Floaters: What to Do When You See More Than Before - Ophthalmology

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Having floaters without myopia?


Hello, I just turned 18 this year.
My vision has always been 20/20, and I have never had any other eye diseases.
However, I noticed some floaters about 2 to 3 years ago, and recently, they seem to have increased and become more noticeable, especially when reading under a desk lamp, where I can sometimes see dozens or even hundreds of faint floaters.
A few months ago, I had an eye examination, and the doctor said there was nothing to worry about; if the floaters hadn't increased, it was fine.
However, now the floaters that were previously less visible seem to have become darker.
I have been studying more for my university entrance exams recently, but I haven't been staying up late, and I only use my phone for about an hour a day.
I'm not sure why this is happening, and I'm really anxious about it.
What can I do to improve this situation, and should I consider getting a second opinion at another clinic? Thank you.

Niming, 10~19 year old female. Ask Date: 2019/10/16

Dr. Gao Pilin reply Ophthalmology


Hello: It is possible to experience floaters even without myopia, as this is a type of degeneration of the vitreous body.
However, considering your age, having this many floaters is somewhat early.
Floaters themselves do not affect vision; the most important thing is to check whether they are impacting the retina.
If there are changes in the floaters, it would be advisable to have them checked again for peace of mind.
If there are still no issues, there is no need to worry.
Please refer to http://bit.ly/2pgJDFM for the ophthalmology department at Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2019/10/16

More Info


Hello! It's great to see you taking an interest in your eye health, especially at such a young age. Floaters, or "muscae volitantes," are quite common and can be concerning, especially when you notice changes in their frequency or visibility. Let's break down what you might be experiencing and what steps you can take.


Understanding Floaters
Floaters are tiny spots, lines, or cobweb-like structures that drift across 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. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters. While they can be annoying, they are usually harmless.


Why Are You Seeing More Floaters?
1. Age-Related Changes: Even though you are only 18, changes in the vitreous can occur earlier in some individuals. The increased visibility of floaters could be due to natural changes in the vitreous gel.

2. Increased Eye Strain: Spending more time reading or focusing on close objects can lead to eye strain, which might make you more aware of floaters. However, this does not cause floaters to increase in number.

3. Psychological Factors: Sometimes, the anxiety about floaters can make you more aware of them. The more you focus on them, the more noticeable they can become.


What Should You Do?
1. Regular Eye Exams: Since you’ve already had an eye exam a few months ago, it’s essential to continue with regular check-ups, especially if you notice any new symptoms. If your floaters are increasing or changing in appearance, it’s a good idea to consult an eye care professional again. They can perform a thorough examination, including a dilated eye exam, to ensure there are no underlying issues.

2. Monitor Your Symptoms: Keep track of any changes in your vision. If you notice flashes of light, a sudden increase in floaters, or a shadow in your peripheral vision, seek medical attention immediately, as these could be signs of retinal detachment.

3. Reduce Eye Strain: Ensure you take regular breaks while studying or reading. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain and may make you less aware of floaters.

4. Stay Calm: It’s natural to feel anxious about changes in your vision, but remember that floaters are common and often benign. Try to focus on your studies and maintain a positive mindset.

5. Consider a Second Opinion: If you continue to feel uneasy about your floaters, seeking a second opinion from another eye care professional can provide reassurance and clarity. Different doctors may have varying perspectives and diagnostic tools.


Conclusion
In summary, floaters are a common phenomenon and can become more noticeable for various reasons, including age-related changes and increased eye strain. Regular eye exams are crucial for monitoring your eye health, especially if you notice changes. Remember to take breaks while studying and try to manage any anxiety about your symptoms. If you have persistent concerns, don’t hesitate to seek further evaluation from another eye care provider. Your vision is important, and staying informed is the best way to protect it. Good luck with your studies!

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If it really increases, you must be cautious and undergo a dilated eye exam to confirm there are no retinal tears. If it is confirmed that there are no tears, regular check-ups are still recommended. Floaters typically do not go away, and you may need to adapt to them!

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