Floaters and Visual Snow: When to Seek Eye Care - Ophthalmology

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Floaters are small, moving spots of light?


Hello, Doctor! I have high myopia and have been experiencing floaters for over seven months.
I have undergone dilated fundus examinations four times, with the most recent one on December 4th.
The results have shown no retinal tears, and the doctor mentioned that despite my high myopia, my retina looks good, advising me to return for a follow-up in a year.
Recently, I have started seeing many small bright spots flickering around, similar to the static on a television with no signal, both during the day and at night, with it being more pronounced when the lights are off.
I can even see them with my eyes closed.
I would like to ask, is this situation also a type of floaters, or could it be what I found online referred to as visual snow syndrome? Should I return for another dilated examination immediately? Thank you for your time and response!

Xiao Xiao, 30~39 year old female. Ask Date: 2018/12/22

Dr. Cai Wenyuan reply Ophthalmology


Hello: Please continue to observe.
If symptoms persist or worsen, seek medical attention.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/12/22

More Info


Hello! Thank you for reaching out with your concerns regarding your vision. Based on your description, it sounds like you are experiencing symptoms that could be related to either floaters or visual snow. Let’s break down these conditions and discuss when it’s appropriate to seek further eye care.


Understanding Floaters and Visual Snow
Floaters are small specks or strands that drift through your field of vision. They are caused by tiny pieces of gel or cells inside the vitreous, the clear gel-like substance that fills the eye. Floaters are common, especially in individuals with high myopia (nearsightedness), and they can become more noticeable when looking at a plain background, such as a blue sky or a white wall.
On the other hand, visual snow is a neurological condition characterized by the perception of a persistent visual disturbance that resembles the static or "snow" seen on a television screen without a signal. This condition is often accompanied by other symptoms, such as light sensitivity, afterimages, and sometimes migraines. Unlike floaters, visual snow is not caused by changes in the eye itself but rather by how the brain processes visual information.


Your Symptoms
Given that you have high myopia and have been experiencing floaters for over seven months, it is understandable to be concerned about new visual disturbances. The small bright spots you are seeing, especially if they are present both day and night, could indeed suggest the onset of visual snow. However, it is also possible that these symptoms are related to your existing floaters, especially if they are more pronounced in certain lighting conditions.


When to Seek Eye Care
Since you have already undergone multiple dilated eye exams with no signs of retinal tears or detachments, it is reassuring that your retina appears healthy. However, any new or worsening symptoms warrant attention. Here are some guidelines on when to seek further evaluation:
1. New Symptoms: If you notice a significant increase in the number of floaters or if new symptoms like flashes of light or a curtain-like shadow appear, you should seek immediate care. These could indicate a retinal tear or detachment.

2. Persistent Visual Disturbances: If the bright spots or visual disturbances persist and affect your daily life, it would be wise to consult with an eye care professional. They may refer you to a neuro-ophthalmologist or a specialist in visual processing disorders for further evaluation.

3. Associated Symptoms: If you experience headaches, light sensitivity, or any other neurological symptoms alongside your visual disturbances, it is crucial to seek medical advice promptly.


Recommendations
- Follow-Up: Given your recent symptoms, it may be beneficial to schedule a follow-up appointment with your eye doctor. They can perform a thorough examination to rule out any potential issues and provide you with peace of mind.

- Document Symptoms: Keep a record of your symptoms, including when they occur and any triggers you notice. This information can be helpful for your doctor in diagnosing the issue.

- Lifestyle Adjustments: Ensure you are taking regular breaks from screens and practicing good eye hygiene. Staying hydrated and maintaining a balanced diet can also support overall eye health.


Conclusion
While your symptoms could be related to either floaters or visual snow, it is essential to stay vigilant and proactive about your eye health. Since you have a history of high myopia and have experienced changes in your vision, regular check-ups are crucial. If your symptoms persist or worsen, don’t hesitate to seek further evaluation. Your eye health is paramount, and addressing these concerns early can help prevent potential complications. Wishing you the best in your journey toward clearer vision!

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