Eye Floaters: Fast Shadows and Common Concerns - Ophthalmology

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The sensations perceived by the eyes?


Hello doctor, while watching a Korean drama, I suddenly saw a fast-moving black shadow darting from the front.
I'm not sure if it was actually a small insect because it moved so quickly, or if it could be related to floaters, as the information I found online suggests that floaters move slowly.
😂 I also wanted to ask, a few days ago I visited an ophthalmologist because in the mornings right after waking up, I would see a blurry or flashing sensation near light sources.
The doctor mentioned that this is normal if it only happens when I wake up and open my eyes.
That day, the doctor prescribed me medication for conjunctivitis, but I didn't receive any anti-inflammatory eye drops.
Does this mean I don't necessarily need to go to a larger hospital for further instrumental examination? Thank you.

Min Min, 10~19 year old female. Ask Date: 2020/07/08

Dr. Gao Pilin reply Ophthalmology


Hello, Min Min: If the shadow is only temporary, it should not be a concern; it may simply be something passing by.
If this occurs only upon waking and then normalizes, it is likely not an issue, as there can be some discharge in the eyes upon waking that may cause halo or flashing light phenomena.
If the doctor has examined you and found no problems, you can be reassured.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should still seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/07/08

More Info


Eye floaters, commonly referred to as "flying mosquitoes," are small specks or strands that drift through your field of vision. They are typically caused by changes in the vitreous humor, the 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 formation of floaters. While floaters can be annoying, they are usually harmless and a normal part of the aging process. However, sudden changes in the number or appearance of floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, can indicate a more serious condition, such as retinal detachment, which requires immediate medical attention.

In your case, the rapid movement of the black shadow you observed while watching a show could indeed be related to floaters. Floaters can appear to move quickly, especially when you shift your gaze or if they are larger and more prominent. The perception of speed can vary from person to person, and while many describe floaters as moving slowly, others may experience them differently. It’s essential to pay attention to any changes in your vision, as they can provide valuable information about your eye health.

Regarding the sensation of seeing a "fuzzy" or "flashing" light when you wake up, this is often related to a phenomenon known as "phosphene." Phosphenes are the perception of light without light actually entering the eye, often caused by pressure on the retina or the vitreous. It is not uncommon to experience this upon waking, as the eyes transition from a dark to a light environment. Your eye doctor’s reassurance that this is normal when waking up is generally accurate, especially if it occurs infrequently and resolves quickly.

As for the conjunctivitis medication prescribed, it’s important to follow your doctor's instructions. If you have been diagnosed with conjunctivitis (pink eye), the medication is intended to reduce inflammation and treat any underlying infection. If you have concerns about not receiving an anti-inflammatory medication, it would be best to discuss this with your eye doctor, as they can provide the most appropriate treatment based on your specific condition.

In terms of whether you need further examinations or tests, if your symptoms remain stable and your doctor has assessed your eyes and found no significant issues, you may not need to seek additional evaluations immediately. However, if you notice any new symptoms, such as an increase in floaters, flashes of light, or any changes in your vision, it is crucial to return to your eye care provider for further assessment.

In summary, while floaters can be bothersome, they are often benign. The rapid movement you experienced could be related to floaters, and the visual disturbances upon waking may be normal. Always keep an eye on any changes in your vision and consult your eye doctor if you have any concerns. Maintaining regular eye check-ups is essential, especially if you have a history of eye issues or if you notice any new symptoms.

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