Floaters After Eye Injury: Causes and Solutions - Ophthalmology

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Traumatic floaters


Hello, doctor.
Three days ago, I was hit near my temple by a volleyball while playing.
The next day, I noticed a strange black spot and a black circle appearing in my vision, and it almost always looks the same.
I quickly went to an ophthalmologist that evening for an eye examination, and after a fundus examination, the doctor said there were no abnormalities in my retina, just a corneal abrasion.
I would like to ask if the black spot could be due to the corneal injury and if it will disappear once the injury heals, or if it has actually developed into floaters that I will have to coexist with? Note: I have high myopia.

Mr. Hsu, 10~19 year old female. Ask Date: 2019/10/30

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Hsu: If you have a corneal injury, you should not see black dots or black circles.
The black circles may be Weiss rings, which occur when the vitreous detaches from the retina, creating a ring at the optic nerve.
Over time, this ring may deform, shrink, or sink.
You can refer to http://bit.ly/2otNHlO.
If this is the case, it indicates that you have floaters, and if the retinal examination shows no issues, you will have to coexist with them.
The ophthalmology department at Puzi Hospital in Taiwan is open on 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.
Please note that online responses are for reference only; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2019/10/30

More Info


Experiencing floaters after an eye injury can be concerning, especially when you notice new visual disturbances like black dots or circles. In your case, it seems that the injury occurred when you were hit by a volleyball near your temple, and subsequent examination revealed a corneal abrasion but no retinal issues. Let's delve into the potential causes of your symptoms and the appropriate steps you can take moving forward.


Understanding Floaters
Floaters are small spots or shapes that appear in your field of vision. They are often more noticeable when looking at a plain background, such as a clear sky or a white wall. These floaters are typically 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 shrink and pull away from the retina, leading to the formation of floaters.

In your case, the corneal abrasion could potentially lead to visual disturbances, but it is less likely to be the direct cause of floaters. Corneal abrasions can cause symptoms like blurred vision, pain, and light sensitivity, but they do not typically result in floaters. The appearance of new floaters after an eye injury can be attributed to several factors, including:
1. Vitreous Changes: The trauma from the impact may have caused changes in the vitreous, leading to the formation of new floaters.

2. Retinal Issues: Although your retina was checked and found to be normal, it is essential to monitor for any changes. Sometimes, retinal tears or detachments can occur after trauma, which can lead to floaters.

3. Inflammation: The injury may have caused inflammation in the eye, which can also contribute to the perception of floaters.


What to Expect
Since your eye examination showed no retinal abnormalities and only a corneal abrasion, it is likely that the floaters you are experiencing are not directly related to a serious underlying condition. However, it is essential to keep an eye on your symptoms. If the floaters persist or worsen, or if you experience flashes of light or a sudden increase in floaters, you should seek immediate medical attention, as these could be signs of a retinal issue.


Management and Solutions
1. Healing Time: Corneal abrasions typically heal within a few days to a week, depending on the severity. As the abrasion heals, you may notice an improvement in your overall vision and a reduction in any associated symptoms.

2. Follow-Up Care: It is crucial to follow up with your eye care provider to monitor the healing process of your cornea and to reassess your floaters. They may perform additional tests to ensure that no other issues have developed.

3. Adaptation: Many people learn to live with floaters, especially if they are not accompanied by other symptoms. Over time, your brain may adapt to the presence of floaters, and they may become less noticeable.

4. Protective Measures: Given your history of high myopia, it is essential to protect your eyes from further injury. Wearing protective eyewear during sports or activities that pose a risk to your eyes can help prevent future injuries.

5. Healthy Eye Practices: Maintaining overall eye health through regular check-ups, a balanced diet rich in antioxidants (such as vitamins C and E), and staying hydrated can support eye health and potentially reduce the risk of further floaters.


Conclusion
In summary, while the appearance of floaters after an eye injury can be alarming, it is essential to understand the potential causes and management strategies. Since your examination showed no retinal issues, it is likely that your floaters are related to changes in the vitreous or inflammation rather than a serious condition. Continue to monitor your symptoms, follow up with your eye care provider, and take steps to protect your eyes in the future. If you have any concerns or if your symptoms change, do not hesitate to seek further evaluation.

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