Floaters and Distorted Vision: What You Need to Know - Ophthalmology

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Floaters and a slight distortion when looking at straight lines?


Hello Doctor, I am 20 years old and I have floaters.
The doctor said my floaters are moderate, which makes me a bit anxious.
My floaters are quite numerous and I can see them almost all the time, resembling a rain-like effect.
This month, I have had about three retinal examinations, but the doctors said there are no issues.
However, their constant presence is quite bothersome to me.
Recently, I noticed that when I look at straight lines, such as the edges of a square or the borders of a computer screen, they appear somewhat wavy or distorted, similar to the uneven surface of a crosswalk on the road.
However, I have no issues seeing grids and have not noticed any distortion in that regard.
Currently, reading and daily activities like biking are not problematic.
But when I draw straight lines on my tablet, the distortion is particularly pronounced, making the lines appear curved on both sides.
I would like to ask: 1.
Recently, I have noticed 2 to 3 new floaters in my vision when looking at the sky.
Should I get this checked? 2.
The wavy line symptom I experience, could it be related to a macular issue? The doctor previously mentioned that my retina was fine, but this symptom seems to have appeared recently.
Could it just be due to visual fatigue? 3.
Although the doctor found no issues during the retinal examinations, I worry daily about the possibility of a retinal detachment or tear, as I feel like I am not experiencing any symptoms.
What should I do?

hi, 20~29 year old female. Ask Date: 2023/09/18

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
New onset of floaters: If you have recently experienced new symptoms of floaters, this may require further evaluation.
While occasional floaters are usually harmless, a sudden increase in the number of new floaters or other visual disturbances may necessitate a thorough examination by an ophthalmologist to rule out any underlying issues.
2.
Straight lines appearing wavy: The visual symptoms you describe may be a type of visual distortion known as "metamorphopsia." This condition may be related to the macula but could also be associated with other factors such as retinal or optic nerve issues.
Although your previous fundus examination did not reveal any problems, if these symptoms persist or worsen, it is advisable to consult an ophthalmologist for potential further evaluation.
3.
Concerns about retinal issues: It is normal to worry about retinal detachment or tears, but excessive concern may increase anxiety.
If your ophthalmologist has already examined your fundus and found no issues, you can follow their advice and maintain regular vision check-ups.
Additionally, avoiding excessive eye strain and fatigue, along with maintaining good lifestyle habits such as proper rest and nutrition, can help support eye health.

Reply Date: 2023/09/18

More Info


Hello! Thank you for your detailed questions regarding your visual symptoms, particularly concerning floaters and distorted vision. It’s understandable to feel anxious about these issues, especially when they affect your daily life. Let’s break down your concerns and provide some clarity.

1. Regarding New Floaters: The appearance of new floaters can be concerning, but it’s important to note that floaters are quite common, especially in younger individuals. They are often caused by changes in the vitreous gel inside the eye as it ages or undergoes liquefaction. If you notice new floaters, particularly if they are accompanied by flashes of light or a sudden increase in the number of floaters, it is advisable to consult your eye doctor. However, if your previous eye examinations have shown no signs of retinal issues, it may not be an immediate cause for alarm. Regular monitoring is key, and if your symptoms change, seek medical advice promptly.

2. Distorted Lines and Potential Macular Issues: The perception of straight lines appearing wavy or distorted can sometimes be associated with conditions affecting the macula, such as macular degeneration or macular edema. However, since your eye doctor has previously indicated that your retina and macula are healthy, this distortion may be due to visual fatigue or stress on your visual system, especially if you spend long hours on screens or drawing. It’s also possible that this distortion is a result of your floaters interfering with your vision, particularly when focusing on high-contrast edges like those of a computer screen or a drawing. If this symptom persists or worsens, a follow-up with your eye care provider may be warranted to rule out any underlying issues.

3. Concerns About Retinal Detachment: It’s natural to worry about retinal detachment, especially with the presence of floaters. However, the absence of symptoms such as sudden flashes of light, a shadow or curtain over your vision, or a sudden increase in floaters typically indicates that your risk is lower. Regular eye exams are crucial, and if you have ongoing concerns, don’t hesitate to discuss them with your eye doctor. They can provide reassurance and monitor your eye health over time.

In summary, while floaters and visual distortions can be bothersome, they are often benign, especially in younger individuals. Maintaining regular eye check-ups, practicing good visual hygiene (like taking breaks from screens), and being aware of any significant changes in your vision are essential steps in managing your eye health. If you find that your symptoms are causing significant anxiety or affecting your quality of life, consider discussing these feelings with your eye care provider, who may offer additional strategies for coping or further evaluation if necessary. Remember, you are not alone in experiencing these symptoms, and many people find that they adapt over time. Take care!

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