Changes in Floaters and Retinal Health After Eye Injury - Ophthalmology

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Upgraded version (?) of floaters and retinal issues?


Hello, doctor.
I have been experiencing floaters for a long time, but after an incident where I bumped my eye, I feel that the floaters have changed a bit.
I can see them not only during the day but also at night, and even when I close my eyes, I can sense them.
Additionally, some of the floaters appear to be bright rather than just translucent, but this condition seems different from the large flashes associated with retinal degeneration, and my visual fields in both eyes appear normal.
I would like to ask if this is a normal phenomenon.
Can floaters have a reflective quality or appear as bright spots? Should I seek immediate examination to avoid delaying any potential issues, or am I overthinking this? I am concerned about the possibility of blindness and would appreciate your advice.
Thank you for your assistance.

Mr. Chen, 20~29 year old female. Ask Date: 2020/02/24

Dr. Cai Wenyuan reply Ophthalmology


Observe the symptoms, and if they persist, seek medical attention.

Reply Date: 2020/02/24

More Info


Hello! Thank you for your detailed inquiry regarding your experience with floaters and retinal health following an eye injury. It’s understandable to feel anxious about changes in your vision, especially after a traumatic event. Let’s break down your concerns and provide some clarity.

Firstly, floaters are typically 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. While floaters are common and often harmless, they can sometimes increase in number or change in appearance after an eye injury. This is particularly true if the injury has caused changes in the vitreous or the retina.

In your case, the fact that you are experiencing floaters that appear brighter or more pronounced than before, and that they are noticeable even when your eyes are closed, is worth discussing with an eye care professional. Floaters can sometimes appear more prominent against a bright background or in certain lighting conditions, which might explain the changes you are observing. However, if they are accompanied by flashes of light or a sudden increase in the number of floaters, this could indicate a more serious condition, such as a retinal tear or detachment.

Regarding your question about whether floaters can reflect light or appear as bright spots, the answer is yes. Some floaters can have a more pronounced appearance due to their composition or the way they interact with light. This can sometimes lead to confusion, especially if they resemble signs of retinal issues.
Given your history of eye trauma and the changes you are experiencing, it is advisable to seek a comprehensive eye examination as soon as possible. An eye care professional can perform a dilated eye exam to thoroughly assess the health of your retina and vitreous. This examination is crucial to rule out any potential complications, such as retinal tears or detachments, which can lead to serious vision loss if not addressed promptly.

In summary, while changes in floaters can be a normal response to an eye injury, the specific changes you are describing warrant further investigation. It’s better to err on the side of caution when it comes to eye health, especially after an injury. Make an appointment with your eye doctor to discuss your symptoms and undergo a thorough examination. Early detection and treatment are key to maintaining your vision and preventing any potential complications.

Remember, your eye health is paramount, and addressing these concerns with a professional will provide you with peace of mind and the appropriate care you may need. Thank you for reaching out, and I wish you the best in your recovery and eye health!

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