Floaters: When to Seek Medical Attention for Eye Issues - Ophthalmology

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Retinal issues


Hello, Doctor.
I have a few questions I would like to ask you: 1.
How many floaters are considered serious? 2.
My current situation is that I sometimes see floaters, but they only appear when my eyes are fatigued.
Each time, only one appears, and it moves around; sometimes it is large, and sometimes it is small.
I am quite afraid of seeing a doctor because I might hear bad news, so I want to ask you, is it necessary to see a doctor? 3.
Also, every time I read articles about floaters, they mention that if the pattern of floaters changes, I should see a doctor.
What does "pattern change" mean, and what kind of change in floaters should prompt a visit to the doctor? Thank you, Doctor.

Pa Yan Jing Sha Diao De Xiao Di, 10~19 year old female. Ask Date: 2016/12/16

Dr. Cai Wenyuan reply Ophthalmology


Hello: If you have any questions, you should see a doctor.
Don't be afraid; delaying care may worsen your condition.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/12/16

More Info


Hello! Thank you for your questions regarding floaters and when to seek medical attention for eye issues. Floaters, or "vitreous opacities," are common visual disturbances 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. While they are usually harmless, there are certain circumstances when you should consider seeing an eye care professional.

1. How Many Floaters Are Considered Serious?
There isn't a specific number of floaters that indicates a serious condition. Instead, the concern arises from changes in the nature of the floaters or the presence of additional symptoms. If you notice a sudden increase in the number of floaters, especially if they are accompanied by flashes of light or a shadow in your peripheral vision, it could indicate a more serious issue, such as a retinal tear or detachment. In general, if you have a significant change in your visual experience, it's best to consult an eye care professional.

2. Current Situation with Occasional Floaters:
It’s understandable to feel anxious about visiting a doctor, especially if you fear a negative diagnosis. However, if you are experiencing floaters primarily during times of eye fatigue, it may not be a cause for alarm. Fatigue can exacerbate the perception of floaters. However, if you notice that these floaters become more frequent, larger, or if they start to obstruct your vision, it’s advisable to seek medical attention. Early detection of potential issues can lead to better outcomes, so it’s important to prioritize your eye health.

3. What Does "Change in the Pattern" of Floaters Mean?
The term "change in pattern" refers to any noticeable alteration in the floaters you experience. This could include:
- A sudden increase in the number of floaters.

- Floaters that appear larger or darker than usual.

- New floaters that appear suddenly, especially if accompanied by flashes of light.

- A change in the movement of floaters, such as them becoming more persistent or obstructive.

If you notice any of these changes, it’s crucial to seek an eye examination. The eye care professional may perform a dilated fundus exam or other imaging tests to assess the health of your retina and vitreous.

In conclusion, while floaters are often benign, it’s essential to remain vigilant about any changes in your vision. Regular eye exams are important, especially if you have a history of eye issues or if you are experiencing new symptoms. If you have any doubts or concerns, don't hesitate to reach out to an eye care professional. They can provide reassurance and, if necessary, appropriate interventions to protect your vision. Remember, taking proactive steps for your eye health is always a wise choice!

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