Visual Disturbances After Experiencing Floaters - Ophthalmology

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Abnormal visual sensations when looking at objects?


Hello, Doctor.
Since I developed floaters, I have been experiencing a flickering sensation when looking at black and white patterns or stripes.
A few days ago, while walking on the sidewalk and looking at the tiles, I felt like the tiles were moving.
This only happens in my peripheral vision, and my central vision remains unaffected.
When I look up at other things, my vision returns to normal.
I never experienced this before I got sick, which has made me very anxious.
I would like to ask if this situation is normal.
Thank you very much for taking the time to respond.
I appreciate your hard work.

Ning, 20~29 year old female. Ask Date: 2023/01/30

Dr. Cai Wenyuan reply Ophthalmology


Floaters are generally not a cause for concern; regular check-ups are sufficient.

Reply Date: 2023/01/30

More Info


Visual disturbances, especially after experiencing floaters, can be concerning and may lead to anxiety, as you've described. Floaters are typically caused by changes in the vitreous gel of the eye, which can become more liquid and less structured as we age. This process can lead to the formation of clumps or strands within the vitreous, which cast shadows on the retina, resulting in the perception of floaters. However, the symptoms you are experiencing, such as seeing patterns or lines that appear to flicker or move, can be indicative of several underlying issues that merit further exploration.

Firstly, the phenomenon of seeing patterns or lines, especially when looking at contrasting surfaces like black and white tiles, may be related to a visual processing issue rather than a direct problem with the eye itself. This could be a form of visual snow or a type of visual distortion that occurs when the brain is trying to interpret the signals it receives from the eyes. In some cases, this can be exacerbated by anxiety or stress, which can heighten awareness of visual disturbances.

Additionally, the fact that these disturbances are primarily occurring in your peripheral vision rather than your central vision is noteworthy. Peripheral vision is often more sensitive to motion and changes in light, which could explain why you perceive the tiles as moving or floating. This could also be related to the way your brain is processing visual information, particularly if you are feeling anxious or stressed about your symptoms.

It's also important to consider the possibility of other conditions that could be contributing to your symptoms. For instance, if you have a history of retinal issues or if there has been any trauma to the eye, these factors could also play a role in the visual disturbances you are experiencing. Although you have undergone various examinations, including OCT and MRI, and found no significant abnormalities, it may be beneficial to have a comprehensive eye exam focusing specifically on the vitreous and retina to rule out any potential issues.

In terms of whether your symptoms are "normal," it's essential to understand that while floaters are common and often benign, any new or changing visual disturbances should be evaluated by an eye care professional. Your symptoms, particularly the flickering patterns and the sensation of movement in your peripheral vision, warrant further investigation to ensure that there are no underlying conditions that need to be addressed.

In summary, while floaters and associated visual disturbances can be common, your specific symptoms should be taken seriously. It is advisable to consult with an ophthalmologist who can conduct a thorough examination and provide a more tailored assessment based on your individual situation. They may also discuss potential treatment options or coping strategies to help manage your anxiety related to these visual disturbances. Remember, it’s always better to err on the side of caution when it comes to your vision and overall eye health.

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