Symptoms of Floaters: Concerns and Insights for Patients - Ophthalmology

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What are the symptoms of floaters?


Hello, Doctor.
When I was 21 years old, I started experiencing floaters in my right eye.
My vision is approximately 550 degrees in my left eye and 600 degrees in my right eye.
I had a follow-up examination of my retina last December, and there were no issues.
However, I would like to ask you:
1) Sometimes I see small, rapidly moving light spots, which seem to be due to the discharge phenomenon caused by traction on the retina.
Currently, this occurs at least once every two days.
Does this mean that my risk of retinal detachment is higher?
2) Although my symptoms generally consist of a single floater with distorted lines, accompanied by threads (which alternate between different floaters), I am concerned that they may increase in number over time and potentially affect my vision.
I have seen many accounts suggesting that floaters tend to increase with age.

3) Since this is a degenerative type of floaters, as the vitreous body liquefies, will the retina eventually become affected? I am quite anxious about this, as I am still studying and worry that these symptoms will impact my quality of life in the future.
Thank you for your response!

Miss Lin, 20~29 year old female. Ask Date: 2020/01/04

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Lin,
1) Sometimes I see small moving light spots, which seem to be due to the retinal discharge phenomenon caused by traction on the retina.
However, this occurs at least once every two days now.
Does this mean that my risk of retinal detachment is higher? It's important to note that floaters do not necessarily indicate retinal detachment.
2) Currently, the symptoms generally involve a single floater with distorted lines, accompanied by threads (which alternate between different ones).
I am worried that in the future, there may be more of them, potentially affecting my vision? (I have seen many people's accounts that they tend to increase with age.) Floaters can increase and decrease over time.
The likelihood of them affecting your vision is very low; they may cause some interference, but over time, you may become accustomed to them.
3) Since this is degenerative floaters, with the liquefaction of the vitreous body, will the retina eventually become detached? No, the liquefaction of the vitreous body is not related to retinal detachment.
Retinal detachment occurs only if there is traction on the retina during vitreous detachment that causes a tear.
Therefore, a dilated fundus examination is necessary.
If there are no issues found, there is no need for concern.
Taiwan E-Hospital Puzi Hospital Ophthalmology:
Monday, Tuesday, Thursday, Friday: 8:00 AM – 12:00 PM
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Online responses can only serve as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Sincerely,
Gao Pilin

Reply Date: 2020/01/04

More Info


Hello! Thank you for your detailed inquiry regarding your concerns about floaters and their implications for your eye health. It's understandable to feel anxious about changes in your vision, especially when they involve symptoms like floaters and flashes of light. Let's address your questions one by one, while also providing some context about floaters and retinal health.

1. Frequency of Flashes and Retinal Detachment Risk: The occurrence of flashes of light, especially if they are associated with a sensation of movement or pulling, can indeed be concerning. Flashes are often caused by the vitreous gel in the eye pulling on the retina, which can happen as we age or as the vitreous undergoes changes. While the presence of flashes can indicate an increased risk of retinal detachment, it is not a definitive sign. Since you have had a recent retinal examination that showed no issues, it is reassuring. However, if you notice an increase in the frequency or intensity of these flashes, or if you experience a sudden increase in floaters, it is crucial to seek immediate evaluation from an eye care professional.

2. Concerns About Increasing Floaters: Floaters can indeed become more noticeable with age or changes in the vitreous. They are often described as small dots, lines, or cobweb-like structures that drift across your field of vision. While it is common for people to experience an increase in floaters over time, this does not necessarily mean that your vision will be significantly affected. Many individuals learn to adapt to floaters, and they often become less bothersome over time. However, if you feel that your floaters are increasing rapidly or affecting your ability to see, it is important to discuss this with your eye doctor.

3. Degenerative Changes and Quality of Life: The term "degenerative floaters" refers to the natural aging process of the vitreous gel, which can lead to liquefaction and the formation of floaters. While this process is common, it does not mean that your retina will "glass" or deteriorate in a way that would severely impact your vision. Most people with floaters continue to lead normal lives without significant impairment. However, your concerns about how these symptoms might affect your quality of life, especially as a student, are valid. It's essential to maintain regular check-ups with your eye care provider to monitor any changes in your condition.

In summary, while your symptoms warrant attention, especially given the frequency of flashes and the nature of your floaters, the best course of action is to maintain open communication with your eye doctor. They can provide personalized advice based on your specific situation and help you manage any anxiety related to your symptoms. Additionally, practicing good eye health habits, such as protecting your eyes from UV light, maintaining a healthy diet, and managing any underlying health conditions, can also contribute to your overall eye health.

If you have any further questions or if your symptoms change, don't hesitate to reach out to your healthcare provider. Your vision is important, and staying informed and proactive about your eye health is the best approach. Thank you for your inquiry, and I wish you all the best in your studies and health!

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