Symptoms of Floaters: When to Seek Eye Care - Ophthalmology

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Are there any signs of floaters?


1.
There are many black spots in the right eye that move with eye movement; two weeks ago, there was only one spot, and now there are about a dozen.
2.
It was first noticed in the morning after waking up.
3.
After noticing it, I saw a doctor on the third day.
After a dilated pupil examination, it was determined to be a phenomenon of vitreous degeneration.
Since I feel that the vision in my right eye is gradually worsening, are there any other possibilities? Is there a need for any further examinations to confirm?

MAICO, 40~49 year old female. Ask Date: 2005/04/17

Dr. Ke Meilan reply Ophthalmology


Hello: Visual deterioration refers to a decline in best-corrected vision, correct? Is it possible that eye fatigue is causing fluctuations in vision? These two definitions are different.
Floaters are a result of vitreous degeneration; as long as there are no holes in the retina, there is no need to worry too much, and currently, no further examination is necessary.
Sincerely, Dr.
Mei-Lan Ke, Ophthalmology Department.

Reply Date: 2005/04/17

More Info


When it comes to experiencing floaters in your vision, especially with the symptoms you've described, it is essential to understand the underlying causes and when to seek further eye care. Floaters are typically small specks or strands that drift through your field of vision, often more noticeable against a bright background. They are usually caused by changes in the vitreous humor, the gel-like substance that fills the eye, which can become more liquid and less gel-like as we age, leading to the formation of these floaters.

In your case, you mentioned that you initially noticed just one floater two weeks ago, which has now increased to several. This progression can be concerning, particularly if you also perceive a gradual decline in your vision. The fact that you have already consulted with an eye doctor and underwent a dilated eye examination is a positive step. The diagnosis of vitreous degeneration is common, especially in individuals who are nearsighted or have a history of eye conditions.

However, it is crucial to be vigilant about any changes in your symptoms. Here are some key points to consider regarding your situation:
1. Increased Floaters: While floaters can be benign, a sudden increase in their number, especially if accompanied by flashes of light or a shadow in your peripheral vision, can indicate a more serious condition, such as a retinal tear or detachment. If you experience these symptoms, it is imperative to seek immediate medical attention.

2. Vision Changes: You mentioned a perceived deterioration in your right eye's vision. This could be related to the floaters, but it may also suggest other underlying issues, such as cataracts or retinal problems. Continuous monitoring of your vision is essential, and if you notice significant changes, you should return to your eye care provider for further evaluation.

3. Regular Check-Ups: Given your history of floaters and the recent changes, regular follow-up appointments with your eye doctor are advisable. They may recommend additional tests, such as optical coherence tomography (OCT) or a visual field test, to assess the health of your retina and vitreous.

4. Symptoms to Watch For: Be aware of any new symptoms that may arise, such as flashes of light, a sudden increase in floaters, or a curtain-like shadow over your vision. These could indicate a more serious condition requiring urgent care.

5. Lifestyle Considerations: While floaters are often harmless, maintaining overall eye health is crucial. This includes protecting your eyes from UV light, managing any underlying health conditions (like diabetes or hypertension), and ensuring you have regular eye exams.

In conclusion, while vitreous degeneration is a common cause of floaters, the increase in their number and any accompanying vision changes warrant careful monitoring. If you experience any alarming symptoms or if your vision continues to deteriorate, do not hesitate to seek further evaluation from an eye care professional. Early detection and intervention are key to preserving your vision and addressing any potential issues before they become more serious.

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