Floaters: Common Concerns and When to Seek Help - Ophthalmology

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Questions about floaters?


Hello Doctor, I currently have three questions:
1.
It has only been four months since I first experienced floaters, but I have noticed a significant increase (from one to about ten), accompanied by flashes and other symptoms.
However, the doctor examined me and said it was benign.
I found online that benign cases usually have the same location and quantity, but I have clearly experienced an increase over these four months, which makes me very confused.
So, as long as the examination shows no retinal tears or detachments, is it all classified as benign?
2.
Recently, I have noticed that when I wake up and open my eyes, I see branch-like black shadows.
After closing my eyes and reopening them, I can still see them, and they last for about 1-2 minutes before disappearing.
When I rest and then open my eyes again, they reappear.
Doctor, is this also due to degeneration?
3.
I just saw the doctor at the beginning of the month, and the examination showed that my retina is normal.
My next follow-up appointment is in November (three months later).
During this period, can I feel somewhat reassured?

Alice, 20~29 year old female. Ask Date: 2017/08/24

Dr. Cai Wenyuan reply Ophthalmology


Hello,
1.
So as long as the examination shows that there are no holes or detachment in the retina, can we classify it as benign? This can be used as a comparison.

2.
The same question applies.

3.
It can be said this way.

Wishing you peace and health,
Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare,
Dr.
Tsai Wen-Yuan

Reply Date: 2017/08/24

More Info


Floaters, or "floaters in the eye," are a common visual phenomenon that many people experience, especially as they age. They appear as small spots, threads, or cobweb-like shapes that drift across your field of vision. While they can be annoying, they are often harmless. However, your concerns about the increase in floaters and the accompanying symptoms warrant careful consideration.

1. Increase in Floaters: It is not uncommon for individuals to notice an increase in floaters over time, especially if they have recently become more aware of them. Floaters are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can shrink and pull away from the retina, leading to the formation of new floaters. However, if you are experiencing a significant increase in floaters, especially if they are accompanied by flashes of light or other visual disturbances, it is essential to consult with an eye care professional. While your doctor may have indicated that your condition is benign, it is crucial to monitor any changes closely. The presence of flashes or a sudden increase in floaters can sometimes indicate more serious conditions, such as retinal tears or detachments, which require immediate attention.

2. Tree-like Shadows: The phenomenon you describe—seeing tree-like shadows upon waking—could be related to several factors, including the natural aging process of the eye or changes in the vitreous. These shadows may be a result of the way light enters your eye after a period of rest, and they can be more pronounced in certain lighting conditions. However, if these shadows persist or are accompanied by other symptoms, such as vision loss or increased floaters, it is advisable to seek further evaluation from an eye specialist. They can perform a comprehensive examination to rule out any underlying issues.

3. Peace of Mind Until Next Appointment: If your recent examination showed that your retina is normal and there are no signs of tears or detachments, you can take some comfort in that finding. However, it is essential to remain vigilant. If you notice any new symptoms, such as a sudden increase in floaters, flashes of light, or any changes in your vision, do not hesitate to contact your eye doctor before your scheduled appointment. It is always better to err on the side of caution when it comes to eye health.

In summary, while floaters are generally benign, any significant changes in their frequency or associated symptoms should be taken seriously. Regular check-ups with your eye care provider are crucial for monitoring your eye health, especially as you experience changes. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for guidance. They can provide reassurance and help you understand what is normal and what may require further investigation. Remember, your vision is invaluable, and taking proactive steps to care for it is essential.

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