Floaters: Causes, Symptoms, and Eye Care Tips - Ophthalmology

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Floaters


Hello Doctor: Recently, I have been experiencing discomfort in my eyes.
After an examination, I was diagnosed with floaters and retinal degeneration.
My vision is 1.5, my eye pressure is normal, and I do not have any flashes.
I am quite young, so shouldn't floaters typically occur in older adults or those with high myopia? Why am I experiencing this? Additionally, there are many blood vessels in my eyes that do not seem to fade, and my eyes feel very fatigued, sore, and dry.
How can I improve and take care of my eyes? Thank you, Doctor.

didi, 20~29 year old female. Ask Date: 2009/07/17

Dr. Hu Yusheng reply Ophthalmology


Hello: Floaters are caused by the degeneration of the vitreous body and can occur in anyone.
It is recommended that you perform regular self-examinations of your eyes, including: (1) Vision: Is your vision blurry? Are straight lines appearing distorted? Are objects looking misshapen? (2) Visual field: While looking straight ahead, use peripheral vision to assess the range you can see; is it consistent in both eyes? (3) Floaters: Are there any new black spots or thread-like structures in your vision? (4) Retinal traction: Are you seeing flashes of light or lightning? If you notice any abnormalities, please consult an ophthalmologist for further examination.
Additionally, regarding the issue of bloodshot eyes and discomfort, you can start by improving your diet and maintaining a regular sleep schedule (avoid staying up late); if there is limited improvement, please discuss further options with your ophthalmologist in person.
Thank you for your inquiry.
Wishing you peace and good health.

Reply Date: 2009/07/17

More Info


Floaters, or "muscae volitantes," are small specks 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. While floaters are commonly associated with aging and high myopia (nearsightedness), they can also occur in younger individuals for various reasons.


Causes of Floaters
1. Vitreous Degeneration: The vitreous humor, a gel-like substance filling the eye, can change with age or due to other factors. As it shrinks or becomes more liquid, it can pull away from the retina, leading to the formation of floaters.

2. Myopia: Individuals with high myopia are at a greater risk for floaters due to the elongation of the eyeball, which can lead to changes in the vitreous.

3. Retinal Issues: Although you mentioned not having flashes of light or retinal detachment, it's essential to monitor for any changes in your vision. Retinal tears or detachments can sometimes present with new floaters.

4. Inflammation: Conditions like uveitis or other inflammatory processes in the eye can lead to the presence of floaters.

5. Other Factors: Stress, dehydration, and prolonged screen time can contribute to eye fatigue and may exacerbate the perception of floaters.


Symptoms Associated with Floaters
- Visual Disturbances: Floaters can appear as dots, lines, or cobweb-like structures that move as you shift your gaze.

- Eye Fatigue: Prolonged exposure to screens or bright lights can lead to tired, dry, or irritated eyes.

- Redness: Bloodshot eyes can occur due to various factors, including fatigue, allergies, or environmental irritants.


Eye Care Tips
1. Regular Eye Exams: Since you have been diagnosed with floaters and retinal degeneration, regular check-ups with your eye care professional are crucial. They can monitor any changes and provide guidance tailored to your condition.

2. Manage Eye Fatigue: Take frequent breaks when using screens. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

3. Stay Hydrated: Dehydration can exacerbate dry eyes, so ensure you drink plenty of water throughout the day.

4. Use Artificial Tears: If you experience dryness, consider using preservative-free artificial tears to keep your eyes lubricated. This can help alleviate discomfort and redness.

5. Adjust Lighting: Ensure your workspace is well-lit to reduce glare and strain on your eyes. Avoid working in dim light, which can cause your eyes to work harder.

6. Healthy Lifestyle: A balanced diet rich in antioxidants (like vitamins C and E) can support eye health. Foods such as leafy greens, fish, and nuts are beneficial.

7. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially if you notice increased floaters or eye discomfort after prolonged use.

8. Protect Your Eyes: Wear sunglasses with UV protection when outdoors to shield your eyes from harmful rays, which can contribute to retinal issues over time.


Conclusion
While floaters can be concerning, especially when they appear suddenly, they are often benign. However, given your history of myopia and retinal degeneration, it’s essential to remain vigilant and maintain regular communication with your eye care provider. If you notice any sudden changes in your vision, such as an increase in floaters or flashes of light, seek immediate medical attention. Taking proactive steps in eye care can help manage symptoms and maintain your overall eye health.

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