Seeing transparent horizontal lines sliding down the wall?
Hello, doctor: I would like to ask you a question.
I have floaters, and recently when I look at the wall during the day, I see transparent horizontal lines sliding down in my vision.
I'm not sure if this is due to vitreous liquefaction or if there is an issue with my retina.
Amy, 30~39 year old female. Ask Date: 2022/06/08
Dr. Gao Pilin reply Ophthalmology
Hello Amy: This may also be a type of floaters.
It is not a problem with the retina.
Issues with the retina are usually fixed.
Reply Date: 2022/06/08
More Info
The appearance of transparent lines in your vision, especially in the context of existing floaters (or "flying spots"), can indeed be related to vitreous liquefaction. Vitreous liquefaction is a common condition where the gel-like substance in the eye (the vitreous humor) begins to change consistency, becoming more liquid. This process can lead to the formation of floaters, which are small specks or strands that drift through your field of vision.
In your case, the transparent horizontal lines you are observing could be a manifestation of this vitreous change. When the vitreous humor starts to liquefy, it can create strands or lines that may be perceived as moving with your gaze. This is particularly common in individuals with myopia (nearsightedness), as you mentioned having mild to moderate myopia (350 and 375 degrees).
It's important to differentiate between vitreous changes and potential retinal issues. While vitreous liquefaction itself is usually benign, it can sometimes lead to more serious conditions, such as posterior vitreous detachment (PVD) or even retinal tears or detachments. PVD occurs when the vitreous pulls away from the retina, which can cause symptoms like flashes of light or an increase in floaters. However, if you are not experiencing any flashes of light or a sudden increase in floaters, it is less likely that you are facing a serious issue.
If you have already had a thorough examination by an eye care professional, including a dilated fundus examination, and no retinal issues were found, it is reassuring. However, if you notice any new symptoms, such as a sudden increase in floaters, flashes of light, or any changes in your peripheral vision, it is crucial to seek immediate medical attention.
In terms of management, there is no specific treatment to reverse vitreous liquefaction or prevent it from occurring. Most people adapt to the presence of floaters over time, and they often become less noticeable. However, if the floaters significantly interfere with your daily activities or quality of life, you might discuss options with your eye care provider, which could include vitrectomy, a surgical procedure to remove the vitreous gel, although this is typically reserved for more severe cases.
In summary, the transparent lines you are experiencing are likely related to vitreous liquefaction, especially given your history of floaters. While this condition is generally benign, it is essential to remain vigilant for any new symptoms that could indicate a more serious issue. Regular eye examinations and open communication with your eye care provider are key to maintaining your eye health.
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