Floaters: Causes and Concerns for Young Adults - Ophthalmology

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Floaters in individuals under twenty years old?


Hello Dr.
Gao: I am currently two months away from turning 20 years old, and my vision is -3.50 in both eyes.
A few days ago, I noticed black shadows floating in my vision (moving with my eye movements).
I went to an ophthalmology clinic for an examination, and it was initially estimated to be vitreous floaters (a dilated fundus examination was performed, and the retina appeared normal).
Since then, I have also been seeing transparent objects floating (it feels like there are transparent objects moving when I move my eyes in dim light.
Under a blue sky, when I move my eyes up and down, some transparent objects seem to rise with the movement).
I would like to ask Dr.
Gao: 1.
Why do people without high myopia experience such symptoms? 2.
Is it common for someone my age to experience vitreous liquefaction, and will this increase the risk of retinal changes or early complications as I age? 3.
After being diagnosed with vitreous floaters, will reducing screen time and increasing physical activity be more effective for eye care? 4.
Will these symptoms reduce the lifespan of my vision? I am only 20, and I am really worried...
Thank you, Dr.
Gao, for your answers.
I really appreciate it.
🙏~

EDDIE, 10~19 year old female. Ask Date: 2020/09/13

Dr. Gao Pilin reply Ophthalmology


Hello EDDIE: Recently, with the increased use of electronic devices and excessive eye strain among young people, there has been an early onset of degeneration, and the age of onset for floaters has also been decreasing.
Floaters are simply a result of vitreous degeneration; if they do not affect the retina, they are of no concern and will not lead to any sequelae.
You can live normally, so please rest assured.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should visit a medical institution for treatment.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/09/13

More Info


Dear [Name],
Thank you for reaching out with your concerns about floaters and your eye health. It’s understandable to feel anxious when experiencing changes in your vision, especially at a young age. Let’s address your questions one by one.

1. Why do individuals without high myopia experience floaters?
Floaters, or "muscae volitantes," are small particles or fibers that float in the vitreous humor, the gel-like substance that fills the eye. They can occur in individuals with or without high myopia. The presence of floaters is often due to the natural aging process of the eye, where the vitreous gel begins to liquefy and shrink, leading to the formation of these particles. Even young adults can experience floaters due to genetic factors, eye trauma, or inflammation. Therefore, it’s not solely linked to high myopia.

2. Does early onset of vitreous liquefaction increase the risk of future eye diseases?
While vitreous liquefaction is a normal part of aging, its early onset does not necessarily mean you will have a higher risk of eye diseases later in life. However, it is essential to monitor any changes in your vision. Regular eye exams can help detect any potential issues early on. Conditions like retinal tears or detachments can occur, but they are not exclusively linked to the presence of floaters. Maintaining good eye health through regular check-ups is crucial.

3. Will reducing screen time and increasing physical activity benefit eye health?
Reducing screen time and engaging in regular physical activity can indeed contribute to overall eye health. Prolonged screen use can lead to digital eye strain, which may exacerbate discomfort and visual disturbances. Taking breaks, practicing the 20-20-20 rule (looking at something 20 feet away for 20 seconds every 20 minutes), and ensuring proper lighting while using screens can help alleviate strain. Exercise improves blood circulation, which is beneficial for eye health. While these lifestyle changes may not eliminate floaters, they can enhance your overall well-being.

4. Will these symptoms reduce the longevity of my eye health?
It’s natural to worry about the long-term effects of any new symptoms. However, having floaters does not inherently mean that your eyes will have a shorter lifespan or that you will experience significant vision loss. Many people live with floaters without any adverse effects on their vision. The key is to stay vigilant about your eye health. If you notice any sudden changes, such as an increase in floaters, flashes of light, or a shadow in your peripheral vision, seek immediate medical attention.

In conclusion, while floaters can be concerning, they are often harmless, especially when associated with normal aging processes. Regular eye examinations and maintaining a healthy lifestyle are your best strategies for preserving your vision. If you have ongoing concerns or if your symptoms change, don’t hesitate to consult with your eye care professional for personalized advice and reassurance.

Take care of your eyes, and remember that being proactive about your health is the best approach.

Best regards,
Doctor Q&A Teams

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