Is it necessary to have white spots examined?
Hello Doctor, I am the person with consultation number #204106 from yesterday.
Today, I observed again and found that the white spots are round and there is more than one, all of similar size and appearing somewhat faint.
You mentioned that they are floaters, but their movement is different from what I usually see with floaters.
For example, the floaters I typically observe drift slowly, while these white spots seem to instantaneously move across my field of vision with just a slight eye movement, which is quite different from the slow drifting of floaters.
Additionally, I noticed that they sometimes appear and sometimes do not.
I also visited a doctor about a month ago, and I often go to the ophthalmologist due to various symptoms.
The doctor previously mentioned that I was going for check-ups too frequently.
Could you please clarify what specific symptoms related to the retina you mentioned yesterday? Is it necessary to see an ophthalmologist for an examination? If an examination is required, would a fundus examination suffice? Thank you for your response! I have had many experiences in the past where I went for check-ups due to symptoms and found nothing wrong, so I am worried this might be another false alarm, but I am also hesitant to assume everything is fine.
Chen, 20~29 year old female. Ask Date: 2024/01/04
Dr. Gao Pilin reply Ophthalmology
Hello: The white spots you see that seem to move when you shift your gaze are a type of vitreous floaters.
Your condition can be monitored for now.
However, if you experience new symptoms, especially those that differ from your previous experiences, such as an increase in shadows, changes in your visual field, blurred vision, or seeing flashes of light, it is advisable to undergo an examination.
This can help in the early detection of potential eye issues and allow for timely treatment measures.
Reply Date: 2024/01/04
More Info
When it comes to eye floaters, it’s essential to understand their nature, potential causes, and when to seek medical attention. Floaters, or "vitreous opacities," are tiny spots, specks, or cobweb-like shapes that drift across your field of vision. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye, as we age. While floaters are common and often harmless, certain symptoms may warrant a visit to an eye care professional.
Understanding Floaters
Floaters can vary in appearance and movement. The typical floaters you describe as slowly drifting across your vision are common and often benign. However, the white dots you mentioned that seem to "jump" or "instantaneously move" with eye movement may be a different phenomenon. This could indicate a more complex interaction with the vitreous or even the retina.
Symptoms to Watch For
While most floaters do not indicate a serious problem, there are specific symptoms that should prompt you to seek an eye examination:
1. Sudden Increase in Floaters: If you notice a sudden increase in the number of floaters, especially if they are accompanied by flashes of light, this could indicate a retinal tear or detachment.
2. Changes in Vision: If you experience blurred vision, a shadow or curtain effect in your peripheral vision, or any significant changes in your visual field, these could be signs of a more serious condition.
3. Persistent Symptoms: If the new floaters you are experiencing are persistent and bothersome, it’s worth consulting an eye care professional to rule out any underlying issues.
When to Seek Medical Attention
Given your concerns about the nature of your floaters, it is advisable to consult an ophthalmologist. While your previous visits may have resulted in no findings, the presence of new symptoms—especially if they differ from your typical floaters—merits further investigation.
During an eye examination, the doctor will likely perform a dilated fundus exam, which allows for a comprehensive view of the retina and vitreous. This examination can help identify any potential issues, such as retinal tears or detachments, which are critical to address promptly.
The Importance of Regular Eye Exams
Regular eye exams are crucial, especially if you have a history of eye problems or if you are experiencing new symptoms. While it can be frustrating to feel like you are frequently visiting the doctor without a definitive diagnosis, it’s important to prioritize your eye health. Early detection of any issues can prevent more severe complications down the line.
Conclusion
In summary, while floaters are often harmless, changes in their appearance or behavior can be significant. If you notice new floaters that behave differently from what you typically experience, or if you have any accompanying symptoms, it is wise to seek an eye examination. Your eye health is paramount, and it’s better to err on the side of caution. Regular check-ups can help ensure that any potential issues are caught early, allowing for appropriate management and treatment.
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