Floaters: Are Your Symptoms Normal or Concerning? - Ophthalmology

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Suspected floaters, but the floaters are ribbon-like, curled, and their shape changes as the eyeball moves?


Hello doctor, I would like to ask about my floaters.
They are thread-like but change shape, curling, stretching, or folding as I move my eyes.
Is this how the black spots of true floaters typically behave? Thank you for taking the time to answer.

Miumiu, 30~39 year old female. Ask Date: 2017/07/03

Dr. Gao Pilin reply Ophthalmology


Hello Miumiu: Your condition is a typical case of floaters.
It is recommended that you visit an ophthalmologist for an examination; if everything is fine, you can rest assured.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2017/07/03

More Info


Floaters, or "muscae volitantes," are small spots or strands that drift through your field of vision. 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.
Your description of the floaters being thin and changing shape—sometimes curling, stretching, or folding—does align with common characteristics of floaters. They can appear as various shapes, including dots, lines, or cobweb-like structures, and their movement can be influenced by the motion of your eyes. When you move your eyes, floaters may appear to drift in the opposite direction, which is a normal phenomenon.

However, while floaters are often benign, there are certain situations where they can indicate a more serious condition. For instance, if you suddenly notice a significant increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, it could suggest a retinal tear or detachment. This is a medical emergency that requires immediate attention from an eye care professional.

In your case, if the floaters have been stable and you are not experiencing any other concerning symptoms, it is likely that what you are experiencing is normal. However, it is always wise to consult with an eye care specialist if you have any concerns about your vision. They can perform a comprehensive eye examination to ensure that your eyes are healthy and that there are no underlying issues.

In summary, while your symptoms of floaters seem to be within the realm of normal, it is essential to remain vigilant. Regular eye check-ups are crucial, especially as you age or if you notice any changes in your vision. If you ever feel uncertain or anxious about your symptoms, don't hesitate to reach out to a healthcare provider for reassurance and guidance. Your eye health is important, and proactive care can help prevent potential complications.

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