Eye Issues: Addressing Floaters and Water Droplet Shadows - Ophthalmology

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Eye problems


Hello, Doctor Gao.
I have floaters in my vision and my eyes are quite dry.
Currently, it seems like there are transparent water droplet-like shadows obstructing my view, which are particularly noticeable in bright light.
I'm not sure what the cause is.
I have seen a doctor who performed dilation, and my retina is currently okay.
I would like to know if there is a way for these water droplet-like shadows to disappear.

Linda, 20~29 year old female. Ask Date: 2016/05/19

Dr. Gao Pilin reply Ophthalmology


Hello Linda: If the examination for floaters shows no issues, please rest assured that this condition may improve over time, but there is no method to make it disappear immediately.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open from Monday to Friday, 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; it is still necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2016/05/19

More Info


Hello! It sounds like you're experiencing a combination of symptoms that can be quite concerning, especially when it comes to your vision. Based on your description, it seems you have floaters (also known as "myodesopsia") and possibly some visual disturbances that resemble water droplet shadows. Let's break down these issues and explore potential causes and solutions.


Understanding Floaters and Visual Disturbances
Floaters are tiny specks or strands that float in your field of vision. They are 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. This is a common phenomenon and is usually benign, especially if your retina has been checked and is healthy, as you mentioned.

The "water droplet" shadows you are seeing could be related to the same changes in the vitreous. When light passes through the eye, it can create shadows on the retina from these floaters, especially in bright light conditions. This is why you notice them more when looking at bright surfaces or under direct light.


Dry Eyes and Its Impact
You also mentioned experiencing dry eyes, which can exacerbate visual disturbances. Dryness can lead to discomfort and may affect your ability to focus clearly, potentially making floaters more noticeable. It’s essential to manage dry eye symptoms, as they can contribute to overall visual discomfort.


Can the Water Droplet Shadows Disappear?
Regarding your question about whether the water droplet shadows can disappear, the answer is somewhat nuanced. Floaters may become less noticeable over time as your brain learns to ignore them. However, there is no guaranteed method to make them disappear entirely. Some people find that floaters diminish in intensity or frequency, while others may continue to see them.

If the floaters or shadows become bothersome, there are a few options to consider:
1. Observation: If your eye doctor has confirmed that your retina is healthy and there are no signs of serious issues, regular monitoring may be the best approach. Many people find that they adapt to floaters over time.

2. Treatment Options: In some cases, if floaters significantly impair vision, a procedure called vitrectomy can be performed, where the vitreous gel is removed. However, this procedure carries risks and is typically reserved for severe cases.

3. Managing Dry Eyes: To alleviate dry eye symptoms, consider using artificial tears or lubricating eye drops. Staying hydrated and taking breaks during prolonged screen time can also help.


When to Seek Further Help
If you notice any changes in your vision, such as an increase in the number of floaters, flashes of light, or a shadow in your peripheral vision, it’s crucial to seek immediate medical attention. These could be signs of retinal detachment or other serious conditions.

In summary, while floaters and the associated visual disturbances can be concerning, they are often benign, especially when accompanied by a healthy retina. Managing dry eye symptoms and monitoring your condition with your eye care professional will be key in addressing your concerns. If you have any further questions or if your symptoms change, don’t hesitate to reach out to your eye doctor for personalized advice and care.

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