Eye Floaters: When to Seek Medical Attention - Ophthalmology

More Info

---

Hello! Thank you for your question regarding eye floaters and the symptoms you're experiencing. It sounds like you've been dealing with floaters for several years, and now you're noticing some changes that are causing concern.
Floaters, or "vitreous opacities," are common and often harmless. They occur when the vitreous gel inside the eye becomes more liquid and forms clumps or strands that cast shadows on the retina, which you perceive as floaters. Many people experience them, especially as they age or if they are nearsighted, as you mentioned.
However, the presence of new symptoms, such as a fixed black shadow that sometimes disappears or changes with light, can be a cause for concern. Here are some important points to consider regarding your situation:
1. Changes in Floaters: If you have had floaters for a long time and suddenly notice a change in their appearance, such as a new, fixed shadow or a significant increase in the number of floaters, it is essential to seek medical attention. This could indicate a change in the vitreous or even a potential retinal issue.

2. Flashes of Light: You mentioned experiencing flashes as well. Flashes of light, especially when accompanied by new floaters or a change in vision, can indicate that the vitreous is pulling away from the retina. This is known as a posterior vitreous detachment (PVD), which can sometimes lead to retinal tears or detachment.

3. Visual Field Changes: The fact that you see a black shadow that seems to be fixed in your vision is particularly concerning. If this shadow is obstructing your vision or if you notice any other visual field changes, it is crucial to have a comprehensive eye examination.
4. When to Seek Help: You should seek immediate medical attention if you experience any of the following:
- A sudden increase in floaters or flashes of light.

- A shadow or curtain effect in your peripheral vision.

- Sudden vision loss or blurriness.

- Any new or unusual visual symptoms that concern you.

5. Eye Examination: A thorough eye examination by an ophthalmologist is necessary to assess the condition of your retina and vitreous. They may perform a dilated fundus exam to look for any signs of retinal tears or detachments.
6. Potential Treatments: If a retinal tear or detachment is diagnosed, treatment options may include laser therapy or surgery, depending on the severity. If your symptoms are due to benign floaters, they may not require treatment, but your eye doctor can provide guidance based on your specific situation.

In conclusion, while floaters are often benign, any new or changing symptoms warrant a visit to your eye care professional. Given your history of floaters and the new symptoms you are experiencing, it is advisable to schedule an appointment as soon as possible to ensure your eye health is properly evaluated. Your vision is important, and early detection of any potential issues can lead to better outcomes. Thank you for reaching out, and I hope you find the answers and care you need!