Increased Floaters: Causes, Prevention, and Eye Health Tips - Ophthalmology

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Increased occurrence of floaters?


Recently, I noticed an increase in floaters in my right eye! After visiting an ophthalmologist, I discovered that there was a retinal tear, which was treated.
After the treatment, I found that the floaters had significantly decreased, almost to the point of being nonexistent! The doctor advised me to avoid vigorous exercise for a week, which I followed.
However, after a week, I went to a water park and tried some thrilling rides.
A few days later, I noticed an increase in floaters in my left eye.
After observing for a few days, I decided to schedule an earlier follow-up appointment to check my left eye, as there was no tear found during the last examination.
Is it possible for a tear to develop so soon after a check-up? What are the main causes of increased floaters? How can I prevent them? I'm also curious if excessive eye strain in the past few days could have contributed to this issue in my left eye.
Does exercise, such as swimming or running, harm the eyes? I also have high intraocular pressure, but my previous examinations showed that the main reason is due to thick corneas, and my optic nerve is normal.
Thank you for your assistance, doctor.

Jian Jian Kang Kang, 20~29 year old female. Ask Date: 2017/09/30

Dr. Cai Wenyuan reply Ophthalmology


Hello, there is a retinal tear that has been repaired, and after the repair, I have noticed a significant decrease in floaters, almost none! The amount of floaters is not necessarily related to the laser treatment.
Does exercising, such as swimming or running, harm the eyes? Moderate exercise is beneficial for the body and will not harm the eyes.
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: 2017/09/30

More Info


Increased floaters, or "myodesopsia," can be a common concern, especially for individuals with a history of high myopia or other eye conditions. Floaters are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age or due to certain conditions, the vitreous can become more liquid, leading to the formation of clumps or strands that cast shadows on the retina, which we perceive as floaters.

In your case, it seems that you have experienced an increase in floaters, particularly after a retinal tear was treated. This is not uncommon; after a retinal tear or detachment, the vitreous can continue to change, potentially leading to new floaters. The fact that you noticed a decrease in floaters after the initial treatment suggests that the intervention was effective in addressing the immediate concern. However, the emergence of new floaters in your left eye could be due to several factors, including the natural aging process of the vitreous or other underlying changes that may not have been present during your last examination.

Regarding your question about whether a retinal tear could develop quickly after a check-up, it is indeed possible. Retinal tears can occur suddenly, and while they may not be present during one examination, they can develop shortly thereafter. This is why regular monitoring and prompt reporting of any new symptoms, such as increased floaters or flashes of light, are crucial.

To address your concerns about prevention and eye health, here are some key points:
1. Regular Eye Exams: Continue to have regular eye examinations, especially given your history of high myopia and previous retinal issues. This will help catch any changes early.

2. Monitor Symptoms: Keep an eye on any new or worsening symptoms, such as an increase in floaters, flashes of light, or changes in vision. If you notice any of these, seek immediate medical attention.

3. Protect Your Eyes: While engaging in activities like swimming or running, it's important to protect your eyes from potential trauma. However, moderate exercise is generally beneficial for overall health and does not typically harm the eyes. Just be cautious with high-impact activities that could lead to injury.

4. Manage Eye Strain: If you find yourself using your eyes intensively, such as staring at screens for long periods, make sure to take regular breaks. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (like vitamins C and E, omega-3 fatty acids) that support eye health. Staying hydrated and avoiding smoking are also beneficial.

6. Eye Pressure Management: Since you mentioned having high eye pressure, it's essential to follow your eye doctor's recommendations regarding monitoring and management. Regular check-ups can help ensure that your eye pressure remains within a safe range.

In conclusion, while increased floaters can be concerning, they are often a result of natural changes in the eye, especially in individuals with high myopia. Regular monitoring and maintaining a healthy lifestyle are key to preserving your eye health. If you have any further concerns or notice any significant changes, do not hesitate to consult your eye care professional for personalized advice and treatment options.

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