Monocular floaters?
Hello, doctor.
I notice that when my eyes are relaxed or when I'm daydreaming, I see a lot more floaters.
During my eye examination yesterday, I experienced the same thing while testing my visual field.
I mentioned this to the doctor, and when I lie down and daydream, I see something that resembles a spinning fan.
However, the doctor who conducted the examination said that my eyes appeared normal based on the report.
I also had an OCT scan, and the doctor suggested that the issue might not be with my eyes, but rather that the symptoms are manifesting in my eyes.
Did the doctor recommend which specialty I should consult for further examination? This issue has been bothering me for three months.
Guo Xiansheng, 20~29 year old female. Ask Date: 2023/06/21
Dr. Gao Pilin reply Ophthalmology
Hello: 1.
Neurologist: The increase in the appearance of floaters during relaxation or daydreaming may indicate a potential issue within the nervous system.
Consulting a neurologist can help determine if there are any neurological disorders or other vision-related problems.
2.
Psychosomatic Medicine Specialist: Sometimes, psychological factors such as stress or anxiety can affect perception and visual sensations.
Consulting a psychosomatic medicine specialist can help rule out issues in this area.
3.
Internist: Certain systemic diseases or medication side effects may also lead to visual abnormalities.
Consulting an internist can assess your overall health and identify any potential systemic issues.
Reply Date: 2023/06/21
More Info
It's understandable to feel anxious when experiencing visual disturbances like floaters, especially when they seem to increase in number during moments of relaxation or when lying down. Floaters are typically small clumps of gel or cells that form in the vitreous, the clear gel-like substance that fills the eye. They can cast shadows on the retina, which is perceived as spots or strands in your vision. While floaters are common and often harmless, there are certain situations where further evaluation is warranted.
Given that you've already undergone a comprehensive eye examination, including visual field tests and Optical Coherence Tomography (OCT), and your eye doctor has indicated that your eyes appear normal, this is a reassuring sign. However, the persistence of your symptoms over the past three months suggests that it may be beneficial to explore other potential causes or underlying conditions.
Here are some considerations regarding floaters and when to seek further eye care:
1. Changes in Floaters: If you notice a sudden increase in the number of floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, this could indicate a more serious condition, such as a retinal tear or detachment. In such cases, immediate evaluation by an eye care professional is crucial.
2. Associated Symptoms: If your floaters are accompanied by other symptoms, such as significant vision loss, persistent headaches, or visual disturbances like light sensitivity or halos, these could be signs of underlying issues that require further investigation.
3. Underlying Health Conditions: Sometimes, floaters can be associated with other health conditions, such as diabetes or hypertension, which can affect the eyes. If you have any chronic health issues, discussing these with your healthcare provider may provide additional insights.
4. Anxiety and Stress: It's also important to consider the psychological aspect of experiencing floaters. Anxiety can heighten awareness of visual disturbances, making them seem more pronounced. If you find that your anxiety is affecting your daily life, it may be helpful to speak with a mental health professional.
5. Follow-Up Appointments: Since your symptoms have persisted for three months, it may be wise to schedule a follow-up appointment with your eye doctor. They may recommend further testing or refer you to a specialist, such as a retinal specialist, for a more in-depth evaluation.
6. Lifestyle Modifications: While waiting for your next appointment, consider lifestyle modifications that may help alleviate some anxiety associated with your symptoms. Regular breaks from screens, practicing relaxation techniques, and ensuring you maintain a healthy diet can contribute to overall eye health.
In summary, while floaters are often benign, your ongoing symptoms warrant further attention. It's essential to maintain open communication with your eye care provider and advocate for your health. If you feel that your concerns are not being adequately addressed, seeking a second opinion from another eye specialist may provide additional reassurance and clarity. Remember, your vision is vital, and taking proactive steps to monitor and care for it is always a wise approach.
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