Floaters and Light Shadows in Vision: When to Seek Help - Ophthalmology

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Vitreous degeneration & retinal degeneration


Hello doctor, I have recently experienced a significant increase in floaters, so I went to a large hospital for an examination.
I had a fundus photography done, and the doctor said that my retina looked fine, advising me to have regular check-ups.
However, I forgot to ask about other issues regarding my eyes.
When I turn my eyes fully to the left or right, I notice a sensation of light and shadow at the edges of my visual field.
For instance, when I look far to the right with my right eye, I see a light shadow appearing, which slightly moves along with my gaze.
It is particularly noticeable on a white wall, and the light shadow resembles a visual afterimage, which is quite strange.
I suspect it might be due to vitreous traction, but most descriptions I found refer to seeing flashes of light that disappear after a while, rather than the circular light shadow that persists as long as I look in that direction.
I would like to ask the doctor what might be causing the light shadow I see.
Is it normal? Should I see a doctor again? (I have already consulted doctors several times regarding the floaters 😅 Thank you for your response, I am quite anxious about my eye condition.)

Miss Lin, 20~29 year old female. Ask Date: 2024/01/18

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, you experience a phenomenon of light shadows at the edges of your vision when turning to the far left or right.
This condition may be related to certain physiological phenomena of the eyes.
One possible reason is that slight changes in the vitreous body during eye movement can lead to the sensation of light shadows.
This is not an uncommon occurrence.
Since you have previously sought medical attention multiple times for floaters and your doctor has confirmed that there are no issues with your retina, you should be reassured.
However, if you still feel anxious or have concerns, it is advisable to have an eye examination as soon as possible to put your mind at ease.

Reply Date: 2024/01/18

More Info


When it comes to experiencing floaters and light shadows in your vision, it’s essential to understand the underlying mechanisms and when to seek further medical advice. Floaters are tiny specks or strands that drift through your field of vision, often more noticeable against bright backgrounds. They 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 perception of floaters.

In your case, you mentioned seeing light shadows or a visual phenomenon when turning your eyes to the left or right. This could be related to several factors, including the behavior of the vitreous gel or even the way your brain processes visual information. The phenomenon you describe, where you see a shadow that seems to follow your gaze, may be due to the interaction between the light entering your eye and the vitreous body. When you move your eyes, the vitreous can shift slightly, creating a temporary visual effect that might resemble a shadow or a lingering image.

It’s also important to consider that visual disturbances can sometimes be benign, but they can also indicate underlying issues, especially if they are new or have changed in nature. For instance, if you have a history of floaters and are now experiencing new symptoms, it’s wise to consult with an eye care professional. While your previous examinations indicated that your retina appeared healthy, any new or worsening symptoms should not be ignored.

In terms of your anxiety about these symptoms, it’s completely understandable. Vision is a critical sense, and any changes can be concerning. However, if your eye doctor has reassured you that your retina is intact and you have been advised to monitor your condition, it may be beneficial to follow their guidance while also being vigilant about any changes.
If you notice any of the following changes, it would be prudent to seek immediate medical attention:
1. Sudden increase in floaters: If you experience a sudden influx of floaters, especially if accompanied by flashes of light, this could indicate a retinal tear or detachment.


2. Changes in vision: Any sudden blurring, loss of peripheral vision, or the appearance of a curtain-like shadow over your vision should prompt an urgent visit to an eye specialist.

3. Persistent or worsening symptoms: If the light shadows or floaters become more pronounced or bothersome, it’s worth revisiting your eye doctor for a thorough examination.

4. Accompanying symptoms: If you experience headaches, eye pain, or any other unusual symptoms alongside your visual disturbances, these could warrant further investigation.

In summary, while the symptoms you describe may be related to normal changes in the vitreous or the way your eyes and brain interact with light, it’s essential to remain vigilant. Regular check-ups and open communication with your eye care provider are key to ensuring your eye health. If your symptoms persist or worsen, don’t hesitate to seek further evaluation. Your peace of mind is important, and addressing any concerns with a professional can help alleviate anxiety about your vision.

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