Floaters and Eye Issues: When to Seek Medical Advice - Ophthalmology

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Floaters and eye problems?


Hello, doctor.
Last year, I visited an ophthalmologist due to seeing floaters in my vision, and the doctor diagnosed me with vitreous floaters.
I would like to ask if floaters can become more noticeable due to eye strain or fatigue? Additionally, I recently noticed that when I turn my left eye to the right and then look to the far left, I experience a brief flicker, but it doesn't resemble a flash like a strobe light (I'm not sure how to describe it accurately).
Could this be caused by the movement of my eye pulling on the vitreous? However, I do not experience the same issue with my right eye.
Should I see an ophthalmologist again for further examination?

Miss Yu, 20~29 year old female. Ask Date: 2018/01/20

Dr. Gao Pilin reply Ophthalmology


Hello Miss Yu: Floaters are caused by degeneration of the vitreous body itself and are not related to fatigue or stress.
The flashes you experience when moving are usually due to the vitreous pulling on the retina.
If you are concerned, it is advisable to have an examination for peace of mind, to rule out any retinal tears.
The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2018/01/20

More Info


Hello! It's great that you're seeking to understand more about your eye health, especially regarding floaters and other visual disturbances. Floaters, or "muscae volitantes," are tiny specks or strands that drift through your field of vision. They are often more noticeable when looking at a bright background, such as a clear sky or a white wall.
To answer your first question, yes, floaters can become more prominent when your eyes are tired or strained. Prolonged screen time, reading, or any activity that requires intense focus can lead to eye fatigue, which may make floaters more noticeable. This is because when your eyes are fatigued, your brain may become more aware of these floaters, especially if your visual system is under stress.

Regarding the sensation you described when moving your left eye, it’s not uncommon for people to experience different visual sensations in each eye. The phenomenon of seeing a flash or a flicker when moving your eyes could be related to the movement of the vitreous gel inside your eye. As you move your eye, the vitreous can tug on the retina, which may create a fleeting sensation of light or a flash. This is often benign, particularly if it occurs infrequently and is not accompanied by other symptoms like a sudden increase in floaters, a curtain-like shadow in your vision, or significant vision loss.

However, since you mentioned that this sensation is only occurring in your left eye and not in your right, it would be prudent to consult with an eye care professional. While many cases of floaters and occasional flashes are harmless, any new or unusual visual symptoms should be evaluated to rule out potential issues, such as retinal tears or detachment, especially given your history of floaters.

In terms of when to seek medical advice, you should definitely reach out to your eye doctor if you experience any of the following:
1. A sudden increase in the number of floaters.

2. Flashes of light that are new or more frequent.

3. A shadow or curtain effect in your peripheral vision.

4. Any significant changes in your vision, such as blurriness or loss of vision.

Regular eye examinations are crucial, especially if you have a history of eye issues or if you're experiencing new symptoms. Your eye doctor can perform a thorough examination, including a dilated eye exam, to assess the health of your retina and vitreous.

In summary, while floaters can be a normal part of aging and eye health, changes in your vision warrant attention. Maintaining good eye health practices, such as taking breaks during prolonged screen time, ensuring proper lighting while reading, and having regular eye check-ups, can help manage your eye health effectively. If you have any concerns, don’t hesitate to reach out to your eye care provider for further evaluation. Your vision is important, and staying proactive about your eye health is the best approach!

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