Floaters: When to Worry About Eye Health - Ophthalmology

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Seeing floaters in the sky?


I had a retinal examination at the ophthalmologist, and the doctor said everything was fine.
When I look at a white wall indoors, I see only one or two floaters, but when I go outside and look at the sky, I see a whole swarm of them! Is this normal?

Xiao Yu, 20~29 year old female. Ask Date: 2017/03/08

Dr. Cai Wenyuan reply Ophthalmology


Hello, your description is considered a common phenomenon; regular check-ups are sufficient.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/08

More Info


Floaters, or "flying spots," are common visual phenomena that many people experience, especially as they age. They 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 fact that you have undergone a thorough retinal examination and that your eye doctor found no issues is reassuring.
When you notice floaters against a white wall, they may appear less numerous because of the contrast with the background. However, when you look at a bright, uniform surface like the sky, the floaters can become more noticeable, and it may seem like there are many more of them. This is a common experience and does not necessarily indicate a problem with your eye health.

It's important to understand when floaters might be a cause for concern. If you suddenly notice a significant increase in the number of floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, it could indicate a retinal tear or detachment, which requires immediate medical attention. Other symptoms to watch for include a sudden loss of vision or a curtain-like shadow over your visual field.

In your situation, since you have already had a comprehensive eye exam and your doctor has confirmed that everything is normal, it is likely that your floaters are benign. However, maintaining regular eye check-ups is crucial, especially if you have a history of high myopia (nearsightedness), as this condition can increase the risk of retinal issues.

To manage your eye health and potentially reduce the perception of floaters, consider the following:
1. Stay Hydrated: Proper hydration can help maintain the health of the vitreous humor.

2. Protect Your Eyes: Wear sunglasses to shield your eyes from UV rays, which can contribute to eye health issues over time.

3. Limit Screen Time: Taking regular breaks from screens can help reduce eye strain, which may make you more aware of floaters.

4. Healthy Diet: A diet rich in antioxidants, vitamins C and E, omega-3 fatty acids, and zinc can support overall eye health. Foods like leafy greens, fish, nuts, and citrus fruits are beneficial.

5. Regular Eye Exams: Continue to have regular check-ups with your eye care professional, especially if you notice any changes in your vision.

In conclusion, while floaters can be concerning, they are often a normal part of aging and eye health. Since your recent eye examination showed no issues, you can feel more at ease. However, remain vigilant for any sudden changes in your vision and consult your eye doctor if you have any concerns. Your proactive approach to eye health is commendable, and maintaining good habits will serve you well in the long run.

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