Floaters: Are They a Sign of Serious Eye Issues? - Ophthalmology

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Can the floaters go away, please?


Hello Doctor, I have been experiencing floaters for over a year now.
Recently, I noticed that whenever I look at bright lights, such as car headlights, and then look away, I still see that light and need to rest my eyes for it to disappear.
Additionally, when I look at small dots, I also see bright spots corresponding to those dots.
I would like to ask if this is related to my floaters because I previously consulted a doctor, but I did not receive a clear answer, which makes me anxious.
Could this be a sign of retinal detachment?
Furthermore, when I zone out, I feel like there is something spinning in front of my eyes, similar to the motion of a ceiling fan.
This sensation is more pronounced when my eyes are tired, but it is less noticeable when they are not fatigued.
The bright spots also seem more prominent when my eyes are particularly strained, but when I am not tired, they are less bothersome.

I am concerned because I have friends with floaters, but they do not experience these symptoms like I do, which adds to my worry.
I hope the floaters will go away, as they significantly affect my daily life.
I try not to focus on them, but I see them every day, and it is quite frustrating.
I regret spending so much time on my phone.
😭😭😭 I fear that I might lose my vision as I get older.

Yinwei ta rang wo biande bu yuyuan., 10~19 year old female. Ask Date: 2018/07/07

Dr. He Jianxian reply Ophthalmology


The phenomenon you described is likely visual persistence, which is a normal occurrence and not closely related to floaters.

Reply Date: 2018/07/07

More Info


Floaters, or "flying mosquitoes," are common visual phenomena that many people experience, especially as they age. They appear as small spots, lines, or cobweb-like structures that drift across your field of vision. While floaters are usually harmless and often a result of age-related changes in the vitreous gel of the eye, they can sometimes be associated with more serious conditions, such as retinal tears or detachment.
In your case, it sounds like you've been experiencing floaters for over a year, and you've noticed that they become more pronounced when looking at bright lights, such as car headlights. This is not uncommon, as bright lights can make floaters more noticeable. The fact that you also see afterimages or bright spots when you look away from these lights may be related to the way your eyes and brain process visual information. When you stare at a bright light, your photoreceptors can become temporarily overstimulated, leading to lingering visual impressions even after you shift your gaze.

The sensation of seeing rotating or swirling patterns, especially when your eyes feel tired, could be related to eye strain or fatigue. Prolonged screen time, such as using a smartphone or computer, can lead to digital eye strain, which may cause discomfort, blurred vision, and increased awareness of floaters. It’s essential to take regular breaks when using screens, following the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

While your symptoms sound typical for someone with floaters, it’s crucial to be vigilant about any changes in your vision. If you experience a sudden increase in floaters, flashes of light, or a shadow or curtain effect in your peripheral vision, these could be signs of retinal detachment, which is a medical emergency.
Since you mentioned that your friends with floaters do not experience the same symptoms, it’s important to remember that everyone's eyes are different. Your experience with floaters and visual disturbances may be influenced by factors such as your eye health, the degree of myopia (nearsightedness), and overall eye fatigue.
To address your concerns about potential retinal issues, it’s advisable to maintain regular check-ups with your eye care professional. They can perform comprehensive examinations, including dilated fundus exams, to assess the health of your retina and vitreous. If your doctor has previously indicated that your retina is healthy, that is reassuring, but if you continue to feel anxious about your symptoms, don’t hesitate to seek a second opinion or further evaluation.

In terms of managing your eye health, consider implementing lifestyle changes that can help reduce eye strain. Ensure you have adequate lighting when reading or working, take frequent breaks from screens, and practice good eye hygiene. Staying hydrated and maintaining a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can also support overall eye health.

Lastly, it’s understandable to feel anxious about your vision, especially if you have a history of eye issues. However, try to focus on what you can control, such as regular eye exams and healthy habits, rather than worrying excessively about potential problems. If your symptoms persist or worsen, don’t hesitate to reach out to your eye care provider for guidance and support.

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