Seeing More Floaters in Your Vision: What You Need to Know - Ophthalmology

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Hello doctor, is it normal for the floaters in my vision to increase from one to a large number? What should I do?

Ms. Tseng, 40~49 year old female. Ask Date: 2017/12/07

Dr. Cai Wenyuan reply Ophthalmology


Hello, it is possible that there have been changes in the symptoms of your floaters.
I recommend seeking medical examination.
Thank you for your inquiry.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/12/07

More Info


Seeing more floaters in your vision can be a concerning experience, especially if you have a history of high myopia or other eye conditions. Floaters are small specks or strands that drift through your field of vision, and they are typically caused by changes in the vitreous gel that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to an increase in floaters. However, a sudden increase in floaters, especially if accompanied by flashes of light or a curtain-like shadow in your vision, can indicate a more serious condition, such as retinal detachment.

Given your description of seeing a significant increase in floaters, it is essential to take this seriously. Here are some key points to consider:
1. Understanding Floaters: Floaters are usually harmless and are a common occurrence, particularly in individuals with high myopia. They are often more noticeable when looking at a plain background, such as a clear sky or a white wall. However, if you notice a sudden increase in their number or if they change in appearance, it is crucial to seek medical attention.

2. Possible Causes: In your case, the increase in floaters could be due to posterior vitreous detachment (PVD), which is common in people with high myopia. PVD occurs when the vitreous gel shrinks and separates from the retina. While this is often benign, it can sometimes lead to retinal tears or detachment, which are serious conditions that require immediate treatment.

3. Symptoms to Watch For: If you experience any of the following symptoms along with the increase in floaters, you should seek immediate medical attention:
- Flashes of light in your peripheral vision.

- A sudden curtain or shadow over your vision.

- A significant increase in the number of floaters.

- Changes in your vision, such as blurriness or distortion.

4. When to See an Eye Doctor: Since you mentioned that your floaters have increased significantly, it is advisable to schedule an appointment with an eye care professional as soon as possible. They can perform a comprehensive eye examination, including a dilated fundus exam, to assess the health of your retina and vitreous.

5. Managing Anxiety: It is natural to feel anxious about changes in your vision, especially if you have a history of eye issues. However, try to focus on the facts and seek professional advice rather than relying solely on online information. Anxiety can sometimes amplify your perception of visual disturbances, so addressing your concerns with a qualified eye care provider can help alleviate some of that stress.

6. Preventive Measures: While you cannot prevent floaters from occurring, maintaining regular eye exams is crucial, especially for individuals with high myopia. These exams can help monitor any changes in your eye health and catch potential issues early.

In conclusion, while an increase in floaters can be a common occurrence, it is essential to pay attention to any accompanying symptoms that may indicate a more serious problem. Given your situation, I recommend that you consult with an eye care professional promptly to ensure that your eyes are healthy and to rule out any potential complications. Taking proactive steps can help protect your vision and provide peace of mind.

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