Patient's question:
Left eye central vision distortion, blurred vision in both eyes, dry eyes, itchy, stuffy.Doctor's answer:
The causes of visual distortion due to macular degeneration in the eye are numerous. Generally, it is caused by exudative fluid accumulation under the retina, leading to macular edema and bleeding. This includes bleeding from ruptured blood vessels, leakage from blood vessel walls, trauma, inflammation, tumors, tissue necrosis, elevated or lowered blood pressure, which damages the blood vessel walls and causes bleeding. Dysfunction in the hemostatic mechanism due to enlarged ultrastructural pores in endothelial cells, and neovascularization (CNV) causing leakage and bleeding.Classification of bleeding: traumatic bleeding, bleeding from blood vessel rupture. Inflammatory bleeding, bleeding due to "unrestrained blood heat" in traditional Chinese medicine (TCM). Degenerative bleeding, changes in blood coagulation mechanisms. TCM concepts of "qi failing to grasp blood" and "spleen failing to control blood." Vascular hardening, thickening of blood vessel walls, reduced blood flow, retinal tissue ischemia, tissue necrosis, and bleeding. Thrombotic bleeding. Compression bleeding, such as bleeding caused by intracranial tumors compressing and occupying space.
The causes of bleeding are associated with hypertension, diabetes, vascular embolism, blood disorders, kidney disease, trauma, and complications of high myopia, such as macular bleeding. Idiopathic neovascularization-induced bleeding, where the cause cannot be identified.
Pathological process: Bleeding or exudation, edema, proliferation, formation of new blood vessels, further proliferation, re-exudation, and re-bleeding, with the condition recurring.
Treatment primarily involves purifying the blood, repairing endothelial cells, blocking new blood vessel formation, and guiding cells to transform in a positive direction.
In TCM, macular bleeding is typically classified as retinal artery embolism, venous embolism, peri-venular inflammation, hypertension, diabetic retinopathy, nephritis, blood disorders, etc., all of which can cause macular bleeding. This is equivalent to "sudden blindness" and "cloudy vision obscuring sight" in TCM.
The TCM ophthalmology department in Weicun, Shenze, Hebei, has accumulated extensive experience in treating macular bleeding using traditional Chinese medicine. Through differentiation of disease and syndrome, combined with fundus conditions, they have developed a series of effective herbal formulas to treat macular bleeding, restoring vision in many patients who only had light perception.