Floaters: What Those Tiny Spots in Your Vision Mean - Ophthalmology

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Floaters


Please consult a doctor.
Is floaters characterized by seeing dozens to twenty small light spots dancing in front of the eyes? Note: The light spots are not small white dots; they are white light spots.

Xiao, 30~39 year old female. Ask Date: 2001/07/24

Dr. Huang Bozhen reply Ophthalmology


You should seek medical attention as soon as possible, as it is likely that live cells (inflammatory cells) have migrated to the vitreous.
It is advisable to undergo a fundus examination.
Your condition does not appear to be a simple case of floaters.

Reply Date: 2001/07/24

More Info


Floaters, commonly referred to as "eye floaters," are small spots or strands that drift through your field of vision. They are often more noticeable when looking at a plain background, such as a blue sky or a white wall. These floaters can appear as tiny dots, lines, or cobweb-like shapes, and they tend to move as your eyes move.
The phenomenon of floaters is primarily 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 formation of floaters. This is a common occurrence and is usually harmless, especially if the floaters are not accompanied by other symptoms such as flashes of light or a sudden increase in the number of floaters, which could indicate a more serious condition like retinal detachment.

In your case, you mentioned seeing multiple small light spots that are white in color. This description aligns with typical floaters, which can vary in color depending on the lighting and the background against which they are viewed. The fact that these spots are described as "flying" or moving can also be attributed to the way floaters behave; they tend to drift and shift in response to eye movements, which can make them appear as if they are floating around.

It's important to note that while floaters are generally benign, any sudden changes in your vision, such as a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, should prompt an immediate visit to an eye care professional. These could be signs of more serious issues, such as a retinal tear or detachment, which require prompt attention.

For most people, floaters become less noticeable over time as the brain learns to ignore them. However, if they are bothersome, there are treatments available, such as vitrectomy (a surgical procedure to remove the vitreous gel) or laser therapy to break up the floaters. These options are typically reserved for severe cases, as they come with their own risks and potential complications.

In summary, what you are experiencing sounds like typical floaters, especially given your description of small light points in your vision. While they can be annoying, they are usually not a cause for concern. However, if you notice any significant changes in your vision or if the floaters become more pronounced, it would be wise to consult with an eye care professional for a thorough examination. Regular eye check-ups are essential, especially for individuals with high myopia or other risk factors for retinal issues.

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