Floaters: When to Seek Eye Care for Your Vision - Ophthalmology

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Is this floaters? Should I get it checked?


Recently, I've been seeing white floaters in my vision when I'm in the sunlight, but I only occasionally noticed them before.
Should I go to a clinic for an examination?

wei, 20~29 year old female. Ask Date: 2021/11/19

Dr. Gao Pilin reply Ophthalmology


Hello Wei: It is likely to be floaters.
You should get it checked, and if there are no issues, you can observe it on your own.

Reply Date: 2021/11/19

More Info


Floaters, or "floaters in the eye," are small specks, spots, or cobweb-like shapes that drift around in your field of vision. They are often more noticeable when looking at a plain background, such as a blue sky or a white wall. While floaters are common and usually harmless, there are certain circumstances when you should seek medical attention.


When to Seek Eye Care for Floaters
1. Sudden Increase in Floaters: If you suddenly notice a significant increase in the number of floaters, it could indicate a more serious condition, such as a retinal tear or detachment. This is particularly concerning if the increase is accompanied by flashes of light or a shadow in your peripheral vision.

2. Flashes of Light: Experiencing flashes of light along with floaters can be a sign that the vitreous gel in your eye is pulling away from the retina. This condition, known as posterior vitreous detachment, can sometimes lead to retinal tears.

3. Loss of Peripheral Vision: If you notice a loss of peripheral vision or a curtain-like shadow over your vision, this could indicate a retinal detachment, which is a medical emergency.

4. Changes in Vision: Any sudden changes in your vision, such as blurriness or distortion, warrant immediate attention from an eye care professional.

5. Accompanying Symptoms: If floaters are accompanied by other symptoms such as eye pain, redness, or swelling, it is essential to seek medical advice.


Understanding Floaters
Floaters 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 may pull away from the retina, leading to the formation of floaters. While they are often benign, understanding their nature is crucial for maintaining eye health.


What to Expect During an Eye Examination
If you decide to visit an eye care professional due to your floaters, they will likely perform a comprehensive eye examination. This may include:
- Visual Acuity Test: To assess how well you see at various distances.

- Dilated Eye Exam: Your pupils will be dilated with eye drops to allow the doctor to examine the retina and vitreous more thoroughly.

- Retinal Imaging: Advanced imaging techniques may be used to get a clearer view of the retina and any potential issues.


Management and Treatment
In most cases, floaters do not require treatment, especially if they are not associated with any serious underlying conditions. Many people learn to ignore them over time. However, if floaters significantly impact your vision or quality of life, your eye care provider may discuss options such as:
- Vitrectomy: A surgical procedure that removes the vitreous gel and replaces it with a saline solution. This is usually reserved for severe cases due to the risks involved.

- Laser Treatment: In some cases, lasers can be used to break up floaters, although this is less common.


Conclusion
In summary, while floaters are often a normal part of aging and eye health, any sudden changes or accompanying symptoms should prompt you to seek medical attention. Regular eye exams are essential for monitoring your eye health, especially as you age or if you have pre-existing conditions like high myopia or a history of retinal issues. If you are experiencing new floaters, especially in bright sunlight, it is wise to consult with an eye care professional to rule out any serious conditions and ensure your vision remains healthy.

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