daily, there is a high probability that the floating spots will move from the center to the periphery of the eye.

Surgery for destruction of the vitreous body

Vitreolysis

The latest achievement of ophthalmologists in the fight against destruction of the vitreous body is laser removal of clots. The removal technique has been little studied in the CIS countries, but European doctors have been using it in practice for quite a long time.

Laser removal of clots is carried out in several stages

The procedure is divided into several stages:

• first, a substance is instilled that dilates the pupil;
• a three-mirror lens is placed on top for precise focusing of the beam;
• To avoid pain, local anesthesia is used.

Read: Weeping sores on the head: why do they occur?

The success of the operation largely depends on the experience of the surgeon and the quality of the equipment. The problem is the mobility of the elements. It is incredibly difficult to catch a floating point with a fly.

Therefore, the procedure has a number of side effects:

• increased intraocular pressure;
• the likelihood of developing cataracts;
• risk of retinal detachment;
• minor hemorrhages on the eye.

The procedure is performed without hospitalization. After manipulation with the YAG laser, the patient remains under the supervision of doctors for some time and is then discharged home. Doctors are ambivalent about laser removal of areas of the vitreous body. It is believed that the effect of the operation is offset by side effects.

Vitreolysis is a fairly promising direction in the treatment of destruction, but so far this type of therapy has not found widespread use due to the abundance of adverse postoperative consequences.

Vitrectomy

There must be serious reasons for prescribing a vitrectomy, since in this case the vitreous body is completely removed. Typically, vitrectomy is used for opacification of the vitreous fibers, which significantly reduces visual acuity.

Anesthesia is required during vitrectomy.

The duration of the operation is from 30 minutes to one and a half hours, during which anesthesia is required. After removing the vitreous through punctures in the orbit, the surgeon fills the vacant space with a substance similar in composition.

It could be:

• silicone oil;
• saline solution;
• gas bubble;
• artificial polymer.

Vitrectomy is a very serious operation that doctors use in case of emergency. Vitrectomy is not justified in older people, since the condition of the blood vessels will still continue to deteriorate due to the aging process.

The operation has a high risk of severe complications: intraocular hemorrhage, cataract, retinal detachment, corneal edema, infectious endophthalmitis.

If the operation is successful, visual function is restored after a few days.

Minor opacities that do not affect vision are not an indication for vitrectomy.

How to avoid developing DST?

It is impossible to completely protect yourself from the disease

There are no specific measures to prevent destruction. First of all, visual acuity is influenced by a person’s lifestyle.

An abundance of refined foods, smoking and alcohol abuse leads to deterioration of blood vessels, which affects the quality of visual function.

It is extremely important to follow the rules of working at a computer, since most professions today involve a lot of time spent in front of a monitor.

You need to give your eyes a rest, switch your gaze from the screen, or just sit with your eyes closed. It is recommended to take a break from working at the computer every 40 minutes.

People suffering from eye diseases should regularly visit an ophthalmologist to monitor their eye condition. Destruction of the vitreous body in a mild form is increasingly being detected in schoolchildren due to severe strain on the eyes: at school children write and read a lot, and at home they watch TV or play computer games. Parents should limit their children's screen time.

To prevent pathology, you just need to be more attentive to your health and try to avoid eye injury.

With minor changes in vision, the prognosis is favorable. Floating elements stabilize in the area of ​​the eyeball, but remissions are extremely rare. However, due to the constant need to free the field of vision from flying dots, the patient develops a persistent depressive state. In addition, there is additional stress on the muscles of the neck and eyes due to frequent head movements.

Most often, people get used to a visual defect; do not delude yourself. The progression of the disease threatens vision loss, so it is advisable to monitor the condition of the vitreous body at periodic examinations by an ophthalmologist.

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