Floaters in the retina
I have floaters in my right eye and have undergone laser treatment for a retinal tear.
Now, I notice that in bright sunlight, there appear to be lines above my left eye.
Initially, I thought it was my eyelashes, but now it feels like a thin black membrane.
I don’t notice this when reading or using electronic devices at home under normal lighting; it only becomes apparent in sunlight.
Could this be a sign of retinal detachment or vitreous traction, doctor?
Jiao Lü, 10~19 year old female. Ask Date: 2016/05/24
Dr. Wang Zhangji reply Ophthalmology
It is recommended to visit the outpatient clinic for examination.
Reply Date: 2016/05/24
More Info
Floaters, or "flying mosquitoes," are common visual disturbances that many people experience, particularly as they age. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye, which can become more liquid and form clumps or strands. These floaters can cast shadows on the retina, leading to the perception of spots or lines in your vision.
Given your history of retinal laser treatment for a retinal tear in your right eye, it is understandable that you are concerned about new symptoms in your left eye. The appearance of lines or a dark film, especially in bright light, can be alarming and may indicate changes in the vitreous or even potential retinal issues. Here’s a breakdown of your concerns and what you should consider:
1. Symptoms and Their Implications: The lines you see in bright sunlight could be related to the vitreous humor's changes. However, if you are noticing a "black film" or a significant change in your vision, it is crucial to take this seriously. Such symptoms can sometimes indicate that the vitreous is pulling away from the retina, which can lead to more severe conditions like retinal tears or detachments.
2. Vitreous Detachment: As we age, the vitreous gel can shrink and pull away from the retina. This is known as posterior vitreous detachment (PVD). While PVD is common and often harmless, it can sometimes lead to complications. Symptoms of PVD can include an increase in floaters, flashes of light, or a shadow or curtain effect in your vision. If you experience any sudden changes in your vision, it is essential to seek immediate medical attention.
3. Retinal Concerns: Given your previous retinal treatment, it is particularly important to monitor any new visual symptoms. The presence of a dark film or significant changes in your vision could suggest that the retina is being affected. Retinal tears or detachments can lead to permanent vision loss if not treated promptly.
4. When to Seek Help: If you notice any sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, you should contact an eye care professional immediately. Even if your symptoms seem mild, it is better to err on the side of caution, especially with your history of retinal issues.
5. Protective Measures: While you are experiencing these symptoms, it is advisable to protect your eyes from bright sunlight. Wearing sunglasses with UV protection can help reduce glare and strain on your eyes. Additionally, ensure you are taking regular breaks from screens and practicing good eye hygiene to minimize eye strain.
6. Regular Eye Exams: Regular check-ups with your eye doctor are crucial, especially considering your history of retinal issues. They can monitor the health of your retina and vitreous and provide timely interventions if necessary.
In conclusion, while floaters are often benign, your specific symptoms warrant a thorough evaluation by an eye care professional. It is essential to stay vigilant about any changes in your vision and to seek medical advice promptly to ensure the health of your retina and overall eye health.
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