Traditional Chinese Medicine Can Treat Blurred Vision and Macular Puckers
A patient came to our clinic with blurred vision and macular puckers. After four months of ocular acupuncture and Chinese herbal medicine treatment, his vision improved from 0.1 to 0.2. He previously couldn't see large print when doing bank transactions, but now he can.
What is a macular pucker?
It's a condition where a fibrous membrane grows on the macula, pulling it, deforming it, or causing swelling.
1. Primary macular pucker is generally believed to be caused by a small amount of vitreous remaining during posterior vitreous detachment, causing growth on the macula. Alternatively, the force of the posterior vitreous detachment may cause a crack in the innermost retinal layer (the inner limiting membrane), allowing the pigment epithelial cells and glial cells within the retina to escape and form a proliferative membrane on the retinal surface.
2. Secondary macular puckering can occur due to a variety of causes, including uveitis, trauma, retinal vascular occlusion, retinal tears or detachments, age-related macular degeneration, diabetic retinopathy, and intraocular surgery. These can all lead to abnormalities at the vitreoretinal interface caused by local inflammation, resulting in the formation of a proliferative fibrous membrane.
When the fibrous membrane first forms, most people experience no symptoms. However, as the membrane thickens or the tension increases, it affects the retinal photoreceptors, and patients may begin to experience blurred or darker central vision, as well as distorted vision.
What are the symptoms of macular puckering? 1. Central vision gradually blurs and becomes distorted.
2. Difficulty focusing while reading, even when using various assistive devices.
3. Unidentified gray objects in the central field of vision that cannot be removed.
4. In more severe cases, objects in the central field of vision appear as black areas that cannot be removed.
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Foods beneficial for eye health:
1. Lutein and zeaxanthin: Spinach, kale, corn, etc., filter blue light and protect the macula.
2. Vitamin A (beta-carotene): Carrots, sweet potatoes, cantaloupe, etc., help maintain corneal health and night vision.
3. Omega-3 fatty acids (DHA): Salmon, mackerel, walnuts, etc., stabilize the retina and prevent vision loss.
4. Vitamin C: Guava, kiwi, oranges, strawberries, etc., strengthen the lens, protect against UV damage, and help repair cells.
5. Vitamin E: Avocados, almonds, sunflower seeds, etc., provide antioxidants and protect eye cells.
7. Anthocyanins: Blueberries, cherries, grapes, etc. can strengthen capillaries, improve blood circulation, and help adapt to changes in light.
8. Zinc: An essential mineral for maintaining retinal health, it helps with antioxidants and promotes vitamin A absorption. Food sources: Shellfish (oysters), lean meat, nuts, and whole grains.
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