Is it possible to completely cure the destruction of the vitreous. Destruction of the vitreous body - treatment. Eye drops as a treatment

04.04.2021

Probably, you have ever heard about the "flies" that swim before your eyes from time to time. Or have you seen them yourself? Do not ignore such a symptom, blaming everything on fatigue. Hurry to the eye doctor. Perhaps, after the examination, you will be given a disappointing diagnosis: destruction of the vitreous body of the eye (DST). Let us consider in more detail how dangerous this disease is.

What it is?

Destruction of the vitreous body is a violation of the physiological structure of the vitreous body of the eye, in which the fibrils thicken, losing their transparency.

Normally, the vitreous body is completely transparent. It is 98% water and is a gelatinous substance filled with many protein fibrils, which create a kind of supporting structure. With the destruction of the mesh device, some fibers thicken, which leads to the formation of haze. A person notices them in the form of so-called "flies", spots, dots, filamentous formations, nodular or needle-like inclusions that move with the movement of the eyes.

Read how to treat bacterial conjunctivitis.

Destruction

Violations in the complex system of the vitreous body lead to the fact that the fibrils become brittle, lose transparency and order, thicken, intertwine and stick together. Their fragments, along with decay products, float in the thickness of the eyeball. Changes in the vitreous body can lead to the following pathologies:

  • liquefaction;
  • wrinkling;
  • deposition of crystals;
  • vitreous detachment.

Read about the treatment of iridocyclitis in.

Causes

There are many factors that can cause DST:

  • myopia (myopia);
  • eye diseases;
  • eye surgery (for example);
  • head, eye, nose injuries;
  • cervical osteochondrosis;
  • disorders of the vascular system;
  • hormonal changes;
  • diabetes;
  • toxic effects on the body;
  • stress;
  • hypertension, stroke;
  • dystrophy;
  • heavy loads;
  • lack of vitamins;
  • diseases of the housing and communal services and the liver;
  • complications after eye operations;
  • radiation exposure;
  • smoking, alcohol, drugs;
  • age-related changes (after 40 years).

And it's far from full list causes causing the development of pathology in the vitreous body as a result.

Gymnastics for the eyes with myopia in children is described in.

Flies before the eyes

Symptoms and Diagnosis

Due to clear and unambiguous symptoms, CTD is easily diagnosed. The patient before the eyes appear in a large or small number of dark formations, taking a variety of forms. These formations can be slightly noticeable, almost transparent, or have a color of varying saturation. The stronger the destruction, the more clearly a person sees floating elements before his eyes.

To detect destruction in oneself, it is enough just to look at an ordinary sheet of paper in such a way that it closes the entire view.

If some “floating objects” fly before your eyes, reacting to every eye movement, then there is reason to think about.

Do not dismiss the fact that this will pass, and wait for more obvious symptoms. It is better to conduct a professional eye examination, which will show the presence or absence of pathology.

The thicker the elements and formations floating before the eyes, the stronger and more dangerous.

If the opacities have a distinct filamentous structure, then, perhaps, the destruction began as a result of diseases such as hypertension or atherosclerosis. People with severe myopia are at particular risk.

Reviews of doctors about lenses for night correction are written.

The result of injury to the eye, a tumor or a previous disease, will be destruction with signs of opacities in the form of clusters of small grains. The more neglected the destruction is, the more inclusions and elements a person will see: starting from the golden rain and ending with the so-called « . In this case, the probability of retinal detachment and the formation of voids in the vitreous body is very high.

You should not delay contacting a specialist and treatment: all this can lead to.

To identify or exclude DST, a differential diagnosis is carried out, which includes examining the patient, checking vision, examining the fundus with an ophthalmoscope, and examining with a slit lamp.

The structure of the eye

Treatment

Therapy is carried out strictly individually. The specificity of treatment depends on the nature, shape and extent of lesions. In this case, the fact that the patient's vision has deteriorated, whether the destruction has affected the patient's condition and his ability to work is of great importance.

Medical and laser therapy

There is no unequivocal and specific treatment for CTD today. So far, no solution has been found to remove fibrillar formations effectively and without the risk of complications. Modern eye therapy involves treatment in four areas:

  1. Identification of the underlying disease that led to CTD, and the fight against it. For example, if the cause of destruction is diabetes mellitus, then at the first stage it is necessary to exclude the development of this disease.
  2. Drug therapy(diseases such as). For treatment, absorbable agents are used, which must be instilled into the eye (emoxipin or potassium iodide 3%) three times a day. Oral preparations (wobenzym) and drugs that improve cerebral circulation (cinnarizine, cavinton) are also prescribed. It should be said that the effectiveness of drug treatment is low. Now a lot of dietary supplements have appeared on sale, the manufacturers of which promise a complete cure. However, it can be said with confidence that manufacturers and pharmacists often speculate on this problem, since today a drug that can prevent destruction has not yet been invented. You should not go for such statements.
  3. Vitreolysis is a laser treatment. The essence of the manipulation is that the doctor directs the laser to the darkened elements, crushes them into tiny particles. Now they will no longer cause discomfort and will disappear from sight. So far, only a few foreign ophthalmologists practice such treatment. In Russia, the vitreolysis procedure is not carried out, since opinions on it are far from unambiguous. Many doctors believe that side effects from the operation are able to block the therapeutic effect. In addition, the operation is technically complex: you have to deal with moving elements.
  4. Vitrectomy. This procedure involves the complete or partial removal of the vitreous body. Removed elements are replaced by an artificial environment. Such a radical method requires serious indications for the operation.

It is possible to develop such complications, How:

  • hemorrhage in the eye cavity;
  • detachment;
  • cataract development . The vitrectomy method is effective, but the risk of complications is very high.

Non-traditional methods of treatment

Eyes often try to treat DST folk remedies, however, the effectiveness of this method is very doubtful. No decoctions and tinctures will help the vitreous to regain its former transparency.

On the contrary, non-traditional methods of treatment can harm and aggravate the development of the disease. On early stages destruction, you can perform special exercises for the eyes. Remove floating "flies" for a while the following exercises:

  • Look sharply to the left, then to the right.
  • Also sharply shift your gaze from top to bottom and vice versa.

These simple movements will shift the floating elements to the periphery of the field of view. However, you should consult your doctor for professional advice and treatment.

Prevention

It is very important to carefully monitor the condition of the vessels in order to prevent the occurrence of atherosclerosis. It is necessary to treat all identified diseases of the internal organs and eyes in time. Do not allow eye strain, and correction poor eyesight to carry out correctly and efficiently.


Table of contents [Show]

Destruction of the vitreous body of the eye, treatment with folk remedies

Sometimes incomprehensible flies, cobwebs, rings, butterflies, lightning, etc. appear in front of some people's eyes. These visions give the patient some inconvenience, especially when looking at a light background - a white sheet of paper or a clear blue sky.

Depending on how pronounced these phenomena are, they may not bother a person, but in more serious cases they can significantly interfere with vision. In medicine, this phenomenon is called "destruction of the vitreous body of the eye."


The main cause of the disease is age-related changes in the vitreous body, which usually begin at the age of 40-60. But there are other factors, the main of which are the following:

» high level of toxic or radiation effects on the body;

» vascular disorders: cervical osteochondrosis, vegetative-vascular dystonia, dystrophic changes in blood vessels, arterial hypertension;

» intense metabolic and endocrine changes: taking hormonal drugs, puberty, pregnancy;

» diabetes mellitus, nose, eye and head injuries;

» Psycho-emotional and physical stress, physical exhaustion, prolonged and frequent eye strain, dystrophy;

In each person, as the body ages, the structure of the vitreous body wears out, which is expressed in wrinkling. In a healthy young organism, the vitreous body is attached to the edges of the optic disc.

According to the degree of wrinkling of the vitreous body, this mass weakens and begins to “float” in the eye cavity. This leads to a feeling of turbidity, the vastness of which is increasing more and more. If detachment and wrinkling of the posterior surface of the vitreous body occurs, then this is not considered a serious disease, not like retinal detachment.

Medical statistics provide information that about 50% of elderly people - over 65 years old - suffer from posterior vitreous detachment. Moreover, it is reliably known that the development of posterior vitreous detachment in one eye in a year and a half will begin in the other.

This phenomenon is observed even in healthy people, but much more often in patients suffering from myopia (nearsightedness), especially progressive, as well as after suffering severe illnesses, in patients with glaucoma, with a decline in nutrition, neurasthenia, and metabolic disorders.

In accordance with age, the vitreous body undergoes natural changes. It forms a kind of small pockets with the transformation of vitreous jelly into a liquid. Between the liquid pocket and the jelly of the vitreous, the ligaments are perceived as floating opacities.

The sudden appearance of flying flies can be a harbinger of vitreous or retinal detachment. In addition to flies, the patient has flashes of light or lightning due to voids formed in the vitreous body.


“Retinal detachment is a rather serious pathology. It can lead to total blindness."

The patient notes floating opacities in the form of figures O or C, spots or curved stripes. Each patient has their own floaters, just like fingerprints. There are never "identical spots". Moreover, these opacities in each eye are also noted differently.

And over time, turbidity changes. Floaters are consistently darker than the background, so they cannot be seen with eyes closed or in the dark. Floating lines can be thin, thick and even branched. Patients most often report black or brown lines.

Treatment is aimed at eliminating the underlying cause and is carried out by the attending ophthalmologist. As for the "flying flies", they do not require special treatment, but a thorough examination of the patient should be carried out.

To decrease discomfort and vision, the patient recommends the use of light-protective glasses when visiting open areas in summer and winter on a bright sunny day. Those working on the computer should periodically rest their eyes and do special exercises.


Turbidity of the vitreous begins to be treated with eye drops:

» 3% solution of potassium iodide - twice a day, instilled into the eye for ten days.

If the iris is inflamed, 1% solution of hydrocortisone is instilled into the eye for 5 days 4-6 times a day.

Assign electrophoresis with 2% solution of potassium iodide strictly according to the instructions. Inside - 3% solution of potassium iodide (1 tablespoon 3r / d).

Folk remedies for this disease can only be auxiliary. If you are not allergic to honey, you can use the following recipes.

Recipe number 1. We take one part of flower honey and five parts of boiled water, dilute it well and drip into the eyes 3 r / d, 1-2 drops in a course of thirty days. The solution can be stored in the refrigerator for no more than 5-7 days.

Before use, warm the pipette with the collected therapeutic liquid in your hands.

Recipe number 2. 1 tsp add cloves (without a slide) to 50 ml of boiled water, put ¼ tsp in the same place. honey, previously melted in a water bath to a liquid state; pour the same amount of fresh aloe juice. We insist for two days, shaking the contents periodically. Then we filter through cheesecloth.

Every morning and evening we instill 1-2 drops in each eye. The course is one month.


Recipe number 3. Pour 2 crushed leaves of aloe in a jar of 100 ml of silver water, insist for 3 hours, then filter. Now add half a teaspoon of honey. 1-2 drops 3 times a day for 30 days in a row.

Be healthy. God bless you!

ethnoscience

Destruction (degeneration) of the vitreous body of the eye is a pathological disorder, as a result of which the substance that fills the space between the retina and the lens begins to change its properties.

The result is a decrease in the level of transparency of this liquid.

Read more about the symptoms and causes of the disease here. More short description can be read below.

Reference! Pathology in the form of destruction of the vitreous body is a violation of the structure of the substance that fills the anterior chamber of the eye (the gap between the retina and the lens).

Under such conditions, the filamentous structural elements found in this substance thicken, and then liquefy and shrink.

vitreous body, which should ideally be transparent, becomes cloudy as a result of such changes and the quality of human vision decreases.

This is not a violation of vision in the truest sense of the word: refractive errors do not occur.

But various “floating” objects in the form of dots, “flies” and threads begin to appear before the eyes.

Patients themselves see such manifestations of the disease especially clearly when looking at light or against a white background, and the closer such degrading elements are located to the retina, the more clearly they are visible.

Ophthalmologists unanimously admit that such a disease is very difficult to treat, while the treatment of the destruction of the vitreous body of the eye, regardless of the efforts of specialists, is ineffective in the vast majority of cases.

And even if the main "interference" in the form of threads and dots during the treatment process can be eliminated, the deposits themselves, arising from the degrading fluid between the retina and the lens, are very difficult to eliminate.

Attention! If the symptoms of the disease are of a periodic nature, it is likely that they will be able to get rid of, and surgical intervention is not necessarily required.

But the patient also cannot rely on medication alone, and in order to maintain his vision, it is possible you will have to completely abandon bad habits that negatively affect the condition of the eyes.

All appointees medical preparations for the treatment of destruction of the vitreous body designed to dissolve formations that, while floating, create interference in front of the gaze.

These drugs include:

  • ethylmorphine hydrochloride(given by injection);
  • solution ethylmorphine;
  • drops of potassium iodide(buried in the eyes);
  • vitamins B and C;
  • biostimulants(in the form of injections).

Also, the drug treatment includes nutritional infusions of glucose with vitamin C(twenty procedures), intake of potassium iodide internally, enzyme therapy.

And according to the schedule and dosage established by the doctor, the treatment involves the use of drugs taufon, Wobenzym and emoxipin.

With severe degrees of the disease, surgery with a laser is indicated..

Need to know! A precisely focused laser beam acts on microscopic floating objects, "crushing" them into tiny particles, which then do not interfere.

The most difficult thing in this procedure is to "aiming" the laser at objects, since they are constantly in motion, and it is impossible to predict the direction of movement.

But in this case, much depends on the experience and qualifications of the specialist performing the operation, although in any case such a procedure is prescribed only if there is a threat of serious vision problems.

This procedure is called vitreolysis. and goes like this:

  1. Into the eye patient a means for dilating the pupils is instilled.
  2. Approximately for laser focusing install the lens.
  3. To eliminate pain local anesthesia is given.

Vitreolysis contraindicated in increased intraocular pressure, cataracts and retinal detachment.

Another surgical option is vitrectomy. In this case, it happens complete removal of the vitreous, instead of which the patient is transplanted with a polymeric substitute.

But this is not a "prosthesis", but a full-fledged "lens", which replaces the removed vitreous body and the patient's vision is fully restored in a few days.

Important! Most often, during the destruction of the vitreous body, the eyes use compresses, which are based on the common chickweed plant.

It is often used in folk recipes in the treatment of ophthalmic diseases and grows almost everywhere outside the city limits.

The freshly picked chickweed is crushed and wrapped in two pieces of cotton or linen cloth.

Such resulting "bags", which must be hemmed so that they do not fall apart, are immersed in boiling water for one and a half to two minutes.

And then pull them out and let them cool a little, at the same time waiting for the rest of the liquid to drain from them.

Such the compress is applied to the eyes for 15 minutes, the procedure is repeated daily until vision improves once a day.

Also you can use honey- This is another popular folk remedy for eye diseases, but before using it, it is important to make sure that the patient does not have allergic reactions to such a product.

It is necessary to mix honey and water in a ratio of 1: 2, stir until a homogeneous mass is formed and instill such a remedy in the eyes three times a day.

Remember! Additionally, you can perform eye massage - this improves blood circulation, and as a result, degradation processes will slow down.

Disease prevention

Prevention for such a disease as such does not exist: it is only important to eat right, not to abuse bad habits(or better to get rid of them altogether) and exercise regularly.

This will help tone the body as a whole and the circulatory system, with proper operation of which the risk of eye diseases always decreases.

Also eye diseases should be treated promptly.

And even with the first minor symptoms (irritation, itching, photophobia), contact an ophthalmologist.

When vision deteriorates, it is necessary to take care not only of such temporary measures as glasses or lenses, but also to think about the correction of defects.

Do not forget! Treatment of destruction of the vitreous body of the eye is justified only if you turn to a specialist in the early stages of the disease.

In such cases there is a high probability that medical or surgical treatment will have an effect.

Otherwise, it is difficult, and sometimes impossible, to stop the degradation process. Moreover, if, with an advanced form of the disease, it is treated independently and only folk methodscan severely damage your eyesight.

From this video you will learn more about DST and methods of its treatment, including folk remedies:

Very important when warning signs such as dots floating before the eyes and “hairs” consult a doctor.

The correct course of treatment and its timely start is the key to successful getting rid of the disease.

One of the common complaints of patients who come to the ophthalmological office is the appearance of various flies, threads and other formations before the eyes. Such manifestations are caused by destruction of the vitreous body of the eye. The disease is not dangerous, but to a large extent impairs the quality of vision and, of course, causes discomfort.

Ideally, the vitreous body of the eye, which is located in the inner chamber between the lens and the retina, is completely transparent. But under the influence of various adverse factors, its gel-like structure can change.

So, individual fibers of the vitreous body can thicken. Therefore, the light flux, passing through defective places, will cast shadows on the retina. It is they who are perceived by man in the form of incomprehensible formations.

Most often, the destruction of the vitreous body of the eye is associated with natural processes aging of the human body as a whole. The pathological process, as a rule, develops after 40 years. Symptoms of the disease in the form of floating formations in the field of view are especially noticeable when looking at a white surface, for example, a snow cover or a wall. Changes in the reticulum structure of the eye and its clouding can occur in the following directions:

  • Liquefaction, which is characterized by the formation of voids filled with fluid and partially decomposed collagen;
  • wrinkling separate parts and their detachment from the retina;
  • Deposition of crystals of cholesterol and tyrosine.

When the vitreous body liquefies, the voids formed freely move around the eyeball. They can be fixed on the fundus, provoking the development of more serious pathologies of vision. Destruction is classified into the following types:

  • Filamentous, when separate, freely moving formations of various shapes appear in the field of view, which do not affect visual acuity. As the pathology progresses, floating objects become larger and appear as flakes or stripes.
  • Grainy, when the field of vision is completely filled with a suspension of grayish small grains. In this case, the quality of vision deteriorates significantly.

Wrinkling of the vitreous body and its detachment is a very serious pathology that threatens to rupture the retina with increased tension. In this case, in addition to large floating formations that significantly impair the quality of vision, flashes periodically occur in the eyes.

Advice! Urgent treatment is necessary if vitreous detachment is suspected, as this can lead to blindness.

Against the background of liquefaction, crystals of cholesterol and tyrosine often form and settle in the vitreous body. This pathology, as a rule, develops in old age and very rarely impairs vision.

Advice! When the first symptoms of the disease appear in the form of flying flies, you should definitely contact an ophthalmologist to determine the condition of the eyes. An increase in the number of formations indicates the progression of the disease and threatens the development of other eye pathologies. Therefore, it is very important to undergo timely treatment.

Changes in the vitreous body of the eye can occur not only under the influence of the age factor, but also at a young age. The causes of the development of pathology in such cases, as a rule, are:

Advice! Since the causes of the development of destruction are individual, the treatment of the disease should be carried out only after diagnosis. Therefore, an appeal to an ophthalmologist for a positive prognosis is mandatory.

Diagnosis of the disease involves a set of examinations using an ophthalmoscope and a slit lamp. The basis is the patient's complaints about the appearance of some annoying formations in the field of view.

Advice! Similar symptoms are observed with the development of other pathologies, for example, with retinal rupture or neurological disorders. Therefore, the destruction of the vitreous body must be accurately diagnosed in order to exclude improper treatment.

In the presence of certain causes associated with the development of this disease, the treatment of destruction is ineffective. After the destruction is diagnosed and installed true reason The ophthalmologist will recommend that you contact a specialist in a different field of illness, and will also advise, if possible, to try to adapt to the visual effects that occur in the field of view. It should be understood that, for example, treatment:

  • Prescribed by a neuropathologist in the presence of cervical osteochondrosis;
  • Prescribed by an endocrinologist for diseases associated with metabolic disorders.

Similarly, other causes of the disease should be eliminated. Only with this approach it is possible to restore the structure of the eye and improve the quality of vision.

Advice! After the treatment of concomitant diseases is carried out by specialists, it is necessary to visit the ophthalmological office again to assess the condition of the eye structure.

The visual manifestations of the disease are reduced when the treatment is carried out using special drops or injections. medicines. Surgical methods of treatment are used very rarely, only in cases where pathological formations largely overlap the field of view:

  • With the help of laser therapy, formations on the vitreous body are crushed, but it is impossible to completely get rid of the clinical manifestations of the disease in such a minimally invasive way.
  • A complete or partial replacement of the vitreous body of the eye with an artificial material is carried out. Such a surgical intervention is called a vitrectomy and, unfortunately, can lead to irreversible consequences.

In the early stages of the development of the disease, drug treatment is ineffective. Moreover, at the beginning of the disease, formations can disappear on their own, leaving the field of view, but this does not indicate the cessation of the pathological process in the vitreous body.

You can slow down the development of the disease with folk remedies. The most popular and effective are preparations based on blueberries. They relieve eye strain, and, therefore, star compresses are useful. They can be done in two ways:

  • It is necessary to sew two small pillows made of linen filigree, filled with fresh grass. Then boil them for a couple of minutes, after which, after cooling and squeezing slightly, apply to the eyes for a quarter of an hour.
  • Two tablespoons of fresh herbs should be poured with a glass of boiling water and infused for 4 hours. After that, you need to moisten a napkin in the infusion and apply to your eyes.

It is also useful to massage the eyeballs, which stimulates blood circulation. And also special exercises have an effective effect on the tone of the intraocular muscle.

Prevention of the destruction of the vitreous body is to reduce visual stress and adherence to the correct lifestyle. In addition, it is important to constantly monitor your own health and eat a balanced diet.

Probably, you have ever heard about the "flies" that swim before your eyes from time to time. Or have you seen them yourself? Do not ignore such a symptom, blaming everything on fatigue. Hurry to the eye doctor. Perhaps, after the examination, you will be given a disappointing diagnosis: destruction of the vitreous body of the eye (DST). Let us consider in more detail how dangerous this disease is.

Destruction of the vitreous body is a violation of the physiological structure of the vitreous body of the eye, in which the fibrils thicken, losing their transparency.

Normally, the vitreous body is completely transparent. It is 98% water and is a gelatinous substance filled with many protein fibrils, which create a kind of supporting structure. With the destruction of the mesh device, some fibers thicken, which leads to the formation of haze. A person notices them in the form of so-called "flies", spots, dots, filamentous formations, nodular or needle-like inclusions that move with the movement of the eyes.

Violations in the complex system of the vitreous body lead to the fact that the fibrils become brittle, lose their transparency and order, thicken, intertwine and stick together. Their fragments, along with decay products, float in the thickness of the eyeball. Changes in the vitreous body can lead to the following pathologies:

  • liquefaction;
  • wrinkling;
  • deposition of crystals;
  • vitreous detachment.

There are many factors that can cause DST:

  • myopia (myopia);
  • eye diseases;
  • eye surgery;
  • head, eye, nose injuries;
  • cervical osteochondrosis;
  • disorders of the vascular system;
  • hormonal changes;
  • diabetes;
  • toxic effects on the body;
  • stress;
  • hypertension, stroke;
  • dystrophy;
  • heavy loads;
  • lack of vitamins;
  • diseases of the housing and communal services and the liver;
  • complications after eye operations;
  • radiation exposure;
  • smoking, alcohol, drugs;
  • age-related changes (after 40 years).

And this is not a complete list of reasons that cause the development of pathology in the vitreous body.

Due to clear and unambiguous symptoms, CTD is easily diagnosed. The patient before the eyes appear in a large or small number of dark formations, taking a variety of forms. These formations can be slightly noticeable, almost transparent, or have a color of varying saturation. The stronger the destruction, the more clearly a person sees floating elements before his eyes.

To detect destruction in oneself, it is enough just to look at an ordinary sheet of paper in such a way that it closes the entire view.

If some “floating objects” fly before your eyes, reacting to every eye movement, then there is reason to think about visiting an ophthalmologist.

Do not dismiss the fact that this will pass, and wait for more obvious symptoms. It is better to conduct a professional eye examination, which will show the presence or absence of pathology.

The thicker the elements and formations floating before the eyes, the stronger and more dangerous the destruction.

If the opacities have a distinct filamentous structure, then, perhaps, the destruction began as a result of diseases such as hypertension or atherosclerosis. People with severe myopia are at particular risk.

The result of injury to the eye, a tumor or a previous disease, will be destruction with signs of opacities in the form of clusters of small grains. The more neglected the destruction is, the more inclusions and elements a person will see: starting from the golden rain and ending with the so-called "lightning" before the eyes. In this case, the probability of retinal detachment and the formation of voids in the vitreous body is very high.

You should not delay contacting a specialist and treatment: all this can lead to partial or complete loss of vision.

To identify or exclude DST, a differential diagnosis is carried out, which includes examining the patient, checking vision, examining the fundus with an ophthalmoscope, and examining with a slit lamp.

Therapy is carried out strictly individually. The specificity of treatment depends on the nature, shape and extent of lesions. In this case, the fact that the patient's vision has deteriorated, whether the destruction has affected the patient's condition and his ability to work is of great importance.

There is no unequivocal and specific treatment for CTD today. So far, no solution has been found to remove fibrillar formations effectively and without the risk of complications. Modern eye therapy involves treatment in four areas:

  1. Identification of the underlying disease that led to CTD, and the fight against it. For example, if the cause of destruction is diabetes mellitus, then at the first stage it is necessary to exclude the development of this disease.
  2. Drug therapy. For treatment, absorbable agents are used, which must be instilled into the eye (emoxipin or potassium iodide 3%) three times a day. Oral preparations (wobenzym) and drugs that improve cerebral circulation (cinnarizine, cavinton) are also prescribed. It should be said that the effectiveness of drug treatment is low. Now a lot of dietary supplements have appeared on sale, the manufacturers of which promise a complete cure. However, it can be said with confidence that manufacturers and pharmacists often speculate on this problem, since today a drug that can prevent destruction has not yet been invented. You should not go for such statements.
  3. Vitreolysis is a laser treatment. The essence of the manipulation is that the doctor directs the laser to the darkened elements, crushes them into tiny particles. Now they will no longer cause discomfort and will disappear from sight. So far, only a few foreign ophthalmologists practice such treatment. In Russia, the vitreolysis procedure is not carried out, since opinions on it are far from unambiguous. Many doctors believe that the side effects of surgery can override the healing effect. In addition, the operation is technically complex: you have to deal with moving elements.
  4. Vitrectomy. This procedure involves the complete or partial removal of the vitreous body. Removed elements are replaced by an artificial environment. Such a radical method requires serious indications for the operation.

It is possible to develop complications such as:

  • hemorrhage in the eye cavity;
  • retinal disinsertion;
  • development of a cataract. The vitrectomy method is effective, but the risk of complications is very high.

People often try to treat DST with folk remedies, but the effectiveness of this method is very doubtful. No decoctions and tinctures will help the vitreous to regain its former transparency.

On the contrary, non-traditional methods of treatment can harm and aggravate the development of the disease. In the early stages of destruction, you can perform special exercises for the eyes. The following exercises will help to remove floating "flies" for a while:

  • Look sharply to the left, then to the right.
  • Also sharply shift your gaze from top to bottom and vice versa.

These simple movements will shift the floating elements to the periphery of the field of view. However, you should consult your doctor for professional advice and treatment.

It is very important to carefully monitor the condition of the vessels in order to prevent the occurrence of atherosclerosis. It is necessary to treat all identified diseases of the internal organs and eyes in time. Do not allow eye strain, and correct poor vision to carry out competently and efficiently.

Black lenses for the entire eye.

Eye drops To improve vision in farsightedness, read here.

Dacryocystitis in newborns treatment:

Destruction of the vitreous body is a dangerous disease. In order not to lose sight, one should identify the disease in time and take the treatment prescribed by the doctor. Advanced forms of CTD can lead to retinal detachment and complete loss of the ability to see. At the first symptoms described in this article, run to the doctor. In addition, treat the main diseases of the internal organs, eyes and take preventive measures to prevent the disease.


Destruction of the vitreous body is a pathology of the eye with the destruction of the structure of a special substance that fills the cavity between the retina and the lens. During destruction, the filamentous element becomes denser, the transparency of the glassy ocular body begins to gradually decrease, which subsequently leads 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 advanced age, the risk of destruction of the glass body of the eye increases significantly.

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

Other factors in the development of vitreous destruction, not associated with ophthalmic pathologies, are as follows:

  • 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 anomalies in the structure of the organs of vision, in particular with improperly developed vessels of the cervical 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 is the pathology of the vitreous body manifested?

The vitreous body may be completely or partially darkened. According to studies, in most cases, the pathological process affects the center of the glass body of the eye, the peripheral region is less often affected by destructive processes. Signs of a disease of the vitreous body begin to appear gradually: first, the structure of the fibers is disturbed, then their integrity, they begin to wrinkle, separate, from which it liquefies.

Films and screeds appear, at first insignificant, and later, if there was no timely treatment, they worsen, which leads to various pathological changes in the eyeball. Obvious symptoms that a person could feel on himself are practically absent in the first stages of the development of pathology. A person begins to constantly see various small flies that do not allow him to adjust visual acuity.

Description of causes and symptoms

Severe visual impairments begin at the moment when the destruction that is not cured in a timely manner leads to hemorrhage, 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 fact that the crystals shimmer, and various multi-colored flies jump in front of the person's eyes.

Types of disease

In total, 3 types of destruction of the vitreous body of the eye are distinguished in medicine, 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 are sick with 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 the ophthalmologist views the fibers. With the development of filamentous destruction, they have a different length and size. There is space between the strands of fibers, which is a symptom of liquefaction.

Destruction of a grain-like appearance - the destruction of the fibers is visible on a biomicroscopic examination. The factors for the occurrence of pathology are associated with the transferred 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, having found symptoms such as goosebumps, decreased visual acuity and constant flies that do not allow you to fully see 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 organs of vision, the doctor needs to examine the patient's detailed history for concomitant diseases that can cause destruction.

If a patient has flies 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 deals with the treatment of 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, an ultrasound examination and coherent type tomography are performed.

Conservative treatment

The destruction of the vitreous body, the treatment of which should be timely, is a severe 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 therapeutic one.

As a rule, if a person did not go to the doctor when the first appearance of flies before his eyes was detected, 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 method of treatment was chosen, the patient must follow a number of preventive measures. First of all, the eyes must be relieved of excessive load, which means there is a need to reconsider the schedule of work and rest. It is mandatory to regularly perform special exercises for the eyeball, which are prescribed by the attending physician.

The method of vision correction with the help of a surgical operation is carried out only in extreme cases, when other methods of treatment do not provide the proper positive result for a long period of time.

Therapy for the treatment of DST

Destruction must be treated in a timely manner to avoid the development of severe complications with vision. In most cases, when the patient turned to the doctors for help 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 a strong clouding of the vitreous body and its damage, which cannot be corrected by conservative therapy.

Vision can only be corrected using an integrated approach. Patient in without fail inhalations are prescribed, for which calcium iodide is used. A special German drug, Emoksipan, is injected under the eye. For resorption of accumulated substances that lead to darkening of the vitreous body, it is necessary to inject drugs Traumeel and Wobenzym.

In order to restore the transparency of the vitreous body of the eye as quickly as possible and thereby restore full vision to a person, Vitreolysis is prescribed - laser exposure. A surgical operation aimed at restoring the vitreous body is called a vitrectomy. Surgical intervention, like the laser technique, is 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 ruled out. It is possible to use any drops in the treatment of destruction only with the permission of the attending physician.

ethnoscience

From folk methods in the treatment of eye destruction, compresses, the use of a solution based on honey and therapeutic massage are used. A compress made on the basis of the chickweed plant is an excellent tool in the fight against pathology. It needs to be crushed and spread out in small portions into 2 pieces of cloth, 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 crushed ingredients must be put in boiled water for 1-2 minutes. Remove the compresses from the boiling water, let them cool down and put on both eyes. Keep 15-20 minutes.

Honey is a remedy for many diseases, including in ophthalmology. Treatment of the destruction of the vitreous body of the eye by alternative methods must be agreed with the attending physician without fail. A solution based on honey (water and honey are mixed in proportions of 2: 1) must be dripped into the eyes.

You can use this method only if there is no allergic reaction to honey. Treatment with folk remedies also includes an eyeball massage. This procedure can significantly improve blood circulation, thereby inhibiting pathological changes in the vitreous body.

Without timely treatment, changes in the organs of vision occur. Knowing what destruction is, the main manifestations of pathology, the patient should contact an ophthalmologist immediately as soon as the flies appear in the eyes, even if they were short-term for the first time. The autoimmune process in the organs of vision is the most dangerous type of complication in case of untreated destruction of the vitreous body.

The only way to detect 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 played by how exactly the patient will comply with all the doctor's instructions.

Video

Destruction of the vitreous body of the eye - deformation of the gel-like transparent medium that separates the retina and lens. Destruction in the eye tissues can occur both with age-related changes and under the influence of other factors in youth.

Note! "Before you start reading the article, find out how Albina Gurieva was able to overcome vision problems using ...

Basic concepts and classification

Destruction of the vitreous body is a disease characterized by its thickening and liquefaction.
The vitreous body (transparent medium) is one of the main components of the dioptric eye system and is responsible for the possibility of light rays reaching the surface of the retina. It consists of 99% water and 1% hyaluronic acid, collagen and other compounds.

Under normal conditions, the vitreous body is absolutely transparent, but if there is an impact of negative factors, then its molecules disintegrate, the previous transparency is lost and the composition changes. As a result, the visual system begins to work incorrectly.

When the molecules of a transparent medium disintegrate, small particles periodically flash before the patient's eyes, which he takes for a foreign object. They can be presented:

  • threads;
  • stripes;

Also, due to the destruction of the elements of the visual system, the threads of the transparent medium thicken, which is displayed as clouding of the visual field.

When liquefaction occurs, the fibers of the affected element of vision stick together and the victim sees various kinds of interlacing in front of him.

When voids are formed, various flashes and lightning occur during observation of bright light.

This condition is very dangerous, because it can provoke a decrease in visual acuity, and in some cases it can result in one hundred percent blindness. Voids are detected during an ophthalmological examination in the presence of wrinkling of the vitreous body or its detachment.

Deformation processes most often originate in the center of the eye, sometimes on the peripheral parts. Initially, a cavity containing fibrous tissues is formed in it. As a result, the homogeneous state of the visual element is disturbed, the separated particles stick together and various interlacings are formed in the gelatinous medium.

These deformations often cause discomfort, and if the disease is not treated, it can cause the development of serious diseases, and sometimes one hundred percent blindness.

Kinds

Since the destruction of the vitreous body is accompanied by the appearance of the smallest particles various shapes before your eyes, then in medicine it is customary to divide it into the following types:

  1. Filamentous destruction in most cases is found in the elderly or in those who suffer. As a result of its appearance, the outer layer of the retina is damaged. On examination, the specialist fixes the presence of small fibers of different sizes between the retina and cornea. Such changes are associated with liquefaction of the vitreous body. The filamentous form of the pathology is characterized by the appearance of elongated small particles, often blurring of vision occurs.
  2. Granular - occurs due to damage to the inner layers of the retina. In the process of diagnosis, the formation of microparticles that differ in size, shape, and shade is observed. These particles are the result of the disintegration of the vitreous body. The main reason is prolonged inflammation of the visual apparatus or a complication of diseases of the internal organs. Unlike filamentous, this type of disease occurs much less frequently. It is manifested by a "golden doge" in the review, blurring and deterioration in the quality of visual acuity;
  3. Crystalline - an extremely rare type, which is characterized by the accumulation of tyrosine, cholesterol and other compounds inside the vitreous body.

Causes

There are a large number of reasons as a result of which the destruction of the vitreous body occurs. This is connected with the general health of a person, with individual internal or external organs, their tone and state of metabolism, etc.

The main reasons are as follows:

People at particular risk are those with:

  • myopia;
  • abnormal structure of the eyeball.

This is due to a violation of the process of blood supply, as a result of which the destruction of transparent media slowly develops.

Symptoms

The main symptom is the appearance of various visual effects in the field of view:

  • spots;
  • flies;
  • cobwebs;
  • threads;
  • haze.

Important! If you see distinct floating images before your eyes and at the same time they are quite large (for example, in thickness), then this indicates a strong destruction of the transparent medium. Seek immediate medical attention. If these symptoms are neglected and timely treatment is not carried out, then complications are possible that will lead to a partial deterioration in visual acuity or to one hundred percent blindness.

Foggy areas with a clear filamentous structure help to diagnose the patient, in addition to destructive processes, also the development of atherosclerosis or a severe form of hypertension.

“Flashes” and “Lightning” are a clear sign of detachment of the vitreous body or other serious diseases.

Differential Diagnosis

If optical defects occur in the visual review, the patient needs to as soon as possible visit an ophthalmologist, who, after collecting all the necessary data, examining the eyeballs, will determine the type of pathology and prescribe the appropriate type of treatment.

Examination of the patient involves a number of several procedures, namely:

  • diagnosis using a slit lamp or ophthalmoscope;
  • eye ultrasound;
  • optical coherence tomography;
  • biomicroscopic examination.

Based on the results of all studies, the doctor identifies the degree of pathological deformities, determines the provoking factor and selects the optimal type of therapy for the patient.

Treatment

This disease is very specific and it is quite difficult to cure it. Sometimes the main signs can go away on their own, but most often the pathology develops, and the main symptoms are observed throughout life.

It is noteworthy that some patients do not need medical procedures. You just need to go to healthy lifestyle life:

  • Eat wholesome and wholesome food;
  • do not overload the eyes with prolonged visual loads;
  • perform eye exercises on a regular basis.

In modern ophthalmic practice, the destruction of the vitreous body is treated in two main ways:

  • conservative;
  • surgical.

conservative way

It is based on the use of eye drops and other drugs that fight the cause of the disease.

Most often, doctors prescribe:

  • Eye drops with vitamins such as Taufon and Quinax. Often prescribed instillation of 2% potassium iodide. Data medicines help slow down the rate of destructive processes in the vitreous body and provide the eyes with all the necessary constituent chemical elements for their proper functioning.
  • Drugs that improve metabolism in the visual system: Wobenzym, Emoxipin. These medicines are intended for internal use. Their medicinal properties aimed at increasing immunity, protecting the retina and cornea from negative effects. Helps in the resorption of cloudy areas.

Surgical method

Surgical intervention in this case is of two types:

Vitreolysis (laser therapy)

This is very efficient view surgical operation, related to minimally invasive. When it is carried out, the formed particles are destroyed. But, despite the fact that this type of laser surgery is quite common, with a strong development of destruction, it is ineffective.

Vitrectomy

This is an operation during which the vitreous body is completely or partially removed and replaced with an artificial analogue, the service life of which is not more than three years, after which a second replacement is required.

This type of surgery has its own complications:

  • appearance;
  • detachment of the retina;
  • hemorrhages in the mucous membrane of the eyeball.

But, despite a number of certain risks, the operation gives positive results and helps to get rid of symptoms that cause discomfort.

ethnoscience

Treatment with folk remedies is very common. But they are not allowed to be used on their own. Only strict control by a doctor will help you avoid possible negative consequences.

One of the main methods is eyeball massage, which improves lymphatic flow and blood circulation in the tissues of the eyes.

Also apply eye drops based on:

  • honey (it is diluted with water in proportions of 2 to 1);
  • honey and aloe juice;
  • propolis (used in the form of an aqueous solution).

To prevent the development of this disease, a number of preventive recommendations should be followed and followed:

  • Eat well and eat right. The diet should include fruits, vegetables, a lot of greens.
  • Observe the mode of work and rest with a long-term load of a visual nature. During periods of rest, it is useful to perform palming, solarization, eye massage;
  • Timely consult a doctor and periodically undergo an examination by an ophthalmologist, even in the absence of any complaints.

Among many incurable ailments, DST (destruction of the vitreous body) is considered an outcast: officially, the disease does not give disability, and is not even noticeable from the outside - a person's eyes look exactly the same. Nevertheless, chronic flies in the eyes, like eternal hallucinations, drive people into depression, provoke accidents and force them to re-learn how to look at things. A young man who has been living with the destruction of the vitreous body for six years told The Village about how he accepted the diagnosis and learned to live with it.

Remember how as a child you could sit in a room for a long time in the morning, studying the sky outside the window. Sometimes, when looking at a bright light, one could notice small transparent dots floating in front of the eyes, and play tracking them: these worms were visible only against a clear background. Usually they are called flies. For most, this phenomenon has remained a funny youthful impression, such as fingertips shrinking in the bath or the first "helicopters in the head" when you try alcohol. Now imagine that you always see flies, at any time of the day and in any room - at sea, on a date with a girl, during sex, in the dark and in the light. There are hundreds of times more of them, especially large worms are wound into tight balls and follow your gaze like a milky film. Falling asleep and waking up, you see this broth and know that it will never disappear. This disease is called DST - destruction of the vitreous body.

How my eyes broke

I got DST at the age of 17. People not from medicine often confuse a symptom and a pathogen: it’s like asking the question “What are you sick with?” answer - "angina". Angina is a purulent inflammation of the throat. There can be a hundred reasons for the inflammation itself. With DST, it's about the same - usually it's just an indicator, a signal from the body that there are problems. I was not lucky, my symptom is not temporary, it has transformed into a syndrome, and now I am learning to live with it.

After graduating from school, I managed to catch a bad cold right before the unified state exam. In June, several times the temperature soared to 40 degrees, I became delirious. The doctor changed several courses of antibiotics for me. I didn't mind: the drugs never called side effects. By that time, my vision had already dropped to minus 6. It was hereditary myopia, but it did not bother me. Hipster glasses were just coming into fashion, and I was known as an intellectual - seven years in art school, the whole family takes pictures. When I became interested in sports running and tennis, I changed glasses for lenses, that's all the problems.

For a week I lay at home almost unconscious, and when I came to myself, I saw these transparent pieces floating in my eyes. Before the exams, it was necessary to register at the military registration and enlistment office. I did not plan to mow, I knew that with such low vision I was unlikely to be taken into the army. Decided to use the physical for a consultation on my eye problem. But the local doctor did not have the necessary apparatus to look at the fundus, that is, to see the retina. The stage of bureaucratic hell began: in the paid clinic named after Semashko, I enlisted a certificate and recommendations so that they would take me seriously in the district clinic. From there I was sent to some branch, and then to the eye department of the Botkin hospital on Tverskaya. It would seem that the center of Moscow, the status. But in Botkinskaya I met a five-hour standing queue only at the registration desk - everything was on pieces of paper and cardboard. I managed to make an appointment only at the beginning of autumn, that is, I waited two months. The rest of the numbers were filled.

My flies are loose pieces of the eye, literally. The human eyeball is not empty. Inside it is a vitreous body. It resembles a marmalade ball, it is elastic and not monolithic, inside it there are many tubules woven into a labyrinth through which liquid flows. Thanks to her, the eye is always kept clean and its transparency does not change - the rare pieces of the labyrinth that have fallen off are simply washed out. But not me. My eye is squashed and stretched like a pear or bon paris, due to myopia, that is, nearsightedness. From the outside, the difference is not noticeable, but in fact my vitreous body is constantly under tension, so it began to collapse much faster than ordinary people. But that's not all. Usually the gummy ball is firmly glued to the retina, in my case it has moved away from the fundus of the eye, literally torn off from it. This is not scary if the retina was not so thin that it also broke in several places.

When I went around the offices of all the doctors, I was diagnosed with retinal dystrophy, or PVRD. At what point she appeared and what provoked her is unknown. Doctors shrugged and said that there were several reasons at once. Everyone agreed at the moment when I drank antibiotics: it turns out that they greatly affect the state of this crystal labyrinth in the eyes. I was advised to “just wait”: the flies from antibiotics could eventually disappear, but this did not happen. At the next appointment, the doctor called my mother aside and told her in a whisper that she would need to explain to me that this was not curable and that I would see flies for the rest of my life. It seems that then my mother did not understand why the specialist spoke about this with such seriousness. And I understood.

Flies are exfoliated pieces of the eye, literally. The human eyeball is not empty. Inside it is a "vitreous body". Due to myopia, my eye is squeezed and stretched like a pear or bon paris.

What bothered me

People take a clean look for granted. Even more: people indulge in clouding it by getting drunk or smoking. And I, in the prime of my youth, fell out of love with alcohol in one summer. Now I always saw the broth before my eyes, its flickering was enough for me. To say it was annoying is an understatement. I got depressed, for several weeks I fell out of life, missed the exam. Fly tracking has become an obsession, a compulsive act. I could sit still for hours and just watch the gossamer in my eyes follow my gaze, as if you were running a spoon over the surface of cream soup. And when the gaze stops, the threads continue to slowly fall down under the influence of gravity, as if dirty drops flow down the windshield. I became scared when, because of the veil of dust before my eyes, I could not concentrate on anything - it seemed that I was losing my mind.

He missed the exams at the institute and did not even finish the worst school - he simply did not come to the graduation examination drawing. When I tried to draw, I saw non-existent lines and points in a still life or landscape, looked away - and they immediately disappeared. Several times I fell off the bike, frightened by flies, as if there was an obstacle in front of the wheel or a dog was running, and once I was hit by a car: I just didn’t notice it from the side, I thought that I was imagining it again.

Why is it not treated

I immersed myself in the Internet, began to absorb everything I could find about DST and retinal dystrophy. The phone screen and displays now had to be set to minimum brightness: the brighter the light, the more noticeable the caterpillars in the eyes. I covered the windows in the room with thick curtains, I started to have photophobia. It turned out that young people suffer from CTD very rarely: there are no intelligible statistics, because usually the destruction is temporary, not chronic - people simply do not have time to get to the doctors. DST is also found in half of perfectly healthy people over 70 years of age. age change. Because of this, it is called the "disease of developed countries": in the poor, destruction usually does not live to the age. It can also be a symptom of such terrible diseases as cataracts, glaucoma, diabetes mellitus, Parkinson's disease, hydrocephalus, as well as a number of vascular diseases and oncology. So I'm even lucky: I just see like a 70-year-old man.

The very root cause of my flies - retinal dystrophy - is also impossible to cure in the usual sense. The fact is that it inevitably leads to retinal detachment. The doctor's task here is to catch the moment before detachment in time, when there are already quite a lot of breaks ("nodules" or "snails", as they are called) and the retina can be fixed with a laser - literally, burn it in several places. Therefore, I have to go to the ophthalmologist at the Botkin hospital every six months and each time stand in a five-hour queue, it’s good that it’s at least free. But even after laser surgery DST will remain, because the pressure on the vitreous will not disappear anywhere. On the Russian-speaking Internet, you can find only one forum for people like us, one