Eye Trauma: Symptoms and Next Steps After Impact - Ophthalmology

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External force impact


Hello Doctor, a few days ago my eye was directly hit by an external force, and I started experiencing floaters, which appear as floating objects even in the absence of light.
I have a few questions:
1.
Is this a sign of retinal detachment, vitreous opacities, or something else causing this issue?
2.
Will this phenomenon improve over time? How can it be improved?
3.
I visited a small clinic where they performed a dilated eye exam and found no retinal damage or internal bleeding.
However, I clearly noticed the floaters the day after the impact.
Should I go to a larger hospital for further detailed examination? What level of assessment can be achieved with dilating drops? Thank you!

Niming, 40~49 year old female. Ask Date: 2020/07/02

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
The most likely issue is vitreous opacities, but retinal problems cannot be ruled out.
2.
It may persist for a period of time and may not improve.
3.
The examination showed no issues, so it should be a vitreous problem.
Dilation is performed to check for any retinal tears or detachments.
Since the clinic has examined you, you can be reassured.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses are for reference only; if necessary, you should seek medical care at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/07/02

More Info


Eye trauma can be a concerning experience, and understanding the symptoms and potential next steps is crucial for recovery. Based on your description, it seems you have experienced a direct impact to your eye, which has led to the appearance of floaters. Let's address your questions one by one.

1. Understanding Floaters: The presence of floaters, particularly after an eye injury, can be attributed to several factors. Floaters are often caused by changes in the vitreous humor, the gel-like substance that fills the eye. When the eye is subjected to trauma, the vitreous can pull away from the retina, leading to the perception of floaters. This can also occur due to the formation of small clumps of gel or debris within the vitreous. While retinal detachment is a more serious condition that can also cause floaters, your report of no retinal injury or bleeding is reassuring. It is essential to monitor the situation, as floaters can sometimes indicate more serious issues, but they are often benign.

2. Will the Symptoms Improve?: In many cases, floaters can become less noticeable over time as the brain learns to ignore them. However, the timeline for improvement can vary significantly from person to person. Some individuals may find that their floaters diminish in visibility within weeks, while others may continue to notice them for months or longer. If the floaters are bothersome or if you experience any new symptoms, such as flashes of light or a sudden increase in floaters, it is crucial to seek further evaluation.

3. Next Steps and Further Evaluation: Since you have already visited a clinic where a dilated eye exam was performed, and no retinal damage or bleeding was found, you may not need immediate further testing. However, if your symptoms persist or worsen, it would be wise to consult a larger medical facility or a specialist in retinal diseases for a more comprehensive evaluation. Advanced imaging techniques, such as optical coherence tomography (OCT) or a more detailed fundus examination, can provide additional insights into the condition of your retina and vitreous.

Importance of Follow-Up: Given the nature of your injury, it is essential to keep a close watch on your symptoms. If you notice any changes, such as increased floaters, flashes of light, or a shadow in your vision, you should seek immediate medical attention. These could be signs of retinal detachment, which is a medical emergency.

Self-Care and Management: While waiting for symptoms to improve, it is advisable to avoid activities that may strain your eyes, such as prolonged screen time or reading without breaks. Regular eye rest can help alleviate discomfort. Additionally, maintaining a healthy lifestyle, including a balanced diet rich in antioxidants (found in fruits and vegetables), can support overall eye health.

In summary, while floaters after eye trauma can be concerning, they are often a result of changes in the vitreous rather than a direct indication of retinal damage. Monitoring your symptoms and seeking further evaluation if necessary will be key in managing your recovery. Always prioritize follow-up appointments and communicate any changes in your vision to your healthcare provider.

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