Eye Floaters: Causes and When to Seek Help - Ophthalmology

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Appearance of floaters in the eyes?


Hello, doctor.
Last night, I woke up in the middle of my sleep and noticed a whole field of spots in front of my eyes, some of which were moving.
I could also see them when I closed my eyes, but they disappeared after I woke up during the day.
I would like to know what kind of issue my eyes might be experiencing.

Niming, 20~29 year old female. Ask Date: 2023/02/16

Dr. Cai Wenyuan reply Ophthalmology


Monitor the symptoms, and if they persist, seek medical evaluation.

Reply Date: 2023/02/16

More Info


Hello! Thank you for reaching out with your concerns about the sudden appearance of floaters in your vision. Based on your description, it sounds like you experienced a common phenomenon known as "floaters," which are small spots or strands that drift through your field of vision. They can appear as dots, lines, or cobweb-like shapes and are often more noticeable when looking at a plain background, such as a clear sky or a white wall.

Floaters are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the formation of these floaters. This process is generally benign and is a normal part of aging. However, there are instances where floaters can indicate a more serious condition, such as retinal tears or detachment, especially if they are accompanied by flashes of light or a sudden increase in the number of floaters.

In your case, since the floaters appeared suddenly during the night and were not present upon waking in the morning, it is important to monitor your symptoms closely. If you experience any of the following, you should seek immediate medical attention:
1. Sudden Increase in Floaters: If you notice a significant increase in the number of floaters.

2. Flashes of Light: If you see flashes of light in your peripheral vision.

3. Dark Shadows or Curtains: If you experience a shadow or curtain effect in your vision.

4. Blurred Vision: If your vision becomes blurry or distorted.

These symptoms could indicate a more serious issue, such as retinal detachment, which requires prompt treatment to prevent permanent vision loss.

If your floaters persist or if you have any concerns about your vision, it is advisable to schedule an appointment with an eye care professional for a comprehensive eye examination. They can perform tests to assess the health of your retina and vitreous, ensuring that there are no underlying issues that need to be addressed.

In the meantime, here are some tips to help you manage floaters:
- Stay Calm: Floaters are usually harmless, and many people learn to ignore them over time.

- Avoid Straining Your Eyes: If you spend long hours in front of screens, take regular breaks to reduce eye strain.

- Maintain Eye Health: Ensure you have regular eye exams, especially as you age, to monitor any changes in your vision.

In conclusion, while floaters can be a common occurrence, it is essential to remain vigilant about any changes in your vision. If you have any further questions or concerns, do not hesitate to reach out to your eye care provider. They are best equipped to provide personalized advice and treatment options based on your specific situation.

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