the Recurrence of Floaters: Insights from an Eye Specialist - Ophthalmology

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Regarding the recurrence of floaters?


Hello, Doctor Gao.
I have been experiencing vitreous floaters for over four years.
Initially, I noticed transparent, jellyfish-like shapes and particles floating in front of my eyes, but I haven't seen them for the past two years.
Recently, after undergoing dilation for a fundus examination (which returned normal results), they have reappeared.
Is this related? I'm unsure when they might disappear again, so I'm reaching out to consult with you.
Thank you.

Awei, 30~39 year old female. Ask Date: 2020/09/09

Dr. Gao Pilin reply Ophthalmology


Hello, Ah Wei: Floaters are usually recurrent and typically do not disappear, or they may persist for a long time.
However, if the fundus is normal, you can rest assured.
Please refer to: https://bit.ly/3dCu921 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 can only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/09/09

More Info


Hello! Thank you for your question regarding the recurrence of floaters, especially in the context of your history with vitreous opacities. Floaters are a common visual phenomenon, particularly among individuals with a history of myopia or those who have experienced changes in the vitreous gel of the eye.

Floaters are essentially tiny clumps of gel or cells that form in the vitreous humor, the clear 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 perception of floaters. In your case, having had floaters for over four years, it is not uncommon for these symptoms to fluctuate in intensity or frequency. The fact that you experienced a resurgence of floaters after a dilated eye exam could be coincidental, but it is also possible that the examination itself may have temporarily altered your visual perception or made you more aware of existing floaters.

The appearance of floaters can be influenced by several factors, including changes in the vitreous gel, eye injuries, or even certain medical conditions. Since you mentioned that your recent dilated eye exam showed normal results, it is reassuring that there are no immediate concerns regarding retinal detachment or other serious conditions. However, it is essential to remain vigilant, as any sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, should prompt an immediate consultation with an eye care professional.

In terms of management, floaters often become less noticeable over time as the brain learns to ignore them. However, if they are particularly bothersome, there are limited treatment options available. Some patients may benefit from a procedure called vitrectomy, where the vitreous gel is surgically removed, but this carries risks and is typically reserved for severe cases. Another option that is being explored is laser treatment to break up the floaters, but this is not widely practiced and its effectiveness can vary.

It is also worth noting that lifestyle factors, such as hydration, nutrition, and overall eye health, can play a role in the perception of floaters. Ensuring that you maintain a healthy diet rich in antioxidants, staying hydrated, and protecting your eyes from UV light can contribute to overall eye health.

In conclusion, while the recurrence of floaters can be concerning, it is often a benign condition, especially in the absence of other symptoms. Regular eye exams are crucial in monitoring your eye health, and if you notice any significant changes, do not hesitate to reach out to your eye care provider. They can provide personalized advice and reassurance based on your specific situation. Thank you for your inquiry, and I hope this information helps clarify your concerns!

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