Eye Floaters: What Those Morning Black Spots Mean - Ophthalmology

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Black spots in the eyes?


Hello doctor, when I wake up in the morning, I often see small black dots, like sesame seeds, in both eyes.
However, when I close my eyes and rest, then open them again, the dots disappear.
I would like to ask if this is related to floaters? (It only happens in the morning.) Thank you, doctor.

Niming, 30~39 year old female. Ask Date: 2022/02/10

Dr. Gao Pilin reply Ophthalmology


Hello: It is very likely to be floaters.
It could also be secretions on the cornea.

Reply Date: 2022/02/10

More Info


When you wake up in the morning and notice black spots or floaters in your vision, it can be concerning. These symptoms are often associated with a condition known as "floaters," which are small specks or strands that drift through your field of vision. They 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 perception of these floaters.

In your case, the fact that you see these spots primarily in the morning when you first wake up could be related to several factors. One possibility is that during sleep, the vitreous may settle, and upon waking, the floaters become more noticeable as your eyes adjust to light and movement. Additionally, if you have dry eyes or any discharge that accumulates overnight, this could also contribute to temporary visual disturbances upon waking.

It's important to note that while floaters are usually benign, they can sometimes indicate more serious conditions, especially if they are accompanied by flashes of light or a sudden increase in the number of floaters. In your situation, since the floaters disappear after you rest your eyes, it may suggest that they are not a cause for immediate concern. However, if you experience any changes in your vision, such as a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, it is crucial to seek medical attention promptly.

Regarding your question about whether this is indeed floaters, the description you provided aligns with typical characteristics of floaters. However, it is also possible that other factors, such as corneal debris or temporary changes in the eye's surface, could be at play. If you notice that these symptoms persist or worsen, it would be wise to consult with an eye care professional for a comprehensive examination.

In summary, while what you are experiencing could likely be floaters, especially given their transient nature upon waking, it is essential to monitor your symptoms. Regular eye check-ups are advisable, particularly if you have pre-existing conditions like dry eyes or high myopia, as these can influence your eye health. If you have any concerns or if your symptoms change, do not hesitate to reach out to an eye care specialist for further evaluation and peace of mind.

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