Floaters vs. Scherer's Syndrome: Key Differences Explained - Ophthalmology

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Is it floaters or Scherer's syndrome?


Hello doctor, I have recently been having trouble distinguishing between floaters and Scheerer's phenomenon.
When I look at the sky, I see many small white dots, and sometimes when I look at very bright objects, it happens as well.
Please tell me which one it is.

Hehe Yi Xiao, 10~19 year old female. Ask Date: 2017/08/03

Dr. Cai Wenyuan reply Ophthalmology


Hello, it is advisable to seek medical examination.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/03

More Info


Floaters and Scherer's Syndrome are two distinct ocular conditions that can cause visual disturbances, but they have different underlying mechanisms and implications for eye health. Understanding these differences is crucial for proper diagnosis and management.

Floaters are small, shadowy shapes that appear in 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. These can appear as dots, circles, or cobweb-like strands that drift around as you move your eyes. Floaters are generally harmless and are often more noticeable against bright backgrounds, such as a clear sky or a white wall. However, 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 indicate a retinal tear or detachment, which requires immediate medical attention.

On the other hand, Scherer's Syndrome, also known as Scherer's disease or Scherer's retinopathy, is a rare condition characterized by the presence of multiple small white spots on the retina. These spots are often associated with systemic conditions, such as hypertension or diabetes, and can indicate underlying retinal damage. Unlike floaters, which are typically benign, Scherer's Syndrome may require further investigation and management, as it can lead to more serious complications if left untreated.

The symptoms you describe—seeing small white dots in your vision, especially when looking at bright objects—could be related to either condition. However, if these dots are persistent and particularly bothersome, it is essential to consult an eye care professional for a thorough examination. They can perform a dilated eye exam to assess the health of your retina and vitreous, helping to determine whether you are experiencing floaters or if there is a more serious issue at play, such as Scherer's Syndrome.

In summary, while both floaters and Scherer's Syndrome can cause visual disturbances, they arise from different causes and have different implications for eye health. Floaters are usually benign and related to age-related changes in the vitreous, while Scherer's Syndrome may indicate underlying retinal issues that require medical attention. If you are experiencing these symptoms, it is advisable to seek a comprehensive eye examination to ensure proper diagnosis and treatment.

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