the Progression of Floaters: Causes and Concerns - Ophthalmology

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Hello! Thank you for your detailed inquiry regarding your experience with floaters, also known as "myodesopsia." It's understandable that the changes in your vision can be concerning, especially as they seem to be worsening over time. Let's address your questions one by one.

1. Does staring at floaters under bright light cause them to appear larger?
Staring at floaters, especially in bright light, can make them more noticeable. This is because the contrast between the floaters and the bright background enhances their visibility. However, this does not physically change their size. Floaters are typically small clumps of gel or cells within the vitreous humor of the eye. When you focus on them, they may seem to move or change shape due to the movement of the vitreous gel, but they do not actually grow. If you look away or stop focusing on them, they may seem to fade into the background, but this is more about perception than a physical change in size.

2. Does this situation indicate that the vitreous is nearing complete liquefaction, and will symptoms improve afterward?
The vitreous humor, which is the gel-like substance filling the eye, can undergo a process called liquefaction as we age. This process can lead to the formation of floaters. In many cases, as the vitreous continues to liquefy and separate from the retina, floaters may become less bothersome over time. However, this is not guaranteed for everyone. Some individuals may continue to experience floaters or even develop new ones. It's important to note that while many floaters are benign, any sudden changes in their appearance or an increase in their number should be evaluated by an eye care professional.

3. Should you have a dilated eye exam every three months?
Given your history of floaters and the fact that you've had multiple examinations showing vitreous opacities without retinal tears, it may not be necessary to have a dilated exam every three months unless you notice significant changes in your symptoms. However, regular check-ups are essential, especially if you experience new symptoms such as flashes of light or a sudden increase in floaters. Your eye doctor can provide personalized recommendations based on your specific condition and any changes you report.

In summary, while floaters can be annoying and sometimes alarming, they are often a normal part of the aging process of the eye. It's crucial to maintain regular eye examinations to monitor your condition, especially if you notice any changes. If your symptoms are significantly impacting your quality of life, discussing potential treatments or interventions with your eye care provider may be beneficial.
Wishing you a happy and healthy New Year! If you have any further questions or concerns, don't hesitate to reach out.