Black and White Spots in Your Vision: Is It Floaters?

Seeing black dots on the outer edge and white dots in the center of the vision?

I usually have mild floaters, where I see one or two small dots in the sunlight.
However, I just noticed one that has a black outer circle and a white inner circle.
Is this also a type of floater?

Ti, 20~29 year old female. Ask Date: 2019/06/30

Dr. He Jianxian reply Ophthalmology

Floaters can present in many different forms and shapes, and the images you see may also be another floater.

Reply Date: 2019/06/30

More Info

Floaters are a common visual phenomenon that many people experience, especially as they age. They appear as small specks, dots, or cobweb-like structures that float across your field of vision. These are typically caused by tiny pieces of the gel-like substance (vitreous) that fills the eye, which can clump together and cast shadows on the retina. In your case, the description of seeing a dot with a black outer circle and a white inner circle could indeed be related to floaters, but it’s important to consider a few factors.

The appearance of floaters can vary significantly from person to person. They can be transparent, dark, or even colored, depending on the nature of the debris in the vitreous. The fact that you mentioned seeing a black outer circle with a white inner circle suggests that this floater may be more pronounced than the typical small dots you usually see. This could be due to a change in the vitreous gel or the way light interacts with it.

While floaters are generally harmless, there are certain situations where they can indicate a more serious condition. For instance, if you suddenly notice a significant increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, it could be a sign of a retinal tear or detachment. These conditions require immediate medical attention to prevent potential vision loss.

Given that you have a history of mild floaters and are now experiencing a new type of floater, it would be wise to consult with an eye care professional. They can perform a thorough examination, including a dilated eye exam, to assess the health of your retina and vitreous. This is particularly important if you have any other symptoms, such as changes in your vision, light flashes, or a curtain-like shadow over your vision.

In summary, while the black and white dot you are seeing could be a variation of floaters, it is essential to monitor any changes in your vision closely. Regular eye check-ups are crucial, especially if you have pre-existing conditions or if you notice any new symptoms. Maintaining good eye health and addressing any concerns with a qualified eye care provider will help ensure that any potential issues are caught early and managed appropriately.

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