Visual Disturbances: Floaters, Dry Eyes, and Anxiety - Ophthalmology

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Frequent perception of transparent floaters in the vision?


Hello Doctor, I recently visited an ophthalmologist several times, and the doctor mentioned that I might have floaters and dry eye syndrome, along with elevated intraocular pressure.
I am currently 23 years old, and my vision is different in each eye: the left eye has hyperopia with astigmatism of +2.00, while the right eye has myopia of -2.50.
I am very concerned about the possibility of retinal detachment, as I often feel a transparent, wavy sensation when looking at things, and occasionally I see lights flickering, even though the lights are functioning properly.
A month ago, I went to a different hospital for dilation and underwent fundus photography and macular examination, and the doctor said everything looked fine.
Should I consider getting further examinations? I am still feeling anxious, and could the symptoms of the transparent wavy sensation be related to dry eye syndrome or high intraocular pressure? Or could it be caused by stress, as I am currently preparing for exams? Thank you, Doctor.

Rong, 20~29 year old female. Ask Date: 2022/08/10

Dr. Gao Pilin reply Ophthalmology


Hello Rong: It is possible that the symptoms are caused by vitreous floaters.
If the examination showed no issues, you can be assured that it is safe to coexist with them.
Dry eye syndrome and high intraocular pressure should not cause this sensation.

Reply Date: 2022/08/10

More Info


Hello! Thank you for sharing your concerns regarding your visual disturbances, particularly the floaters, dry eyes, and anxiety. Based on your description, it seems that you are experiencing a combination of symptoms that can be quite distressing, especially given your age and the pressures of preparing for exams.

Firstly, let’s address the floaters you mentioned. Floaters are small spots or strands that drift through your field of vision, often more noticeable against a bright background. They are typically caused by changes in the vitreous gel that fills the eye, which can become more liquid and form clumps as we age. However, floaters can also occur in younger individuals, especially if there are underlying conditions such as myopia (nearsightedness), which you have. While floaters are generally harmless, a sudden increase in their number or the appearance of flashes of light can sometimes indicate more serious issues, such as retinal detachment. Since you have already undergone thorough examinations, including dilated fundus exams and imaging, and your doctors have not found any significant problems, it is likely that your floaters are benign.

Regarding your dry eyes, this condition can indeed contribute to visual disturbances. Dry eyes occur when your tears are not able to provide adequate lubrication for your eyes. Symptoms can include a gritty sensation, blurred vision, and increased sensitivity to light. Dryness can exacerbate the perception of floaters and lead to discomfort, especially when staring at screens for extended periods, which is common during exam preparations. Managing dry eyes typically involves using artificial tears, taking regular breaks from screen time, and ensuring a humid environment.

Your concerns about high eye pressure are also valid. Elevated intraocular pressure (IOP) can be a risk factor for glaucoma, but it is essential to note that not everyone with high IOP will develop glaucoma. Regular monitoring and follow-up with your eye care provider are crucial to ensure that your eye pressure remains stable and does not lead to any complications.

Now, regarding the anxiety you mentioned, it is not uncommon for stress and anxiety to manifest as physical symptoms, including visual disturbances. When you are anxious, your body can enter a heightened state of alertness, which may cause you to become more aware of sensations that you might otherwise overlook. This heightened awareness can lead to a cycle of worry, where you become increasingly focused on your symptoms, potentially exacerbating your anxiety and making the symptoms feel more pronounced.

Given your situation, it may be beneficial to explore stress management techniques. Engaging in regular physical activity, practicing mindfulness or meditation, and ensuring you have a balanced study schedule can help alleviate some of the anxiety you are experiencing. Additionally, if your anxiety continues to interfere with your daily life, consider discussing it with a mental health professional who can provide support and coping strategies.

In conclusion, while your symptoms may be concerning, the thorough evaluations you have undergone suggest that there are no significant underlying eye conditions at this time. It is essential to continue monitoring your symptoms and maintain regular check-ups with your eye care provider. Additionally, addressing your dry eyes and managing your anxiety can significantly improve your overall well-being and help you focus better on your studies. If you notice any new symptoms or if your current symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation. Take care of yourself, and best of luck with your exams!

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