Blurred Vision and Floaters: Signs of Glaucoma or Retinal Issues? - Ophthalmology

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It feels like there is a film obstructing my vision?


Hello Doctor: This morning, I noticed that one of my eyes has become blurry, and I also see floaters that look like little worms.
Blinking my eyes hasn't improved the situation.
I would like to ask if this could be a symptom of glaucoma, retinal detachment, or another condition? Thank you!

Andy, 20~29 year old female. Ask Date: 2021/07/07

Dr. Gao Pilin reply Ophthalmology


Hello Andy: It could be vitreous floaters, or it might be a retinal issue.
It is advisable for you to seek medical examination.
If treatment is necessary, it is better not to wait too long.
Information from the internet should only be used as a reference; it is essential to visit a healthcare facility for proper evaluation.
Best regards, Gao Pilin.

Reply Date: 2021/07/07

More Info


Blurred vision and floaters can be concerning symptoms, especially for someone with a history of eye issues. Based on your description, it’s important to consider several potential causes, including glaucoma, retinal detachment, or other ocular conditions.
Firstly, let’s discuss floaters. Floaters are tiny spots, lines, or cobweb-like shapes that drift through your field of vision. They are often caused by changes in the vitreous gel that fills the eye, which can become more liquid as we age, leading to clumping and casting shadows on the retina. While floaters are common and often benign, a sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, could indicate a more serious condition, such as retinal detachment.
Blurred vision, on the other hand, can arise from various factors. In your case, since you mentioned that the blurriness occurred suddenly upon waking, it could be related to several conditions. Glaucoma, particularly the acute angle-closure type, can cause sudden blurred vision, but it is usually accompanied by severe eye pain, headache, nausea, and vomiting. If you have not experienced these symptoms, it is less likely to be glaucoma.
Retinal detachment is a more pressing concern. It occurs when the retina separates from the back of the eye, which can lead to permanent vision loss if not treated promptly. Symptoms can include sudden flashes of light, a sudden increase in floaters, and a shadow or curtain over part of your vision. Given your symptoms of both blurred vision and floaters, it would be prudent to seek immediate medical attention to rule out this condition.

Other potential causes of blurred vision include dry eyes, refractive errors (such as myopia or astigmatism), cataracts, or even systemic conditions like diabetes. Dry eyes can lead to fluctuating vision and discomfort, while cataracts can cause blurriness and halos around lights, particularly at night.

In summary, while floaters and blurred vision can be benign, the sudden onset of these symptoms warrants a thorough evaluation by an eye care professional. It is crucial to have a comprehensive eye examination, including a dilated fundus exam, to assess the health of your retina and optic nerve. If you have not already done so, please schedule an appointment with an ophthalmologist as soon as possible to ensure that any serious conditions are ruled out and to receive appropriate treatment if necessary.
In the meantime, try to avoid straining your eyes, and ensure that you are using proper lighting when reading or working. If you experience any additional symptoms, such as severe pain, redness, or significant changes in vision, seek emergency care immediately. Your eye health is paramount, and timely intervention can make a significant difference in outcomes.

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