Eye Floaters: Symptoms, Concerns, and Remedies - Ophthalmology

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While riding a bike, I see white lines, and when I blink, I notice black shadows?


Hello doctor, I have approximately 300 degrees of myopia in both eyes.
Over the past year, I have started to see fleeting black shadows or white flashes, which disappear quickly but occur daily.
Recently, I noticed that when I look up at the sky in the morning, I see white lines that resemble transparent worms.
Additionally, when I blink indoors, I sometimes see brief black shadows in my peripheral vision.
Could this be vitreous floaters? Should I be particularly concerned about these symptoms? Do I need to get my eyes checked? My job requires me to look at a computer screen for long periods, and I wonder if taking intermittent breaks and applying warm compresses in the evening could help alleviate these symptoms.

Xie Abao, 20~29 year old female. Ask Date: 2021/08/24

Dr. Gao Pilin reply Ophthalmology


Hello, Ms.
Hsieh: It sounds like you are experiencing floaters.
Currently, there is no method to alleviate this type of symptom.
It is advisable for you to have an eye examination to ensure that there are no other underlying conditions.

Reply Date: 2021/08/24

More Info


Hello! Thank you for reaching out with your concerns regarding eye floaters and the visual disturbances you are experiencing. Based on your description, it seems that you are encountering symptoms that could indeed be associated with floaters, which are typically harmless but can sometimes indicate underlying issues that require attention.

Floaters are small specks or strands that drift through your field of vision, often described as black or gray dots, cobwebs, or even transparent shapes. They are caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid, leading to the formation of these floaters. The flashes of light you mentioned, particularly when looking at bright backgrounds like the sky, can also be related to the vitreous pulling on the retina, which can cause a sensation of light flashes.

Given your myopia (nearsightedness) of around 300 degrees, you may be at a slightly higher risk for retinal issues, including retinal tears or detachments, especially if you are experiencing new floaters or flashes of light. It is crucial to monitor these symptoms closely. If you notice a sudden increase in floaters, a significant change in your vision, or if you see a curtain-like shadow over your visual field, you should seek immediate medical attention from an eye care professional.

Regarding your work situation, prolonged screen time can indeed contribute to eye strain and fatigue, which may exacerbate your perception of floaters. Taking regular breaks using the 20-20-20 rule—every 20 minutes, look at something 20 feet away for at least 20 seconds—can help reduce eye strain. Additionally, practicing good ergonomics at your workstation and ensuring proper lighting can also alleviate discomfort.

As for the temporary black shadows you experience when blinking, this could be related to the way your eyes are adjusting to light or the presence of floaters. If these sensations persist or worsen, it would be wise to consult with an optometrist or ophthalmologist for a comprehensive eye examination. They can perform tests to rule out any serious conditions and provide tailored advice based on your specific situation.

In terms of remedies, while there is no specific treatment for floaters, maintaining overall eye health is beneficial. This includes staying hydrated, eating a balanced diet rich in antioxidants (like vitamins C and E), and protecting your eyes from UV light with sunglasses. Warm compresses at night can help relax your eyes, but they may not directly affect the floaters.

In summary, while floaters are often benign, your symptoms warrant a thorough examination, especially given your history of myopia. Regular eye check-ups are essential, particularly if you notice any changes in your vision. Taking breaks during screen time and practicing good eye hygiene can help manage your symptoms. If you have any further questions or concerns, please do not hesitate to reach out to your eye care provider. Your vision health is important, and proactive measures can help ensure it remains in good condition.

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