Patient: At the first onset, there was a black spot in front of my eyes, and I turned my eyes there and there. I went to the eye hospital and the doctor couldn’t tell me anything, but he just gave me some liver relief medicine and eye drops. Now it’s been twelve years, but when the vision is reduced, I feel that my head is hot, my eyes are sore, tearing, itchy, astringent, and my eyes are foggy as if there is slag inside, and I see a small grain of sand or rice is a circle. Wearing presbyopic glasses to see clearly. When I close my eyes, I feel comfortable. Doctor, how to treat? The black spot in front of the eyes is probably a retinal or macular degeneration if it is fixed, or a vitreous clouding if it is floating, so you need to check if the retina is involved. If the head is hot, the eyes are sore, the eyes are itchy, and the eyes are foggy as if there is slag inside, glaucoma should be excluded. If glaucoma has been ruled out, it may be caused by dry eye, and the symptoms can be improved by using artificial tears under the guidance of the tear-eye secretion test, etc. As for the near vision, it should be presbyopia. All in all, the hope as soon as possible to the regular hospital ophthalmology consultation of the.