Eye Floaters and the Effects of Pupil Dilation - Ophthalmology

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Hello doctor, I recently experienced symptoms of floaters, so I visited an ophthalmologist today and underwent a dilated eye exam.
The doctor said there were no issues with my retina and attributed it to eye fatigue, advising me to rest well.
However, while I was showering today (more than six hours after the dilation), I rinsed my face with water while my eyes were closed (using a handheld showerhead), and when I opened my eyes, I suddenly saw many small bright spots (which appeared whenever I blinked or moved my eyes), but they disappeared shortly after.
I would like to know if this is a cause for concern.
Additionally, I would like to ask if undergoing multiple dilated eye exams in a short period could have any adverse effects on my eyes.
Thank you.

Xiao W, 20~29 year old female. Ask Date: 2022/10/21

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao W: This should not be a problem; it is likely related to the vitreous.
You can continue to observe it.
The dilated fundus examination is not an issue, so please don't worry.
Children who are being treated for myopia also need to use dilating drops daily.

Reply Date: 2022/10/21

More Info


Hello! Thank you for your questions regarding eye floaters and the effects of pupil dilation. It’s important to address your concerns comprehensively, especially since you have experienced symptoms related to floaters and have undergone a dilated fundus exam.

Firstly, eye floaters, or "vitreous opacities," are common and typically harmless. They occur when the vitreous gel inside the eye becomes more liquid and forms clumps or strands, casting shadows on the retina, which you perceive as floaters. These can be more noticeable in bright light or against a plain background. Your recent experience of seeing small bright spots after rinsing your face could be related to several factors. It’s possible that the sudden change in light exposure or the pressure from water could have temporarily affected your vision, especially if your eyes were still adjusting from the dilation. This phenomenon is often transient and should resolve quickly, as you noted that the spots disappeared shortly after.

Regarding the concern about repeated dilated fundus exams, it’s generally safe to have these tests done multiple times within a short period. Dilation involves the use of eye drops that widen the pupils, allowing the ophthalmologist to examine the retina and optic nerve more thoroughly. While the dilation can cause temporary blurred vision and sensitivity to light, it does not typically cause any long-term damage to the eyes. However, frequent dilation may lead to some discomfort, and it’s advisable to discuss with your eye care provider how often these exams are necessary based on your specific condition.

In terms of your symptoms of seeing bright spots, if they persist or are accompanied by other symptoms such as flashes of light, a sudden increase in floaters, or any changes in your vision, it’s crucial to seek further evaluation. These could indicate more serious conditions, such as retinal tears or detachments, which require immediate attention.

Additionally, it’s worth noting that while eye fatigue can contribute to visual disturbances, it’s essential to maintain regular eye exams, especially if you have a history of high myopia or other eye conditions. High myopia can increase the risk of vitreous detachment and other retinal issues, so monitoring your eye health is vital.

In summary, while your recent experiences with floaters and the effects of dilation are likely benign, it’s important to remain vigilant. If you notice any changes in your vision or if your symptoms worsen, don’t hesitate to reach out to your ophthalmologist for further assessment. Regular eye care and communication with your eye doctor are key to maintaining your eye health. Thank you for your questions, and I hope this information helps clarify your concerns!

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