Floaters: Are They a Sign of Retinal Issues? - Ophthalmology

More Info

---

Floaters, or "flying mosquitoes," are a common visual phenomenon 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 formation of floaters. While floaters are often benign, their presence can sometimes be concerning, particularly if accompanied by other symptoms such as flashes of light or a sudden increase in the number of floaters.

In your case, with myopia (nearsightedness) of -9.00 in the right eye and -8.00 in the left, you may be at a higher risk for certain retinal issues, including retinal tears or detachments. High myopia can lead to structural changes in the eye, making the retina more susceptible to damage. The fact that you are seeing floaters, especially in bright light conditions, is not uncommon, but the additional symptom of seeing flickering black dots is something to take seriously.

The presence of floaters alone does not necessarily indicate a retinal tear or detachment, but it can be a sign that you should be vigilant. If you notice a sudden increase in floaters, especially if they are accompanied by flashes of light or a shadow in your peripheral vision, it is crucial to seek immediate medical attention. These could be signs of a retinal tear or detachment, which is a medical emergency.

Regarding your specific symptoms, seeing 5-20 floaters that vary in shape and number, along with the sensation of moving black dots, could be related to the normal aging process of the vitreous. However, if these symptoms are new or have changed significantly, it is advisable to have a thorough eye examination, including a dilated fundus exam, to assess the health of your retina.

Eye strain, or asthenopia, can also contribute to discomfort and may exacerbate the perception of floaters. Prolonged screen time, especially without adequate breaks, can lead to fatigue in the eye muscles, resulting in discomfort and increased awareness of floaters. It is essential to practice good eye hygiene, such as the 20-20-20 rule—every 20 minutes, look at something 20 feet away for at least 20 seconds—to help alleviate eye strain.

In summary, while floaters are often benign, your high degree of myopia and the presence of additional symptoms warrant careful monitoring. Regular eye exams with an ophthalmologist are essential to ensure that any potential issues are caught early. If you experience any sudden changes in your vision or an increase in symptoms, do not hesitate to seek immediate medical attention. Your eye health is paramount, and staying proactive about any changes can help protect your vision in the long run.