the Symptoms and Concerns of Floaters in Vision - Ophthalmology

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Floaters issue?


Hello doctor, I have symptoms of floaters.
I had a follow-up examination two months ago, and everything was fine.
However, recently I feel that the floaters in my vision, especially when looking at the sky, have become more noticeable.
When I cover one eye, I see a black shadow that resembles a flower shape spreading and changing...
What could this symptom indicate?

K, 20~29 year old female. Ask Date: 2016/05/06

Dr. Gao Pilin reply Ophthalmology


Hello: It is likely still vitreous floaters.
However, if the floaters increase, it is advisable to have an eye examination for peace of mind.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2016/05/06

More Info


Floaters, or "muscae volitantes," are common visual phenomena that many people experience, especially as they age. They appear as small spots, threads, or cobweb-like shapes that drift across your field of vision. These floaters are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters.
In your case, the recent increase in the visibility of floaters, particularly the description of a black shadow resembling a flower shape, could be attributed to several factors. First, it is important to note that floaters can become more noticeable against bright backgrounds, such as a clear sky. This is a common experience, and many people report that their floaters seem to be more pronounced in certain lighting conditions.

However, the change in the appearance of floaters, especially if they are accompanied by other symptoms such as flashes of light or a sudden increase in the number of floaters, can be a cause for concern. These symptoms may indicate a more serious condition, such as a retinal tear or detachment. In such cases, it is crucial to seek immediate medical attention from an eye care professional.

Given that you have already had a follow-up examination two months ago with no significant findings, it is reassuring. However, if you notice any new symptoms or if the floaters become increasingly bothersome, it would be wise to return to your eye doctor for further evaluation. They may perform a comprehensive eye exam, including a dilated fundus examination, to assess the health of your retina and vitreous.

In addition to the physical changes in the eye, psychological factors can also play a role in how we perceive floaters. Anxiety or stress can heighten awareness of visual disturbances, leading to increased concern about their significance. It is essential to maintain a balanced perspective and understand that while floaters can be annoying, they are often benign.

If you are experiencing significant anxiety regarding your vision, it may be helpful to discuss these feelings with your healthcare provider. They can provide reassurance and help you understand the nature of your symptoms better.
In summary, while floaters are generally harmless and a common occurrence, any changes in their appearance or the emergence of new symptoms should prompt a visit to an eye care professional. Regular eye examinations are crucial, especially for individuals with a history of eye conditions or those who are experiencing significant changes in their vision. Always prioritize your eye health and seek professional advice when in doubt.

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