Are Bright Spots and Floaters in Your Vision Harmful? - Ophthalmology

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There are bright spots in the eyes?


When looking at things, I often see bright spots in the corner of my left eye that last only a few seconds and vary in size.
I have myopia of -3.00 and -3.50, and I frequently notice irregularly shaped floaters in my field of vision.
Are these two issues harmful to my eyes?

Li Tongxue, 10~19 year old female. Ask Date: 2017/11/30

Dr. Cai Wenyuan reply Ophthalmology


Hello: You need to seek medical examination.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/30

More Info


When it comes to visual disturbances such as bright spots and floaters, it's important to understand their potential implications for eye health. Floaters are tiny specks or strands that drift through your field of vision, often more noticeable against a bright background. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye, as it ages and becomes more liquid. This is a common occurrence, especially in individuals with myopia (nearsightedness), as you mentioned having mild to moderate myopia in both eyes.

Bright spots, on the other hand, can be a bit more complex. They may be related to several factors, including the way light interacts with the eye, or they could be a sign of a more serious condition. For instance, bright flashes of light or spots can sometimes indicate retinal issues, such as a retinal tear or detachment, particularly if they are accompanied by a sudden increase in floaters or a shadow in your peripheral vision.
In your case, since you are experiencing both floaters and transient bright spots, it is advisable to monitor these symptoms closely. If the bright spots become more frequent, last longer, or are accompanied by other symptoms such as a sudden increase in floaters, flashes of light, or changes in your peripheral vision, you should seek immediate medical attention from an eye care professional.
While floaters themselves are usually harmless and do not require treatment, they can sometimes be indicative of underlying issues, especially in individuals with high myopia or other risk factors. Regular eye examinations are crucial, particularly if you notice any changes in your vision. An eye doctor can perform a comprehensive dilated eye exam to assess the health of your retina and vitreous humor, ensuring that there are no serious conditions present.

In summary, while floaters and occasional bright spots are often benign, they can sometimes signal more serious eye health concerns. Given your history of myopia and the symptoms you are experiencing, it would be prudent to consult with an ophthalmologist for a thorough evaluation. They can provide you with a clearer understanding of your eye health and any necessary steps to take moving forward. Regular check-ups are essential, especially as you age or if you notice any changes in your vision. Taking care of your eyes is crucial, particularly in a profession that requires prolonged visual focus, such as engineering.

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