Floaters: Causes, Symptoms, and Treatment Options - Ophthalmology

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Floaters issue?


Hello, doctor.
I have a black line in the upper left corner of my left eye and occasionally see a black line on the inner side of my right eye.
Could this be a type of floaters? Also, I sometimes have trouble keeping my glasses on.
My left eye has amblyopia while my right eye is normal.
Sometimes wearing the glasses causes discomfort.
A previous doctor mentioned there is a discrepancy between my eyes.
Would reducing the prescription for my left eye help balance the vision? Thank you.

Ya, 30~39 year old female. Ask Date: 2020/09/22

Dr. Gao Pilin reply Ophthalmology


Hello, it is possible that you are experiencing floaters, but it is essential to have an examination to rule out any other issues.
For the amblyopia in your left eye, it is not necessary to fully correct the prescription; you can adjust it based on the prescription of your right eye, lowering it to a tolerable level (the difference should not exceed 250 degrees), which should be more comfortable.

The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses should only be used as a reference; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.

Sincerely,
Gao Pilin

Reply Date: 2020/09/22

More Info


Floaters, or "muscae volitantes," are small shapes that appear in your field of vision, often described as spots, threads, or cobwebs. 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 pull away from the retina, leading to the formation of these floaters. While they are usually harmless, they can sometimes indicate more serious conditions, such as retinal tears or detachments, especially if they are accompanied by flashes of light or a sudden increase in the number of floaters.

In your case, the black lines you are seeing in your left eye and the occasional black line in your right eye could indeed be symptoms of floaters. It’s important to monitor these symptoms closely. If you notice any sudden changes, such as a significant increase in floaters, flashes of light, or a shadow or curtain effect in your vision, you should seek immediate medical attention, as these could be signs of a retinal detachment, which is a medical emergency.

Regarding your prescription glasses and the issue of wearing them comfortably, it’s not uncommon for individuals with differing visual acuities in each eye to experience discomfort or difficulty adjusting to their lenses. In your case, with left eye amblyopia (commonly referred to as "lazy eye") and a normal right eye, the difference in prescription strength can lead to visual imbalance. If your left eye has a significantly higher prescription than your right, it may cause strain or discomfort when wearing your glasses.

Adjusting the prescription for your left eye could potentially help in balancing your vision and improving comfort. However, this should be done under the guidance of an eye care professional. They can assess your specific situation and determine if a reduction in the prescription for your left eye is appropriate. It’s also essential to consider that any changes in prescription should be made carefully, as they can affect your overall visual function and comfort.

In summary, while the symptoms you describe may be indicative of floaters, it’s crucial to have a comprehensive eye examination to rule out any serious underlying conditions. Additionally, discussing your glasses prescription with your eye care provider can help ensure that you have the most comfortable and effective vision correction for your needs. Regular eye exams are essential, especially if you notice any changes in your vision, to maintain eye health and address any potential issues early on.

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