My mother's eyes are not good, and she is always itchy, weeping, and seeing things black and blurred (which pharmacy in Wuxi, Jiangsu sells clouds and light? )

Maybe it's floaters Go to the hospital.

Floaters: generally caused by vitreous degeneration, this is a natural aging phenomenon, that is, with aging, glass will "liquefy" and produce some turbidity. Therefore, the official name of floaters is "vitreous disorder" or "vitreous floater". Seeing the black spots flying around in front of you is like the name of a floater. When opaque objects in the vitreous body are projected onto the retina, floaters will occur. It is more obvious in strong light or white background. Sensitive people can even describe their various shapes. Many floaters exist for a long time, unchanged all the year round, do not affect vision, and have no eye organ lesions after examination, which is of little clinical significance.

Symptomatic disease

abstract

Field of vision of floaters

There will be black spots in front of the patient's eyes, which will fly around with the rotation of the eyeball. Like floaters, the shapes are round, oval, dotted and linear. It is common that patients are more likely to find it when they look at bright backgrounds such as blue sky and white walls.

Floaters mostly occur in middle-aged and elderly people over 40 years old, patients with high myopia and people who have undergone cataract surgery. Others, such as eye inflammation or retinopathy, can also form this disease. Most floaters are benign, or "physiological floaters", which is characterized in that if the patient has floaters in both eyes, it is impossible to determine which eye has floaters. If these phenomena do not worsen or change after a period of time, and the position of floaters is fixed, it is mostly benign.

On the contrary, if the phenomenon of floaters suddenly appears and is limited to one eye, the direction of mosquitoes flying is uncertain, the dark shadow covers the field of vision, and the vision is poor and the field of vision is defective, all of which are ominous signs that must be paid attention to.

Dangerous symptom

The following summarizes several dangerous symptoms of floaters:

(1) has abnormal flash.

(2) Floaters increased in a short time.

(3) the vision is blocked.

Because a few floaters are signs of serious diseases, experts believe that if floaters are found dancing in groups in front of them, they should first have an expert examination. After the examination, if there are serious eye diseases, it is necessary to treat them.

But the result of the inspection does not mean that there will never be a problem. Once there is a flash, floaters suddenly increase, or the line of sight is blocked, it is necessary to conduct a detailed inspection immediately.

Floaters refer to small shadows fluttering in front of your eyes, especially when you look at a bright white background, which may be accompanied by a sense of flash. Vitreous liquefaction and posterior dislocation are the main causes of floaters. 70% of patients are caused by this, but14 patients may have diseases that threaten vision, among which retinal breaks are the main ones. When you see floaters, you should carefully check whether there is mydriasis in the fundus, including slit lamp three-sided mirror examination. Only those with posterior vitreous detachment do not need special treatment, and lesions harmful to vision are treated according to relevant principles.

Floaters caused by eye inflammation feel that the black shadows in front of them are mostly dusty or flocculent, which may affect vision to varying degrees. Under the ophthalmoscope, there are dust and flocculent floating objects in the vitreous body, and the slit lamp three-sided mirror can show exudation caused by inflammation of the central choroid and white sheath of blood vessels.

Floaters caused by intraocular hemorrhage feel that black shadows move like smoke clouds or flow like ink, and some have red or orange floating objects. Under the ophthalmoscope or slit lamp, we can see that there are flaky, flocculent and massive bleeding in the vitreous body with different thicknesses, and we can also see the primary retinal diseases that cause bleeding. Hemorrhage caused by posterior vitreous detachment from traction vessels is often accompanied by retinal breaks, which should be paid attention to. If it is floaters without pathological changes, it is recommended to see Chinese medicine, and the curative effect of Chinese medicine cannot be ignored.

The reason for editing this paragraph.

Floaters are conscious symptoms of vitreous opacity, generally caused by vitreous degeneration. Traditional Chinese medicine believes that this disease mostly belongs to hepatobiliary and renal diseases. Deficiency of liver and kidney essence and blood, and insufficient source of water; Or excessive blood loss, blood deficiency and heat generation; Or sad, melancholy and angry, getting angry with anger; Or fever impairs yin and true yin failure; Or blood heat rash, blood stasis internal resistance; Or damp-heat accumulation, turbid qi overflowing; Or phlegm and dampness are trapped inside, and they are ignorant, and so on. Floaters are also prone to occur after serious diseases.

Edit the clinical manifestations of this paragraph.

Fundus images of floaters

Some people go to the ophthalmology department to see a doctor, claiming that they often see black spots shaking in front of their eyes, sometimes passing by, and sometimes gathering together. The shape also changes from time to time. When patients look at bright backgrounds such as blue sky and white walls, it is easier to find its existence. Because the characteristic of this disease is that the black spots in front of the patient will fly around with the rotation of the eyeball, and they can't be caught or hit, just like floaters, which is called floaters in medicine.

Floaters are a very special and quite common eye disease, mostly middle-aged and elderly people over 40 years old. Patients with high myopia, patients who have undergone cataract surgery, and other patients such as endophthalmitis or retinopathy can also form this disease.

Edit this paragraph symptom classification physiology

Physiological floaters are called "good mosquitoes" and generally do not need treatment. As long as you have a proper rest, avoid fatigue, work and rest regularly, rest for 5 to 10 minutes every hour with your eyes for a long time, don't use the computer for too long, and stop using it if you feel uncomfortable. In addition, eating more iodine-containing seafood and foods containing vitamin C, such as vegetables and fruits, will also help.

The main symptoms of physiological floaters are one or two shadows, flying around in front of our eyes, sometimes visible and sometimes invisible. When people are very tired, they will feel that mosquito movement is particularly obvious, while the elderly have floaters, which will be stronger and more obvious than middle-aged people.

This kind of floater is benign and is called physiological floater. Experts believe that about 80% of floaters are formed by hydration of glass fiber and belong to physiological floaters.

Physiological floaters have no risk of blindness (non-retinal problems). Usually, if there is no big problem, the doctor will advise not to pay attention to it until later in life.

pathological

Pathological floaters have three characteristics: ① abnormal flash. ② The number of floaters increased in a short time. (3) The vision is blocked.

Pathological floaters are generally caused by serious diseases, which are caused by pathological changes of omentum, optic nerve, ciliary body and other structures near vitreous body.

Suddenly, a large number of mosquitoes flew in, flashing a lot, and strange phenomena such as distorted vision, crooked straight line, distorted face, uncertain flying direction of mosquitoes, shadows covering the field of vision, poor vision, and visual field defect appeared. , are ominous signs that must be paid attention to, indicating that the vitreous body may be in acute degeneration, or the retina is in danger of perforation. It is necessary to see an ophthalmologist to check the retina as soon as possible. If diagnosed, surgery is often needed.

Pathological floaters are also a manifestation of diseases, which are mostly caused by moderate and high myopia, intraocular hemorrhage and inflammation. Generally speaking, these causes can be found by simple examination and need to be treated according to the cause to recover. Physiological floaters can't find the cause and don't need special treatment.

Clinically, floaters have some preferences for dialogue. Pathological floaters are mainly caused by lens and vitreous lesions. Lens opacity is called cataract. The lens opacity was a little flaky at first. There are some flaky shadows in front of me. Due to the high mass density of the lens, the rotation direction of the opaque point is the same as that of the eyeball. That is, consistent with the direction of eye movement. Shadow tremor caused by turbidity in vitreous body is opposite to eye movement.

Floaters are vitreous opacity, and many people get this disease without timely treatment. And the usual nursing work is not done well. So what are the precautions for floaters?

There are many precautions for floaters, and patients with vitreous opacity need to be treated cautiously and promptly, because many fundus diseases are caused by vitreous opacity. Then, let's take a look at the precautions for vitreous opacity.

1, pay attention to rest at ordinary times, and don't use your eyes too much to avoid myopia. Avoid "staring" and pay attention to frequent and complete blinking. Frequent blinking can reduce the exposure time of eyeball to air and avoid tears evaporation.

2. Don't blow the air conditioner for too long, avoid airflow blowing on the seat, and place tea leaves near the seat to increase the surrounding humidity.

3. Eat more fruits, especially citrus fruits, and eat more green vegetables, grains, fish and eggs. Drinking more water also helps to relieve dry eye.

4. Maintain good living habits, get enough sleep and don't stay up late.

5. Avoid operating the computer continuously for a long time, and pay attention to rest in the middle. Usually continuous operation 1 hour, rest for 5- 10 minutes. You can look at the distance or do eye exercises during the break.

6. Maintain a good working posture. Keeping a proper posture and letting your eyes look down at the fluorescent screen can relax the neck muscles and minimize the area of the eyeball exposed to the air.

7. Adjust the screen distance position. It is suggested that the distance is 50-70cm, and the fluorescent screen is slightly lower than the eye horizontal position of 10-20cm, showing a downward viewing angle of 15-20 degrees. Because angle and distance can reduce the demand for refraction and reduce the probability of eyeball fatigue.

8. If there are few tears and your eyes are easy to dry, it is not suitable to use contact lenses in front of the computer. Wear rimmed glasses. People who wear contact lenses in front of computers should also use varieties with high oxygen permeability.

9, people over 40 years old, it is best to use bifocal lenses, or when typing, wear glasses with lower degrees.

Will floaters disappear by themselves?

In fact, the cases of floaters disappearing by themselves are very few, accounting for only 4% of the total. Except vitreous opacity caused by bleeding or inflammation, most vitreous opacity caused by floaters will not disappear for life, and the cases that will disappear are because the turbidity moves out of sight; Because the turbidity moves forward and becomes lighter and smaller, ophthalmologists often comfort patients that floaters do not matter and will disappear. Actually, there is a gap between this and the actual situation.

There are floaters, beware of fundus diseases.

In addition to the "aging" of the vitreous body itself, the lesions of adjacent tissues can also lead to vitreous opacity. Such as bleeding, exudation and eye trauma caused by uveitis, retinitis or retinopathy. Therefore, patients with high myopia, cataract and other intraocular surgery, as well as intraocular inflammation or retinopathy should be more vigilant.

If you feel that the phenomenon of "floaters" has obviously increased in a short time, accompanied by flashing eyes, decreased vision and distorted vision. Or floaters suddenly appear, only one eye has them, and there are many shadows. The direction of flying is uncertain, and your vision is getting worse. It is likely that the lesion is more serious. Such patients had better go to the hospital for detailed examination as soon as possible. If you encounter serious fundus diseases, you can get the most targeted treatment in time. 1) For those with qi deficiency and malnutrition, it is important to consolidate the foundation and cultivate the yuan.

Hai Yin Economic Association thinks that this disease is caused by liver and kidney loss, and it should be treated with Bushen Pill. "Yao Han Yan" thinks that the cause of this disease is kidney deficiency, which can not help the liver and wood, and can be treated with Gengren Pill. According to Zhang Yitong, this kind of shadow is due to diseases of gallbladder and kidney, so Bushen Magnetic Pill should be used.

There are also two kinds of syndrome differentiation treatment: liver and kidney deficiency and qi and blood deficiency. The former uses Mingmu Dihuang Pill, Zhujing Jiuwan and Shizhen Luminous Pill. The latter uses Bazhen Decoction and Xionggui Buxue Decoction.

(2) For those who are not turbid and have no blood stasis, eliminating dampness and removing blood stasis is the main method.

According to the theory of Longmu, the secret recipe of ophthalmology, people with turbid blood stasis should be treated with Zhu Ling Decoction and Kuxiang Decoction. According to Zhang Yitong, phlegm-fire damages the essence of lung and spleen, and if floaters are "white and yellow", Zaojiao pills should be used.

(3) Prescription

(3. 1) Combination of Shenxiao Jingming Pills

Shen Xiao Jingming Pill, combined with prescriptions for regulating viscera and improving physique, has obvious curative effect on floaters, and can make black spots disappear in a short time.

If patients see heavy head, chest tightness, poor appetite, bitter taste and short urine, they should be treated with "Sanren Decoction". If you encounter yellow, weak and eat less loose stool, add or subtract "Shen Ling Baizhu Powder" for treatment; If you see people who are upset, sleepy, full in the chest and hypochondrium, bitter in the mouth and dry in the throat, treat them with modified Xiaoyao powder; If you see insomnia, forgetfulness, dizziness, tinnitus, soreness of the waist and knees, you should add and subtract Qiju Dihuang Pill for treatment.

(3.2) Jiawei Siwu Decoction

Radix Rehmanniae Preparata 12g, Radix Paeoniae Rubra 6g, Radix Angelicae Sinensis 9g, Rhizoma Chuanxiong 3g, parched Pollen Typhae 9g, Nodus Nelumbinis 9g, Agrimony 9g, Uncaria 6g, vitamin C, K, calcium lactate tablets, Antuoxin, etc. Also added.

This prescription has a good effect on vitreous hemorrhage.

(3.3) Lemon and lemon combination

Cornus officinalis is sour and slightly warm, which is an important medicinal material for tonifying kidney and benefiting qi and nourishing liver and yin. Lycium barbarum supplements liver and kidney, especially nourishing liver and improving eyesight. Chrysanthemum and plantain seeds can clear liver and improve eyesight. The combination of multiple drugs has the effects of tonifying kidney and liver, clearing away heat and improving eyesight. It is suitable for floaters caused by yin deficiency of liver and kidney and excessive internal heat.

(3.4) Liuwei Dihuang Decoction

Liuwei Dihuang Decoction for Deficiency of Liver and Kidney: 9 grams of Radix Codonopsis, 24 grams of Radix Rehmanniae, 9 grams of Cortex Moutan (or 9 grams of Cortex Lycii), 65,438+02 grams of Radix Ophiopogonis and Rhizoma Dioscoreae, 9 grams of Alismatis Rhizoma, 3 grams of Fructus Schisandrae Chinensis, 9 grams of Poria and Herba Chenopodii (or 9 grams of Fructus Ligustri Lucidi).

This prescription is suitable for floaters with liver and kidney deficiency.

(3.5) Guipi Decoction

9 grams of Radix Codonopsis, 3 grams of Radix Glycyrrhizae Preparata, 30 grams of stewed Radix Aucklandiae, 9 grams of fried Rhizoma Atractylodis, 0/2 grams of raw Radix Astragali/kloc-,9 grams of longan pulp, 9 grams of Poria, 9 grams of Radix Angelicae Sinensis, 4 red dates, 9 grams of Semen Ziziphi Spinosae and 3 grams of dried tangerine peel.

This prescription is suitable for floaters with spleen deficiency and qi failure.

(3.6) Huangqi bajunzi decoction

Astragalus 4 money, Lycium barbarum 4 money, white ginseng 3 money, Ligustrum lucidum 3 money, Alisma orientale 4 money, cassia seed 3 money, Tianqi 3 money, polished rice 3 money.

This prescription is suitable for treating retinal detachment.

Modern Chinese medicine therapy

(1) drug therapy

Diagnosis and treatment based on syndrome differentiation: Sanren decoction for clearing away heat and promoting diuresis should be used for those with damp-heat accumulation and excessive turbidity. For those with spleen deficiency and dampness obstruction and phlegm stagnation, add and subtract Liujunzi and Erchen Decoction; For those with qi stagnation and blood stasis, Xuefu Zhuyu decoction or Qufeng Yishen decoction is used.

(2) Physical therapy

Ultrashort wave, ultrasonic wave and iontophoresis of traditional Chinese medicine. Also, drugs such as Salvia Miltiorrhiza and Panax Notoginseng can be used for direct current local iontophoresis.

(3) Surgical treatment

Vitrectomy is feasible for those who cannot be absorbed by traditional Chinese medicine and medical treatment.

Vitrectomy should be performed if the vitreous hemorrhage is not absorbed after conservative treatment for 3-6 months. But once retinal detachment is observed, surgery should be done in time. In order to prevent amblyopia, children should be operated as soon as possible. Modern vitrectomy makes the treatment of some severe vitreous hemorrhage easier, safer and more effective.

(4) Acupuncture therapy

The vibrating meridian holographic acupuncture therapy discovered by Mr. Peng provides a fast, effective, economical and simple treatment for floaters.

Acupoint selection: "Yan Ming 1", located between the second and third metacarpals, at the level of the valley. "Yan Ming No.2" is located on the connecting line between Dangqu Ze and Daling in the palm of forearm, which is 1.5 inches away from wrist.

Acupuncture method: Eye-Ming No.65438 +0 needling 0.5-0.8 inch, Eye-Ming No.2 needling1-10.5 inch, twisting for a long time after the needle is inserted, and observing whether there is sensation transmission along the meridian. If yes, continue to move the needle until it feels into the eye.

Generally, this method will have an immediate effect. The patient feels that the shadow in front of him becomes shallow and narrow, and at the same time, the sense of brightness increases and his vision improves.

(5) dietotherapy

Golden cicada flower is sweet in taste, cold in nature, and has the function of nourishing liver and improving eyesight. It is suitable for floaters, cataracts, night blindness and blurred vision.

Materials: cicada flower 1 2, yam 22/2, wolfberry fruit 1 2, sheep liver 1 2 and 5 candied dates.

Pot method: twelve bowls of water for two hours.

(6) wine therapy

Garlic red wine can effectively improve the situation of floaters and can be used as adjuvant therapy.

(7) Treatment of tea leaves

(7 1) chrysanthemum tea

9 grams of chrysanthemum, 0/5g of medlar/kloc, 0/0g of dogwood/kloc and 0/2g of plantain/kloc. Put it in a thermos, pour half a bottle of boiling water, cover it for about 20 minutes, and drink it frequently instead of drinking tea. Every day 1 dose. Indications: floaters caused by yin deficiency of liver and kidney and hyperactivity of liver fire. Don't use it if the damp-heat is rushing up or the phlegm-dampness is trapped inside.

(7.2) Lycium barbarum chrysanthemum tea

You can also soak some medlar chrysanthemum tea often, and use 1 Qian Chrysanthemum, 1 Qian Lycium, 1 Qian Xiahua.

(8) Massage