Floaters issue?
Hello Doctor, I was diagnosed with floaters this month, currently in my left eye.
I had a fundus examination and my left retina is okay, with vision around 20/800, but it dropped to 20/650 after dilation.
The doctor mentioned a black spot close to the optic nerve, expressing concern about potential traction, and suggested that it might be due to recent fatigue and excessive eye use.
For now, I'm just observing and was advised to return if I experience more flashes or an increase in floaters.
However, after returning home, I felt something unusual in my eye...
A few days later, I noticed arc-shaped flashes in my left eye, specifically on the left side, which I can see both during the day and at night.
It seems to occur more easily at certain angles or when my eyeball suddenly moves.
Sometimes the flashes are white, sometimes black, but there hasn't been a sudden increase in floaters or any visual field loss.
Is this normal? I've been quite worried about it, and when I asked my family members who have floaters, they think I'm just overly concerned.
This situation has been ongoing for a week.
When looking at a clear sky, I also notice thread-like translucent floaters; is this normal? Thank you, Doctor.
Yun, 30~39 year old female. Ask Date: 2017/01/16
Dr. Cai Wenyuan reply Ophthalmology
Hello, based on your description, it does not seem to be an emergency situation.
I recommend seeking medical attention according to the schedule.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2017/01/16
More Info
Hello! It sounds like you are experiencing a range of visual phenomena, including floaters and flashes of light, which can understandably be concerning. Let's break down your symptoms and provide some context regarding floaters, flashes, and when to seek medical attention.
Understanding Floaters and Flashes
Floaters are small specks or strands that drift through your field of vision. They are usually 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. They are often harmless, but they can be bothersome.
Flashes of light, on the other hand, can occur when the vitreous gel pulls on the retina, causing it to send signals to the brain that are interpreted as light. This phenomenon can be more pronounced in certain positions or movements, such as when you quickly turn your head or change your gaze.
Your Symptoms
You mentioned that you have been diagnosed with floaters in your left eye and that you have noticed arc-shaped flashes of light. The fact that these flashes are more noticeable when you move your eyes quickly or change your position is consistent with the behavior of flashes associated with vitreous traction. The presence of these symptoms, especially after a recent diagnosis of floaters, can be related to the ongoing changes in the vitreous.
The fact that your retina was checked and found to be normal is reassuring. However, it is essential to monitor any changes in your symptoms. If you notice an increase in the number of floaters, a sudden increase in flashes, or any new symptoms such as a curtain or shadow over your vision, you should seek immediate medical attention. These could be signs of more serious conditions, such as a retinal tear or detachment.
When to Seek Help
1. Increased Floaters: If you notice a sudden increase in floaters, especially if they appear as a shower of new floaters, this warrants a visit to your eye doctor.
2. Flashes of Light: If the frequency or intensity of the flashes increases, or if they become persistent, it is essential to get evaluated.
3. Visual Changes: Any new visual disturbances, such as a curtain or shadow over your vision, or significant changes in your visual acuity, should be assessed promptly.
4. Persistent Symptoms: If your symptoms persist for more than a week without improvement, it’s wise to consult your eye care professional for further evaluation.
Conclusion
While your current symptoms may be related to the normal aging process of the vitreous and are not uncommon, it is crucial to remain vigilant. Your family’s perspective that you may be overly focused on your symptoms is valid, but it’s essential to trust your instincts. If something feels off, it’s always better to err on the side of caution and seek professional advice.
In the meantime, try to reduce eye strain by taking regular breaks from screens and ensuring you have adequate lighting when reading or doing close work. Maintaining a healthy lifestyle with proper hydration and nutrition can also support overall eye health.
If you have any further questions or if your symptoms change, don’t hesitate to reach out to your eye care provider. Your vision is important, and staying proactive about your eye health is the best approach.
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