Floaters: Are Your Symptoms Worsening?

Hello, doctor?

Hello Doctor: I have floaters, and recently I noticed that when I sleep at night in a dark room, I can see a black dot that moves with my line of sight and eye movement, whether my eyes are open or closed.
Is this a sign that my floaters are worsening? Additionally, there is a noticeable straight muscle next to the inner corner of my eye.
Is this normal, or is there a problem with my eye? Thank you, Doctor.

Mr. Yu, 30~39 year old female. Ask Date: 2018/12/11

Dr. Cai Wenyuan reply Ophthalmology

Hello, I’m sorry, but your issue may require a medical examination.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/12/11

More Info

Floaters, or "flying mosquitoes," are common visual disturbances that many people experience, particularly as they age. They appear as small spots, threads, or cobweb-like structures that drift across your field of vision. These are typically caused by tiny clumps of gel or cells within the vitreous humor, the clear gel-like substance that fills the eye. While floaters are usually harmless, changes in their appearance or the onset of new symptoms can be concerning.

In your case, you mentioned that you are seeing a black dot in a dark room, both when your eyes are open and closed. This could be a manifestation of your existing floaters, but it is important to consider that new or worsening symptoms may indicate a change in your eye health. If you are noticing that these floaters are becoming more prominent or if they are accompanied by flashes of light or a sudden increase in the number of floaters, it is crucial to seek an eye examination from an ophthalmologist. These could be signs of more serious conditions, such as a retinal tear or detachment, which require prompt attention.

Regarding the "straight line" you mentioned near the inner corner of your eye, it is essential to differentiate between normal anatomical structures and potential abnormalities. If this line appears to be a new development, it could be related to changes in the eye's anatomy or the surrounding tissues. It is not uncommon for people to notice new features in their eyes, especially as they age, but any sudden changes should be evaluated by a professional.

In summary, while floaters are generally benign, any significant changes in your vision, such as the emergence of new floaters, changes in their appearance, or the presence of new visual phenomena, warrant a thorough examination by an eye care professional. They can conduct tests to determine if there are any underlying issues that need to be addressed.
Additionally, maintaining regular eye check-ups is vital, especially if you have a history of floaters or other eye conditions. Protecting your eye health through proper care, including wearing sunglasses to shield against UV rays and managing any underlying health conditions (like diabetes or hypertension), can also help maintain your vision.

If you have any concerns about your symptoms or if they worsen, do not hesitate to reach out to an ophthalmologist for a comprehensive evaluation. Early detection and treatment are key to preserving your vision and overall eye health.

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