Swelling of the eyes in women and men

Any visual disturbances, including shrouds in front of the eyes, are conditions that require specialist consultation. If the problem is neglected, the situation may worsen and even become critical. The shroud is usually understood as a blurred image, blurred objects, so-called "blurred vision", which gives the impression that there is a fog in front of the eyes.

Not always the shroud before the eyes is constant: many people have it periodically, it may be accompanied by intraocular pain, light sensitivity, general loss of strength, nausea, changes in blood pressure and temperature. In such a situation, it is necessary to visit a doctor without delay.

Causes of the a blur in front of my eyes

The shroud in front of the eyes is not a disease, but only a symptom that there is a disorder in the body. The initial cause of visual discomfort can be many pathologies and conditions, in particular:

• Refractive disorders such as astigmatism, [1] myopia, hypermetropia and other disorders associated with improper focusing of the perceived image on the retina. As a rule, competent lens fitting ensures the disappearance of shrouds in front of the eyes.
• Presbyopia as a manifestation of abnormal refraction due to age-related changes in the lens. The disorder is accompanied by a gradual deterioration of vision in patients over 40 years of age, which is especially noticeable when working on a computer or with papers for long periods of time. The initial deterioration may affect only one eye, eventually spreading to the second eye. Treatment of such pathology consists in the correct selection of corrective optical devices. [2]
• Dry eye syndrome develops as a result of corneal dryness: the endothelium fogs up, which causes the appearance of a shroud before the eyes. Discomfort occurs not on a permanent basis, but periodically. The problem is solved by regular use of special ophthalmic preparations - for example, moisturizing drops. [3]
• Clouding of the crystalline lens and cataract are conditions that are not amenable to medication and optical correction therapy. To get rid of the shroud in front of the eyes, surgery is usually performed, replacing the pathologically altered lens with an intraocular lens analog. [4]
• Increased intraocular pressure, glaucoma. Requires additional and thorough diagnostics to determine the underlying cause of the disorder. [5]
• Degenerative age-related macular processes, seen in many patients over 55-60 years of age. The central area of the retina, the macula, is affected.
• Hemophthalmos is an intraocular hemorrhage manifested by a pinkish-red shroud in front of the eyes. The primary causes may be trauma, diabetic or hypertensive-type reginopathies. Patients with hemophthalmos are usually hospitalized, prolonged resorption therapy is prescribed, and sometimes it is necessary to resort to surgery. [6]
• Inflammation of the optic nerve requires the prescription of anti-inflammatory therapy. However, after some time, a relapse of neuritis is not excluded and the shroud before the eyes appears again.
• Migraine attacks, in addition to headache, are often accompanied by disorders of the visual organs. After the end of the attack, vision is restored. [7]
• Strokes, transient ischemic attacks, circulatory disorders in cerebral vessels.
• Tumor processes in the brain.
• Taking certain medications - such as antiepileptic or hormonal drugs, nootropics and antidepressants, and cardiovascular medications.

Sometimes the causes of shrouds in front of the eyes are infectious pathologies (encephalitis, sinusitis and meningitis, tuberculosis, HIV) or chemical intoxication (arsenic, lead, etc.), as well as diabetes mellitus, anemia, systemic autoimmune diseases, trauma. In some cases, the underlying cause remains unknown despite a complete examination of the patient.

Risk factors

Eye shadows and some other visual disturbances are especially common in older people (40 years and older), and after 65 years of age the risk of such problems increases many times over. In addition, the risk group includes people who have an unfavorable hereditary history - for example, if there were cases of myopia, cataracts, cerebral circulatory disorders, and so on.

Other hazards include the following:

• regular harmful influence of bright light, monitor, smartphone, TV, working in excessively bright or dim light, prolonged reading or staying in front of a screen;
• various degrees of obesity, age-related macular degeneration;
• nutritional disorders, insufficient intake of nutrients into the body;
• insufficient physical activity, provoking a deficit of blood supply;
• bad habits such as smoking and alcohol abuse;
• Diabetes mellitus (often causes diabetic retinopathy and complete loss of vision);
• deep or frequent stress, increased nervousness, associated pressure spikes, nervous tension.

There is a clear relationship between hypertension and disorders accompanied by the appearance of shrouds in front of the eyes. Direct correlation is also noted with atherosclerotic vascular lesions, blood cholesterol levels, diabetes mellitus, obesity and bad habits (alcoholism, smoking).

Pathogenesis

Since vascular and age-related changes are the most common causes of eye shrouds, let us consider the pathogenetic features of these factors. Changes in the retinal pigment epithelium usually have the form of dark pinpoints. The pigment epithelium plays an important role in maintaining the adequate state and functioning of cones and rods. The accumulation of metabolic production can cause the formation of drusen, which appear as yellow spots. Foci of chorioretinal atrophy appear in advanced cases of dry age-related macular degeneration, without the formation of a disc-shaped scar, edema, hemorrhage or exudation.

Sometimes new defective blood vessels are formed under the retina (choroidal neovascularization). In case of optic disc edema or local hemorrhage in this area, elevation and local detachment of the retinal pigment epithelium occurs. Over time, if untreated, a disc-shaped scar forms under the macula.

The pathology can develop, either over a few weeks or over several years.

Epidemiology

Patients who complain of shrouds in front of the eyes are predominantly in the age range of 40 years and older. Both women and men are affected to an approximately equal extent.

The most common causes of the disorder are diseases of the nervous system and brain, as well as multiple sclerosis, infections, tumor processes, taking certain drugs, intoxication.

Shroud before the eyes is often asymptomatic, or accompanied by pain when moving the eyeball, other visual disorders.

In about 75% of cases, the problem completely disappears after the underlying pathology is eliminated.

Overall, nearly 300 million people on the planet have some form of visual impairment. At the same time, 45 million are completely blind. The overall incidence of the disease, which can cause the appearance of shrouds before the eyes, ranges from 9 to 14%. About 65% of patients belong to the age group over 50 years old, although in recent years doctors have noted a significant and noticeable "rejuvenation" of such diseases.

Symptoms

Often the shroud in front of the eyes is noted in patients as an independent sign. However, in most cases, the disorder is accompanied by other symptoms:

• increased sensitivity to light;
• pain in the eyes;
• the feeling of goosebumps crawling;
• by the appearance of visual spots;
• numbness in parts of the body;
• fever, changes in blood pressure, etc.

The shroud in front of the eyes can be both permanent and transient; it can occur during the day or at night, at rest or after physical exertion.

It is mandatory to consult a doctor if such manifestations are present:

• blurriness and lack of sharpness of the "picture";
• temporary loss of vision, fog and blurred vision;
• excessive lacrimation, itchy eyes;
• redness, pain;
• Increased painful sensations when exposed to bright light or prolonged eye strain.

First signs

Actually, the veil is a kind of blurring of the visual picture, in which a person sees as if through fogged glass. Such a condition can be temporary, appear periodically, or have a persistent character. In most cases, the problem does not occur independently, but accompanied by other obvious pathological signs. The type of manifestations depends on the initial cause of the disorder.

Weakness and shrouds in front of the eyes can bother, as in anemia and low blood pressure. The appearance of such signs may be preceded by blood loss, severe psychological or painful stress, a sudden change in body position, a prolonged period of fasting or excessively poor nutrition. Unpleasant sensations increase in the afternoon, but in some people the ailment increases the morning after waking up. Other symptoms include:

• dizziness;
• lethargy, weakness;
• impaired concentration;
• shortness of breath;
• difficulty remembering.

In severe cases, the swaddling before the eyes ends with blurred consciousness and fainting.

White veil in front of the eyes with inability to focus clearly (especially on distant objects) is usually associated with myopia or myopia. It is an ophthalmologic disease caused by a refractive disorder. The patient loses the ability to clearly see objects located at a far distance. The essence of the disease lies in the incorrect fixation of rays on the retina: they fall not in the retinal zone itself, but in front of it. This causes a veil, a blurred image. In most cases, the failure is accompanied by a pathology of refraction of rays in the organ of vision. Additional signs of the problem often become:

• seeing a blurry picture;
• frontal temporal pain;
• burning sensation in the eyes;
• loss of the ability to focus the gaze on distant objects.

Dark shroud in front of the eyes is a sign of chronic pathological increase in intraocular pressure, which entails damage to the optic nerves. Glaucoma usually causes irreversible changes in the organs of vision, although the consequences of pathology depend on many factors. To detect the disease in time, patients should know the main signs of the disease:

• Appearance of dark shrouds or objects in front of the eyes;
• side vision impairment;
• impaired vision in the dark;
• variability in picture clarity;
• the appearance of iridescent iridescence when looking at the light source.

Gray shroud before the eyes in the form of fog is characteristic of farsightedness - a pathology in which there is a refractive disorder, due to which light rays fall not on the retina, but behind it. With this violation, the ability to view the nearest objects is lost. Other painful signs can become such:

• a hazy blur in front of my eyes;
• visual discomfort and fatigue during work;
• Difficulty in fixation during binocular gaze;
• rapid eye fatigue;
• regular headaches.

Black veil in front of one eye can be the result of trauma, including burn injury (e.g., chemical burn of the eye after exposure to acid or alkali). This disorder requires urgent medical intervention and is accompanied by the following manifestations:

• pain in the injured eye;
• redness, swelling of the eyelid;
• a sensation of sand, a foreign object;
• discomfort when trying to open the eye.

Yellow shrouds in front of the eyes in the elderly are most often associated with macular dystrophy, a chronic degenerative process affecting the macula. This is an area located in the central part of the retina, which is responsible for visual clarity and accuracy of perception of the color palette. In macular dystrophy, there is an increasing deterioration of vision and other symptoms:

• a hazy shroud in the central part of the visual field;
• reading difficulties;
• incorrect perception of lines and boundaries of objects.

A cloudy veil in front of the eyes may have a functional origin associated with amblyopia, a visual disorder that cannot be corrected with lenses and glasses. Vision deteriorates irreversibly, contrast and accommodation perception is disturbed. Pathology can affect one or both eyes, and there are no obvious signs of the disease, except for the following:

• progressive visual impairment;
• problems with looking at volume structures;
• problems estimating distance to objects;
• incorrect visual information.

Eye shadows and headaches are characteristic of astigmatism, an ophthalmologic pathology consisting of a disorder in the perception of light by the retina. Corneal astigmatism consists in a disturbed structure of the cornea. If painful changes affect the crystalline lens, then it is said about the defeat of the lenticular or crystalline type. Signs of astigmatism are as follows:

• blurred picture, blurring, uneven and fuzzy visualization;
• bifurcation of objects;
• Head pain due to constant eye strain;
• the patient is forced to constantly strain the vision to better look at objects, squint.

Sudden shroud in front of the eye may be due to keratoconus - a degenerative disease of the cornea. The essence of the problem is as follows. Against the background of thinning of the cornea under the influence of intraocular pressure, it bulges to the front: the cornea takes on a cone-shaped appearance (normally it is spherical). Due to the violation, the optical abilities of the cornea change and visual acuity is lost. Signs of keratoconus are as follows:

• a sudden drop in vision in one eye;
• blurred outlines;
• visual fatigue;
• When looking at a bright light source, a halo appears around it;
• there is a need for regular strengthening of the lenses of the glasses;
• develops myopia.

The veil in front of the eyes in the morning is often a consequence of an allergic process in the body. For example, the allergen can be cosmetics, medicines taken the day before, food. After eliminating the source of allergy, vision is usually restored. Other manifestations of allergies can be:

• itchy skin;
• rashes;
• allergic runny nose, conjunctivitis;
• tearing in the eyes, mucous discharge;
• photophobia;
• swollen eyelids.

Flies and shrouds in front of the eyes are a typical manifestation of vitreous body destruction caused by local disorder of its structure. As a result of pathological changes, optically opaque particles appear when looking, which are perceived as peculiar "flying goosebumps" or "flies". Destructive processes are diagnosed quite often, but they do not pose a danger to vision, although psychologically they cause discomfort. Symptoms are detected mainly in bright light: patients indicate the appearance of foreign particles (dots, spots, threads) that smoothly "fly" in the visual field.

Eye shading and lacrimation are characteristic of keratitis - inflammation of the cornea of the eyeball. The root cause of pathology is often viral infections or trauma to the organs of vision. The inflammatory process sometimes spreads to nearby tissues. Other signs of the violation are considered such:

• photophobia;
• regular tear production;
• redness of the eyelid or eyeball;
• A spasm of the eyelid (blepharospasm);
• the sensation of a foreign body in the eye;
• loss of the cornea's natural luster.

If the eyes hurt and the eyes are shrouded, and sparks, flashes and glare often appear in the visual field, one can suspect retinal detachment - separation of its inner layer from the deep pigment epithelial tissue and vasculature. This disease is particularly dangerous: if you do not make timely surgical intervention, the patient may completely lose vision. The main manifestations of pathology are:

• regular sparks and flashes of light in his eyes;
• a blur in front of my eyes;
• loss of sharpness;
• distorted perception of the surrounding objects.

Red veil in front of the eyes can be associated with trauma or degenerative pathology - pterygum, which affects the conjunctiva and reaches the central part of the cornea. The acute course of the disease can lead to a violation of the central optical area of the cornea, which further affects the quality of visual function. Signs of pterygum at the initial stage of the disease are absent. Over time, there is a shroud before the eyes, redness, swelling, itching, vision loss.

From time to time, a shroud before the eyes appears in those who spend a long time at a computer monitor. This disorder is called computer visual syndrome: it is found in more than 55% of users. Such a disorder is associated with the specifics of the image reproduced on the monitor. The situation is aggravated by improper organization of the workplace, failure to comply with the mode of eye strain. Those people whose work is associated with prolonged stay in front of the computer, it is necessary to pay attention to such signs:

• sustained visual impairment;
• eye fatigue;
• focus disturbances when looking at distant or near objects;
• picture double;
• photosensitivity;
• dry eyes, periodic rubbing, burning, redness.

Coronavirus and shrouds in front of the eyes are also often combined, because the disease affects not only the lungs, but also many other organs. Everyone knows that with coronavirus infection, the sense of smell is often lost, but not everyone knows that many patients also suffer from vision. In particular, the retina, vasculature and optic nerve are affected. Pathological symptoms in the form of weakened vision, the appearance of a cloudy film and shroud in front of the eyes, redness of the eyelids to a large extent disappear after recovery. However, some of the vision may become permanently impaired.

Floating veil in front of the eyes may indicate the development of cataract - progressive clouding of the eye lens. Pathology can affect one or both eyes, occurring on a fragment or not the entire lens. The opacity prevents the passage of light rays to the retina, which entails deterioration of vision and even its loss. Cataracts can be congenital or acquired due to somatic diseases or trauma. Other symptoms of cataracts include:

• loss of clarity and visual acuity;
• the appearance of the need for regular replacement of glasses with increasing lens power;
• reduced visibility at night;
• increased light sensitivity;
• impaired ability to distinguish colors;
• sometimes double vision in one eye when the other eye is closed.

Shroud before the eyes after a bath is usually associated with pathologies of the cardiovascular system, with changes in blood pressure. For example, people suffering from hypertension, after intense physical or thermal exertion may note such pathological signs:

• pain in the head;
• tinnitus;
• pain behind the sternum;
• the appearance of "flies" or shrouds in the visual field;
• fatigue, heart palpitations;
• tremors in the limbs.

The shroud in front of the eyes in conjunctivitis may be accompanied by various additional symptoms, depending on the etiology of the inflammatory process. Conjunctivitis can be viral, chlamydial, bacterial, fungal, allergic. In addition to periodic swaddling, patients may complain:

• the presence of discharge from the eyes (mucus, pus);
• for lacrimation;
• a sandy sensation, burning and itching.

The shroud before the eyes in anemia is due to a decrease in the concentration of hemoglobin and red blood cells in the blood. The common manifestations of anemia of all types are as follows:

• dizziness;
• weakness, visual blurring;
• tachycardia, shortness of breath;
• pale skin, blue under the eyes;
• in women - menstrual irregularities, and in the elderly - heart pain.

Iridescent shroud in front of the eyes is characteristic of increased intraocular pressure (glaucoma), but the appearance of such a symptom can also be detected against the background of dry eye syndrome. The cause of the disorder is a failure of tear secretion and drying of the cornea, which in the absence of adequate therapy can be complicated by Sjögren's syndrome and other pathologies accompanied by a disorder of the lacrimal glands. Dry eye syndrome includes such symptoms:

• of the trace disorder;
• redness and burning in the eyes;
• discomfort, photophobia, fog;
• visual impairment.

The baby's eyes are swollen

Children's organism is very sensitive to all kinds of influences. Therefore, special attention should be paid to the function of the visual organs in children.

What should be done to prevent a child from having a blurred vision? Before answering this question, it is necessary to have an idea of how the organs of vision develop and how their function changes as the child grows up.

The ability to see is determined in the body by the visual analyzer, which consists of the eyeball, the conductive pathways and the visual area in the cerebral cortex. The eyeball passes light rays through the corneal layer and focuses them on the retina: through a chemical reaction, energy is released that conveys visual information. This information is then sent through conductive pathways to the cerebral cortex, where the visual image is finalized.

A person can see the surrounding "picture" without any shroud in front of his eyes, if all parts of the visual analyzer function synchronously and without failures. However, it may happen that the working state of the mechanism is disturbed, for example, due to some pathology, both congenital and acquired.

In the process of growth and development of a child there are pronounced changes in all elements of the organs of vision, formation of the optical apparatus takes place. This period is especially intensive between 1 and 5 years of age: children increase the size of their eyes, the weight of the eyeball, and the refractive power changes. All these factors affect visual acuity - that is, the ability to see objects clearly. In order to avoid pathologies, it is necessary to pay enough attention to preventive measures, and in case of suspicious symptoms it is obligatory to consult a doctor.

Pregnancy blindness in front of the eyes

Vision problems during pregnancy are not uncommon. If such problems are detected, there is a need for more thorough preparation of a woman for childbirth. Specialists advise all expectant mothers to visit not only an obstetrician-gynecologist, but also an ophthalmologist at the beginning of pregnancy.

It often happens that in the course of carrying a baby, a woman has a shroud before her eyes. This can be caused by toxicosis, strong hormonal changes in the body, which affect everyone differently. The organs of vision are always very sensitive to such changes.

In addition, the individual state of the nervous system also matters. It is no secret that often pregnant women suffer from a special mistrust, so their fears about the emergence of problems with the eyes may be unfounded. But this is not always the case: it is necessary to carefully examine the patient for degenerative and other pathological changes.

The effect of shrouds in front of the eyes may be associated with vascular disorders or retinal pathology (dystrophy, rupture, detachment). Doctors advise: even at the planning stage, or immediately after confirmation of pregnancy, it is necessary to be examined by an ophthalmologist with examination of the eye fundus. Timely medical intervention can prevent most of the possible problems and complications of the visual organs.

Diagnostics of the a blur in front of my eyes

Diagnostic procedures are used as indicated, depending on what other symptoms are present at the same time as the shroud in front of the eyes.

Tests are ordered as part of general investigations:

• blood and urinalysis;
• blood chemistry.

Instrumental diagnosis can be represented by the following methods:

• Autorefractokeratomy is a computerized examination that determines the ability of the optical system of the eye to refract light. With the help of such diagnostics, eye refraction defects (myopia, hyperopia, astigmatism) are detected.
• The use of a phoropter is appropriate for the assessment of visual acuity. This device helps to check the quality of general vision, its contrast and color perception.
• Tonometry allows you to check intraocular pressure values, and in conjunction with a pachymeter, it allows you to measure the thickness of the cornea.
• Biomicroscopy helps examine and evaluate the condition of the front and back of the eye. Before the procedure, drops that dilate the pupils are dripped into the eye.
• Computer perimetry determines the visual field: peripheral and central. The study is performed in the diagnosis of glaucoma and neurological diseases, retinal pathologies, as well as to assess the dynamics of treatment.
• Optical coherence tomography examines the structure of the optic nerve, cornea and retina, allows to take a picture of the back of the eye and analyze the obtained information. The procedure is prescribed to diagnose glaucoma, retinal pathologies (age-related macular degeneration, diabetic edema, etc.).
• Dioptrimetry helps determine the optical power of the lenses, to assess the fit of the glasses.

As additional methods it is possible to appoint magnetic resonance imaging of the brain, encephalography, etc.

Differential diagnosis is performed with various retinal injuries (including traumatic), vascular disorders, tumor, inflammatory and scarring processes, age-related changes.

Treatment of the a blur in front of my eyes

There are many diseases that are accompanied by the appearance of shrouds in front of the eyes. Accordingly, the treatment of such a disorder can not be the same, because treatment measures are aimed at eliminating the initial cause of the problem. For example, young people most often have to treat dry eye syndrome, inflammatory processes or disorders of accommodation. In older patients, cataract, glaucoma, macular degeneration, cerebral circulation disorders, arterial hypertension, atherosclerosis of coronary and carotid arteries, and obesity are diagnosed more often.

The shroud in front of the eyes is just a manifestation of some other disease, so a comprehensive approach is used for treatment. It is necessary to consult an ophthalmologist, who will prescribe an appropriate treatment regimen after initial diagnostic measures. Sometimes it may be necessary to consult other specialists - in particular, neurologist, endocrinologist, cardiologist, oncologist, traumatologist and others.

Patients with signs of visual impairment may be recommended optical aids, such as glasses, lenses, magnifying glasses with different attachment options, etc., and may require the assistance of a surgeon. In some cases, the assistance of a surgeon is required.

Medications

As for the classic drugs used to improve regional blood circulation, their use is conditioned by the framework of symptomatic therapy. Vinpocetine 5 mg three times a day orally for a two-month course or Pentoxifylline 100 mg three times a day for 1-2 months may be prescribed.

Vinpocetine is effective in the acute stroke period, alleviates general cerebral and focal neurological symptoms, but may lower blood pressure and increase heart rate. The drug is contraindicated during pregnancy.

Among the stimulant drugs often prescribed:

• Ginkgo biloba extract - 1 tablet three times a day for a two-month course;
• Bilberry extract (Myrtilene forte, Strix) 1 tablet twice a day for a course of 2-3 weeks;
• Spirulina extract 2 tablets three times a day for a one-month course of treatment.

Such remedies of plant origin are usually well perceived by the body, but in case of individual intolerance to some ingredients can cause the development of allergic reactions.

To reduce swelling in various eye pathologies use:

• Dexamethasone 0.5 ml (10 subconjunctival injections);
• Acetazolamide 250 mg daily in the morning 30 minutes before meals, for three days (together with potassium-containing drugs). After a three-day break, treatment can be repeated.

In addition, patients with degenerative disorders are prescribed Etamsylate 12.5% 2 ml intramuscularly daily for 10 days (or in tablets 250 mg three times a day for three weeks) and vitamin C with rutoside 1 tablet three times a day for three weeks.

In optic neuritis and some other inflammatory processes (multiple sclerosis, opticonuromyelitis) the use of corticosteroids is indicated. Methylprednisolone is considered optimal, which is administered from 500 to 1000 mg intravenously daily for three days. Then the patient is transferred to oral administration of prednisolone (1 mg/kilogram of human weight once a day) for eleven days.

Antispasmodics, anti-inflammatory and antibacterial agents, multivitamin, cardiological, anticonvulsant drugs, nootropics, antioxidants are prescribed according to indications. Among antioxidants, ascorbic acid, tocopherol, flavonoids, polyphenols are the most effective. In addition, the use of zinc preparations is recommended.

In disorders of cerebral circulation, such drugs are often prescribed:

• anticoagulants - to prevent thrombosis and change the mechanisms of blood clotting;
• osmotic diuretics - to reduce intracranial pressure and eliminate edema;
• neuroprotectants - to restore motor and intellectual impairments.

The principles of treatment for anemia (another possible cause of shrouded eyes) boil down to these points:

• Iron deficiency anemia is treated with iron-containing drugs;
• _B12 deficiency is corrected by administration of an appropriate vitamin preparation;
• If anemia (more often children's) provoked by helminths, then use antiparasitic drugs.

Treatment is always prescribed on a strictly individual basis. Only a doctor can prescribe certain medications, but it is not safe to take them on your own.

Physiotherapy treatment

Physiotherapeutic hardware eye treatment is one of the most promising ophthalmologic techniques. Physiotherapy is widely used in many leading medical centers: procedures are performed according to indications, in combination with other types of treatment, both for adults and children.

Physiotherapy can be used both for therapeutic and preventive purposes, for various eye pathologies, for vision correction. A course of hardware sessions does not require special preparation and rehabilitation.

Ophthalmologists often prescribe these physical therapy techniques:

• incentive-based gaming programs;
• laser stimulation of the retina, ciliary body;
• apparatus procedures for the treatment of amblyopia;
• Synoptophor apparatus for vision correction;
• training of accommodation and motor muscles;
• electrostimulation, electrophoresis, magnetic stimulation (in case of optic nerve atrophy).

The procedures are usually painless or accompanied by minor discomfort (for example, endonasal electrophoresis, in which turundas are inserted into the nasal cavity). Usually, both adults and children tolerate physiotherapy completely calmly, and the effect becomes noticeable after only a few treatment sessions.

Herbal treatment

It is known that a nutritious diet and some medicinal plants can reduce the risk of developing ophthalmologic problems, and in particular, prevent and eliminate the shroud before the eyes. For example, the development of many eye pathologies can be prevented with the help of such herbs:

• Eyebright - helps get rid of corneal stains, treats barley and conjunctivitis.
• Sophora japonica (fruit) - improves the condition of vascular walls, normalizes blood pressure, prevents hemorrhages.
• Mokritsa - stops the development of the inflammatory process, the initial stage of cataracts.
• Rhizome of Dzungarian aconite - stops the growth of tumor processes, normalizes intraocular pressure.
• Swamp cassava - helps to eliminate the shroud in front of the eyes in glaucoma.
• Cornflower (flowers) eliminates swelling and inflammation, normalizes blood pressure.
• Strawberry leaves - stabilize intraocular pressure, have an antibacterial effect (can be used in the form of lotions).

If the shroud before the eyes appears gradually, simultaneously with the deterioration of vision, then you can try treatment with the following plants:

• Rosehip - contains a lot of vitamin A, improves visual perception.
• Dioscorea rhizome - prevents clouding of the lens, stops age-related degenerative processes, can be used to prevent senile deterioration of vision.
• Chinese lemongrass - improves blood circulation processes.
• Sea buckthorn berries - stops the development of inflammation, improves visual perception.
• Blueberries - protect the eye fundus and retina, stimulate intraocular blood circulation.

It should be noted that medicinal plants help if the shroud in front of the eyes is caused by visual fatigue, other minor visual disturbances. However, in serious diseases, the use of herbs alone will not be enough: complex ophthalmologic treatment is required.

Surgical treatment

Retinal abnormalities are a case where timely intervention by a surgeon can prevent complete loss of vision. The surgery should be performed as early as possible, without waiting until the shroud before the eyes turns into much more serious symptoms.

Surgeons offer such effective methods of ophthalmic surgery:

• diode laser application;
• peripheral laser photocoagulation;
• episcleral ballooning and filling;
• vitreoretinal intervention.

Diode laser is used for retinal tears: this procedure helps to create strong adhesions between the retina and the vasculature while minimizing trauma to the tissue.

If dystrophic processes in the retina are detected, prophylactic peripheral laser photocoagulation can be performed. The treatment method is based on strengthening the retina with a laser beam with a certain wavelength. As a result, retinal nutrition is improved and vascular permeability is reduced. The operation is minimally traumatic and effective, and is performed with minimal discomfort for the patient.

In case of retinal detachment, episcleral ballooning is used, which consists in restoring the adherence of the retinal layer to the vascular layer, as well as in creating conditions favorable for their fusion. Subsequently, laser coagulation of the retina and vitrectomy (vitreous body removal) may be performed.

Episcleral filling, a procedure that does not require penetration into the eyeball, is also used for retinal tears. A special silicone filling is placed on the outer side of the sclera, forming a moisture zone to fix the retina. Moisture accumulated under the retinal layer is gradually absorbed through the vasculature.

Vitreoretinal intervention is used in advanced forms of retinal detachment. The operation is a minipuncture of the retinal layer through the eyeball. Vitrectomy is performed transciliarily. A special operating microscope is used during the procedure. Additional cryocoagulation is possible to fix the retina.

In general, treatment tactics (including surgery) are individualized for each patient.

Complications and consequences

Any visual impairment, even a small shroud in front of the eyes, can impair the quality of life, and even deprive a person of other opportunities. The appearance of the malfunction can be associated with a variety of causes, acute or chronic pathologies. Acute, sudden deterioration in the perception of the image may be accompanied by the appearance of spots, stars, swaddling, and sometimes the quality and contrast changes. In chronic disease states, changes progress slowly, little by little, over a long period of time. Among the possible adverse effects, such pathologies often occur:

• Diseases of the visual organs themselves: keratitis, keratopathies, cataract, vitreous destruction, glaucoma, retinal detachment or dystrophies, etc.
• Vascular disorders, neuropathies, ischemic eye disease.
• Diseases of the central nervous system, endocrine pathologies.

Patients over 55 years of age sometimes develop age-related macular degeneration, which affects the central zone of the retina, the yellow spot - the area of the retina where the largest concentration of light-sensitive nerve receptors is located. Pathology is most often caused by a deficiency of the most important vitamin and mineral substances in the body, exposure to ultraviolet light, heredity, bad habits. One of the initial signs is usually a shroud before the eyes. After a while, other symptoms are added: loss of clarity of contours, distortion of shape, etc.

Prevention

Since there are many different causes of the appearance of shrouds before the eyes, the prevention of such disorders should be comprehensive. And the first condition for successful prevention of the disease is a timely visit to doctors at the first suspicious signs.

An important role for quality vision is played by nutrition, which should be balanced, rich in minerals and vitamins - especially vitamins A, B, E, D, C, calcium, magnesium, zinc, iron. Foods such as liver, sesame, greens, beans and pumpkin seeds, sea fish, hard cheese, cocoa are considered useful for the eyes. In case of insufficient consumption of such products, you can take pharmacy multivitamin preparations.

For prevention purposes, it is recommended to supplement the diet with pumpkin, carrots, parsley juice, as well as other sources of valuable carotene, necessary to prevent vision problems.

In addition to this, you should also pay attention to other advice from doctors:

• Prolonged stay at the monitor has a bad effect on the health of the eyes. Therefore, you should periodically take breaks from work, during which you can look into the distance, or simply close your eyes and relax.
• The workplace should be equipped with proper lighting, with steady moderate light, without flickering or excessive brightness.
• Dark glasses should not be worn in cloudy weather, indoors or at night.
• Correct posture is the key to the normal functioning of the spinal column, which is important for the adequate functioning of the brain and visual organs.
• Night sleep should be sufficient in time and adequate in quality. The body, brain and eyes should rest.

Alcohol abuse and smoking are a direct path to cerebral circulation disorders, increased intraocular pressure and cataract development. To avoid such disorders, you need to lead a healthy lifestyle, without addictions.

There are also sanitation and hygiene preventive measures:

• do not touch your eyes or face with dirty fingers;
• Do not use one towel for more than one person;
• Use only personal hygiene products;
• Careful selection of cosmetics, do not use other people's cosmetics;
• always remove makeup before going to bed, remove contact lenses.

With prolonged visual strain it is desirable to regularly perform special eye exercises: move the eyes up and down, left and right, rotate in a circle, look alternately at a distant and close object.

If you take care of your health and do not overload your eyesight, the veil in front of your eyes will never bother you, as well as other unwanted and painful symptoms. It is recommended that people over 40 years of age visit an ophthalmologist and have their intraocular pressure measured at least once a year.

Forecast

The prognosis depends mainly on the peculiarities of the course of the underlying pathology. In most patients the shroud before the eyes disappears spontaneously, and vision is fully restored within 2-3 months. In some people with nervous system lesions in the absence of systemic diseases (connective tissue disorders) vision is also restored, but in 25% of cases the problem may reappear. In such situations it is recommended to carry out in-depth and thorough diagnostics.

The quality of life of people with this problem depends on many factors. These include, for example, compliance with preventive recommendations, access to treatment and restoration of visual function (including the use of auxiliary devices such as glasses, lenses, etc.). Most often, shrouds in front of the eyes are a transient condition that disappears on its own or under the influence of appropriate therapeutic manipulations.