the 'Misty Rain' Phenomenon in Eye Health - Ophthalmology

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Regarding the phenomenon of drizzle?


Hello, Doctor Gao.
I have had floaters for about seven years.
When it first occurred, I felt like it was drizzling outside on a clear day.
I have undergone laser treatment and have been following up with appointments in April, May, and July of this year.
Now, I am experiencing the same phenomenon as before, where I see a rain-like effect against a dark background with a single color tone, but I do not have any other pathological symptoms like black floaters or flashes of light.
Should I continue to follow up, or is it better to just observe? Thank you.

Awei, 30~39 year old female. Ask Date: 2022/09/05

Dr. Gao Pilin reply Ophthalmology


Hello, Ah Wei: The phenomenon of "drizzling" may be due to vitreous liquefaction, where fluid enters the vitreous cavity.
Typically, this is not a cause for concern and will resolve quickly; it can be monitored.
However, if this phenomenon persists, further examination is necessary.

Reply Date: 2022/09/05

More Info


Hello! Thank you for reaching out with your concerns regarding the "Misty Rain" phenomenon you are experiencing in relation to your eye health, particularly with your history of floaters (or "flying mosquitoes").
From your description, it seems that you have been dealing with floaters for about seven years, and you have undergone laser treatment to address this issue. The phenomenon you describe, where you perceive a "misty rain" effect against a dark background, is likely related to the presence of floaters in your vitreous humor. Floaters are small clumps of gel or cells that form in the vitreous, the clear gel-like substance that fills the eye. As we age, the vitreous can shrink and become more liquid, leading to the formation of these floaters, which can cast shadows on the retina and create the visual disturbances you are experiencing.

The fact that you are seeing this phenomenon again, especially in specific lighting conditions (like a dark background), is not uncommon for individuals with floaters. The perception of floaters can be more pronounced in certain situations, particularly when looking at a plain, bright surface or in low light conditions. This is because the contrast between the floaters and the background can make them more noticeable.

Regarding your question about whether you should continue to monitor this condition or seek further evaluation, it is essential to consider a few factors. Since you have already undergone laser treatment and have been following up regularly, it is crucial to assess whether there have been any changes in your symptoms or if new symptoms have developed. The absence of other pathological symptoms, such as flashes of light or a sudden increase in floaters, is a positive sign. However, if you notice any significant changes in your vision, such as a sudden increase in the number of floaters, flashes of light, or a shadow or curtain effect in your peripheral vision, you should seek immediate evaluation from an eye care professional.

In general, if your current symptoms are stable and you are not experiencing any new concerning signs, it may be reasonable to continue observing your condition. However, regular follow-ups with your ophthalmologist are essential to ensure that your eye health remains stable and to monitor for any potential complications. Your doctor can provide personalized advice based on your specific situation and history.

In summary, the "Misty Rain" phenomenon you are experiencing is likely related to your existing floaters, and while it can be bothersome, it is not uncommon. Continue to monitor your symptoms, and do not hesitate to reach out to your eye care provider if you notice any changes or have concerns. Regular check-ups are vital in maintaining your eye health and addressing any potential issues early on. Thank you for your inquiry, and I wish you the best in managing your eye health!

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