the Increase in Floaters: Is It a Common Concern? - Ophthalmology

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A high number of floaters?


Hello doctor, I have recently started experiencing floaters over the past few months.
I have seen many doctors, and after undergoing dilated eye examinations, everything seems normal.
However, I have noticed a significant increase in the number of floaters in my left eye (they are all transparent and consist of many small dots resembling fish eggs).
In larger terms, there may be about 7-8 larger ones, and in smaller terms, there could be around 30-40.
However, I hardly notice them indoors; they become very prominent in sunlight.
Does this qualify as a typical case of floaters?

Lin Lin, 20~29 year old female. Ask Date: 2017/09/18

Dr. Cai Wenyuan reply Ophthalmology


Hello: Many patients have described this.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/18

More Info


Floaters, commonly referred to as "flying mosquitoes" in some cultures, are a common visual phenomenon that many people experience, particularly as they age. They appear as small, shadowy shapes that drift across your field of vision, often resembling spots, threads, or cobwebs. These floaters 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 these floaters.

In your case, the increase in the number of floaters you've observed, particularly in your left eye, is not uncommon. Many individuals report a noticeable increase in floaters over time, especially if they are more sensitive to visual changes or if they are in bright light conditions, such as outdoors in sunlight. The fact that you have undergone dilated eye examinations and received a clean bill of health from multiple eye doctors is reassuring. It suggests that there are no underlying issues such as retinal tears or detachments, which can sometimes be associated with a sudden increase in floaters.

It's important to note that while floaters can be annoying, they are usually harmless. However, certain symptoms warrant immediate medical attention. If you experience a sudden increase in floaters, flashes of light, or a shadow or curtain effect in your vision, you should seek prompt evaluation by an eye care professional. These symptoms could indicate a more serious condition, such as a retinal tear or detachment, which requires urgent treatment.

Regarding your specific situation, the presence of 7-8 larger floaters and 30-40 smaller ones, particularly if they are transparent and not obstructing your vision significantly, aligns with typical floaters associated with age-related changes in the vitreous. The fact that they are more noticeable in bright light is also common, as contrast can make them more apparent against a lighter background.

In conclusion, while the increase in floaters can be concerning, especially when it seems to happen suddenly, it is often a normal part of the aging process and does not necessarily indicate a serious problem, especially given your normal eye examinations. However, it is always wise to remain vigilant about any changes in your vision and to maintain regular check-ups with your eye care provider. If you have any further concerns or if the floaters become bothersome, discussing potential management options with your eye doctor may be beneficial.

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