Vitreous Floaters: Causes, Symptoms, and Treatment Options - Ophthalmology

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Vitreous body has impurities?


After the ophthalmologist performed an OCT (Optical Coherence Tomography) examination, they mentioned that there are impurities in the vitreous of the left eye, located in the center, which is causing a fixed shadow in your vision.
The doctor also noted that there are mild impurities in the right eye.
Will this condition improve? If both eyes develop severe issues affecting vision in the future, what should be done?

Ji Ji, 50~59 year old female. Ask Date: 2023/08/10

Dr. Gao Pilin reply Ophthalmology


Hello: Impurities in the vitreous body may result from vitreous opacities or other issues.
This condition can sometimes be age-related, but it may also be associated with other ocular problems.
Vitreous opacities typically do not resolve on their own, but in some cases, they may become less noticeable.
Generally, vitreous opacities do not significantly affect vision, so please rest assured.

Reply Date: 2023/08/10

More Info


Vitreous floaters are a common visual phenomenon that many people experience, especially as they age. They appear as small spots, threads, or cobweb-like structures that drift across your field of vision. Understanding the causes, symptoms, and treatment options for vitreous floaters can help you manage this condition effectively.


Causes of Vitreous Floaters
The vitreous humor is a gel-like substance that fills the eye and helps maintain its shape. As we age, the vitreous can begin to shrink and become more liquid, leading to the formation of floaters. Other causes can include:
1. Posterior Vitreous Detachment (PVD): This occurs when the vitreous pulls away from the retina, which can lead to floaters.

2. Inflammation: Conditions such as uveitis can cause inflammation in the eye, leading to the presence of floaters.

3. Retinal Tears or Detachment: In some cases, floaters can indicate a more serious condition, such as a tear or detachment of the retina, which requires immediate medical attention.

4. Eye Surgery or Trauma: Previous eye surgeries or injuries can also lead to the development of floaters.


Symptoms
The primary symptom of vitreous floaters is the appearance of spots or strands in your vision. These floaters may be more noticeable when looking at a plain background, such as a blue sky or a white wall. While floaters are usually harmless, they can sometimes be accompanied by other symptoms, such as:
- Flashes of light
- A sudden increase in the number of floaters
- A shadow or curtain effect in your peripheral vision
If you experience any of these additional symptoms, it is essential to seek medical attention promptly, as they may indicate a more serious issue.


Treatment Options
In most cases, vitreous floaters do not require treatment, as they tend to become less noticeable over time. However, if floaters significantly affect your vision or quality of life, there are a few options to consider:
1. Observation: Many doctors recommend simply monitoring the floaters, as they often become less bothersome with time.

2. Vitrectomy: This surgical procedure involves removing the vitreous gel along with the floaters. While it can provide relief, it carries risks, including retinal detachment and cataract formation.

3. Laser Treatment: Some eye care professionals use laser therapy to break up floaters, making them less noticeable. However, this treatment is not widely used and may not be effective for everyone.


Prognosis and Management
In your case, since your ophthalmologist has noted the presence of floaters in both eyes, it is essential to follow up regularly to monitor any changes. While floaters are often benign, the fact that they are located centrally in your vision may require closer observation. If you notice any sudden changes in your vision, such as an increase in floaters or flashes of light, you should contact your eye doctor immediately.

In conclusion, while vitreous floaters can be bothersome, they are usually harmless. Regular eye examinations and open communication with your ophthalmologist will help ensure that any potential complications are addressed promptly. If you have concerns about your floaters or experience any new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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