Floaters: When to Seek Eye Care and Safety Tips - Ophthalmology

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Observation of Floaters


Hello, I have myopia of -775 diopters in my left eye and -800 diopters in my right eye.
About a month ago, I visited an ophthalmologist for a vitreous floaters examination using a funduscope.
The doctor mentioned that my retina was fine, but the optic nerve head had a larger than normal cup-to-disc ratio, so they recommended that I go to a veterans hospital for a glaucoma check.
After the examination there, the doctor also said that my eyes currently have no issues.
The ophthalmologist at the clinic advised me to return for a check-up if the floaters increased significantly, otherwise, I could wait six months to a year for the next examination.
I would like to ask the doctor what is meant by an increase in floaters—does it refer to a sudden multiplication, or would the appearance of 3 to 5 new floaters that I haven't noticed before also count as an increase that warrants a check-up? Recently, I occasionally feel like the floaters have increased, but it’s not a sudden increase of 10 to 20, which makes me a bit worried.
Additionally, I would like to ask the doctor if quickly looking left and right to observe the overall number of floaters could potentially pull on the retina like eye exercises and cause harm.
Lastly, given my current condition, is it safe for me to do push-ups? I hope the doctor stays healthy and thank you for your hard work!

nickname, 20~29 year old female. Ask Date: 2022/06/15

Dr. Gao Pilin reply Ophthalmology


Hello: Actually, a gradual increase is generally not a concern, unless there is a significant surge that requires special attention.
Therefore, an increase of 3 to 5 is considered normal.
However, if there is a sudden increase of 10 to 20, it would be necessary to get it checked.
Looking around should not have any impact, and doing push-ups should also be fine.

Reply Date: 2022/06/15

More Info


Hello! Thank you for your detailed inquiry regarding your eye health, particularly concerning floaters and your overall vision. It’s understandable to feel anxious about changes in your vision, especially with your history of myopia and the recent checks for glaucoma and retinal health.

Firstly, regarding your question about floaters: when we talk about an increase in floaters, it typically refers to a noticeable change in their frequency or intensity. This could mean a sudden increase in the number of floaters you see, or it could also refer to the appearance of new types of floaters that you haven't noticed before. If you notice a significant increase, such as a sudden influx of floaters or if they are accompanied by flashes of light or a shadow in your peripheral vision, it is advisable to seek immediate medical attention. However, if you are observing a gradual increase of a few floaters that seem to come and go, it may not be as urgent, but it’s still worth discussing with your eye care provider during your next visit.

As for your concern about rapidly moving your eyes to observe the floaters, this action is generally safe and should not cause any harm to your retina. The eye is designed to handle normal movements, and while excessive or forceful movements could theoretically lead to strain, simply looking around to observe floaters is not likely to cause retinal damage. However, if you experience any discomfort or unusual symptoms while doing so, it would be wise to stop and consult with your eye doctor.

Regarding your ability to perform exercises like push-ups, it is usually safe for individuals with floaters and myopia to engage in physical activities. However, if you have any underlying conditions, such as elevated eye pressure or a history of retinal issues, it’s best to consult your eye care professional for personalized advice. They can provide guidance based on your specific health status and any potential risks associated with physical exertion.

In terms of general eye care, maintaining a healthy lifestyle can significantly benefit your eye health. This includes:
1. Regular Eye Exams: Continue to have regular check-ups with your eye doctor, especially since you have a history of myopia and floaters. They can monitor any changes in your vision and provide timely interventions if necessary.

2. Protective Eyewear: Wearing sunglasses that block UV rays can help protect your eyes from sun damage, which is particularly important for preventing cataracts and other eye conditions.

3. Screen Time Management: If you spend a lot of time on screens, practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

4. Healthy Diet: Incorporate foods rich in antioxidants, such as leafy greens, carrots, and fish high in omega-3 fatty acids, which can support eye health.

5. Stay Hydrated: Proper hydration is essential for maintaining good eye moisture and overall health.

6. Avoid Smoking: Smoking is linked to an increased risk of age-related macular degeneration and other eye diseases.

In conclusion, while it’s normal to have concerns about your vision, especially with a history of myopia and floaters, staying proactive about your eye health through regular check-ups and healthy lifestyle choices can help you manage your condition effectively. If you notice any significant changes in your vision or floaters, don’t hesitate to reach out to your eye care provider for further evaluation. Take care, and I wish you the best in maintaining your eye health!

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