Sudden Increase in Floaters: What You Need to Know - Ophthalmology

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The sudden increase in floaters, especially when accompanied by other symptoms such as eye pain or changes in vision, can be concerning. Floaters are typically small specks or strands that drift through your field of vision, often more noticeable against a bright background. They are usually caused by changes in the vitreous gel that fills the eye, which can become more liquid and form clumps as we age. However, a sudden increase in floaters, particularly if they are accompanied by flashes of light or a shadow in your peripheral vision, can indicate a more serious condition, such as a retinal tear or detachment.

In your case, you mentioned that you have a history of high myopia (nearsightedness) and have experienced a sudden increase in floaters, which is particularly noteworthy. High myopia increases the risk of retinal issues because the eye is elongated, which can lead to changes in the retina and vitreous. The fact that you also have high blood pressure could further complicate your eye health, as hypertension can affect the blood vessels in the eyes.

The symptoms you described, such as seeing small black dots upon waking, could indeed be related to floaters. This phenomenon is not uncommon and can occur when the eye is adjusting to light after being closed for a period. However, if these symptoms persist or worsen, it is crucial to seek further evaluation from an eye care professional.

Since your eye doctor performed a dilated examination and did not find any significant issues, that is reassuring. However, if you continue to experience discomfort around your eyes or if the floaters increase further, it would be wise to follow up with your eye doctor or even seek a second opinion. They may recommend additional imaging tests, such as an optical coherence tomography (OCT), to get a more detailed view of the retina and vitreous.

In summary, while floaters are often benign, a sudden increase, especially in the context of high myopia and other symptoms, warrants careful monitoring. It is essential to maintain regular check-ups with your eye care provider and report any new or worsening symptoms promptly. Additionally, managing your blood pressure is crucial for overall eye health, as well as your general well-being. If you have any concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for further guidance.