Vitreous Degeneration: Symptoms and Risks Explained - Ophthalmology

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Vitreous degeneration


Hello, doctor.
After a vitreous detachment, will I still see moving spots of light when looking at the blue sky? How long does vitreous detachment typically take? Does earlier vitreous degeneration, due to a tighter adhesion to the retina, increase the risk of retinal detachment?

Niming, 10~19 year old female. Ask Date: 2024/07/01

Dr. Gao Pilin reply Ophthalmology


Hello: After vitreous detachment, some patients may indeed see moving spots or floaters when looking at the blue sky or other bright backgrounds.
This is caused by small fragments or opacities that float within the eye due to the liquefaction and detachment process of the vitreous.
Typically, these symptoms will gradually diminish or become less noticeable over a few weeks to months.
The process of vitreous detachment can last for several months.
The vitreous gradually liquefies with age, eventually leading to complete detachment.
This process varies depending on individual constitution and age, but it is generally more common after the age of 50.
In cases where vitreous degeneration occurs earlier and is more tightly adhered to the retina, there is indeed an increased risk of retinal detachment.
When the vitreous detaches from the retina, if it is tightly adhered, it may pull on the retina, causing retinal tears or detachment.
Therefore, if there is a sudden increase in floaters, flashes of light, or loss of vision, it is essential to seek immediate evaluation from an ophthalmologist to ensure timely detection and treatment of potential issues.
If you have further questions or if symptoms persist, it is advisable to have an eye examination as soon as possible.

Reply Date: 2024/07/01

More Info


Vitreous degeneration, also known as vitreous detachment, is a common condition that occurs as part of the natural aging process of the eye. The vitreous is a gel-like substance that fills the space between the lens and the retina in the eye. As we age, the vitreous can begin to shrink and pull away from the retina, leading to various symptoms and potential risks.

One of the most common symptoms associated with vitreous degeneration is the appearance of floaters—small, moving spots or threads that seem to drift across your field of vision. These floaters are caused by tiny clumps of gel or cells within the vitreous that cast shadows on the retina. When you look at a bright background, such as a blue sky, these floaters can become more noticeable. It is not uncommon for individuals experiencing vitreous detachment to see these moving light spots, especially in bright light conditions.

The duration of vitreous detachment can vary from person to person. In many cases, the initial symptoms may last for several weeks to months as the vitreous continues to change and settle. However, the floaters may persist for a longer period, and some individuals may learn to ignore them over time. It is important to note that while vitreous detachment is generally a benign condition, it can sometimes lead to more serious complications, such as retinal tears or detachment.

Regarding your question about early vitreous degeneration and its relationship with retinal detachment, it is true that if the vitreous is still tightly adhered to the retina during the early stages of degeneration, it can exert traction on the retina. This traction can increase the risk of retinal tears, which may lead to retinal detachment if not addressed promptly. Individuals who experience sudden increases in floaters, flashes of light, or a shadow or curtain over their vision should seek immediate medical attention, as these can be signs of a retinal tear or detachment.

In summary, vitreous degeneration is a common age-related condition that can lead to the appearance of floaters, particularly in bright light. While the symptoms may last for some time, the condition itself is usually not serious. However, it is crucial to be aware of the potential risks associated with vitreous detachment, particularly the possibility of retinal tears or detachment. Regular eye examinations and prompt attention to any sudden changes in vision are essential for maintaining eye health and preventing complications. If you have concerns about your symptoms or eye health, it is advisable to consult with an eye care professional for a thorough evaluation and personalized advice.

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