Eye Floaters: Causes, Symptoms, and When to Seek Help - Ophthalmology

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Black tear-like lines appear when blinking?


Hello Doctor, I asked you a question last time, but I'm still not at ease, so I want to ask again.
About six months ago, I noticed some floaters in my vision and went to see a doctor.
At that time, the doctor said everything was fine, so I didn't pay much attention.
However, recently I feel that my eye condition has worsened, and I'm a bit worried, so I would like to ask you the following questions:
1.
When I lie in bed and blink hard while looking closely, I see black, tear-like lines that disappear after a while.
This symptom has only appeared recently.
Why is this happening? Do I need to see a doctor?

2.
I feel that the duration of visual persistence (afterimages) has been increasing lately, especially when looking at bright lights.
Why is this happening?
3.
Occasionally, I see flashes of light around my eyes, but they disappear quickly.
Why does this happen?
4.
About 2 to 3 months ago, I noticed a sudden increase in white spider web-like strands and many white dots in my vision.
However, there hasn't been any issue since then.
I just looked online and read that this could be a precursor to retinal disease, but it has persisted for two to three months.
Is there a clear way to distinguish retinal detachment? Otherwise, according to what I read online, I should have been detached for a long time...
5.
Is there any way to improve these symptoms on my own? Such as the increasing duration of visual persistence?
Thank you, Doctor, for your hard work in answering our questions every day.
Thank you.

Niming, 10~19 year old female. Ask Date: 2021/03/17

Dr. Gao Pilin reply Ophthalmology


Hello: These symptoms are likely indicative of floaters, not retinal detachment.
Visual persistence is related to retinal function.
If there are concerns, an examination may be necessary to determine the exact situation.
It is advisable to rest more and reduce the use of electronic devices to prevent exacerbation of symptoms.
In Taiwan, the ophthalmology department at Puzi Hospital is available: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2021/03/17

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your eye health, particularly the symptoms associated with floaters and flashes of light. It's understandable to feel anxious about changes in your vision, and I appreciate your diligence in seeking further clarification. Let's address your questions one by one.

1. Black Lines When Blinking: The appearance of black, thread-like shapes when you blink, especially when lying down, can be attributed to the presence of floaters in the vitreous gel of your eye. Floaters are tiny clumps of gel or cells that drift around in the vitreous, casting shadows on the retina, which you perceive as spots or lines. While they are often benign, if you notice a sudden increase in floaters or changes in their appearance, it is advisable to consult an eye care professional for a thorough examination.

2. Visual Persistence: The phenomenon of visual persistence, or the lingering afterimage you experience when looking at bright lights, can occur due to the way your retina processes light. This can be exacerbated by fatigue, prolonged screen time, or even stress. If this symptom becomes bothersome or is accompanied by other visual disturbances, it would be wise to seek further evaluation.

3. Occasional Flashes of Light: The fleeting flashes of light you describe can be related to the vitreous gel pulling on the retina, which is often harmless. However, if these flashes become more frequent or are accompanied by a sudden increase in floaters or a shadow in your peripheral vision, it could indicate a more serious condition, such as retinal detachment, which requires immediate medical attention.

4. White Spider Webs and Spots: The sudden increase in white spots or spider web-like structures in your vision can also be attributed to floaters. While they can be alarming, if they have been stable for a couple of months and are not accompanied by other symptoms like flashes or loss of vision, they are likely benign. However, it is crucial to monitor these changes and consult with an eye specialist if you notice any new symptoms.

5. Self-Improvement of Symptoms: Many people find that their floaters become less noticeable over time as the brain learns to ignore them. However, if your symptoms persist or worsen, it is essential to seek professional advice. Regular eye examinations are crucial, especially if you have a history of eye problems or if you experience any sudden changes in your vision.

In summary, while many of the symptoms you describe can be associated with benign conditions, it is essential to remain vigilant. If you experience any sudden changes in your vision, such as an increase in floaters, flashes of light, or any loss of vision, please seek immediate medical attention. Regular check-ups with an eye care professional can help monitor your condition and ensure your eyes remain healthy.

Thank you for your thoughtful questions, and I hope this information provides you with some clarity and reassurance. Please do not hesitate to reach out if you have further concerns or need additional information.

Best regards,
Doctor Q&A Teams

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