Floaters: Risks, Exercise, and Eye Health Concerns - Ophthalmology

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Floaters issue?


Hello, doctor.
I have floaters in my vision, and when I look up at the sky, I can see one or two spider-like lines.
They are not easily noticeable if I don't pay attention.
I have previously gone to an ophthalmologist, and my retina was found to be normal.
The doctor mentioned it was due to vitreous opacities and advised that I just need to monitor it for a while.
I have had these floaters since childhood, and they continue to this day.
Recently, I read in the newspaper that patients with floaters should avoid excessive head movement, such as swimming, to prevent worsening the condition.
Is it really not advisable to swim? What about jogging? During my military service, I engaged in more vigorous activities, and it seemed to have no adverse effects.
If there are no retinal changes, is there still a risk of blindness in the future? Thank you.

Lin Zai, 40~49 year old female. Ask Date: 2013/03/30

Dr. Wang Zhangji reply Ophthalmology


Simple floaters are mostly a phenomenon of aging, although some individuals may experience them earlier due to personal constitution.
They do not pose a threat to eye health and generally do not require excessive concern, unless the floaters are caused by specific pathological conditions that necessitate treatment.
There is already a wealth of detailed information available on this topic in the forum.
While intense exercise can indeed increase the risk of vitreous degeneration, for the general population, the benefits of exercise still outweigh the associated risks, unless one belongs to high-risk groups such as those with high myopia or a history of retinal tears.

Reply Date: 2013/03/30

More Info


Floaters, or "flying spots," are a common visual phenomenon that many people experience, especially those with myopia (nearsightedness) or other eye conditions. They are typically 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 perception of floaters. In your case, since you have been diagnosed with floaters and have had your retina checked and found to be normal, it is likely that your floaters are benign and related to the natural aging process of the eye or the effects of high myopia.

Regarding your concerns about exercise and activities such as swimming or running, it is important to understand that moderate physical activity is generally beneficial for overall health, including eye health. However, certain activities that involve rapid head movements or significant pressure changes, such as deep diving, may pose risks for individuals with specific eye conditions, particularly those with a history of retinal issues. In your case, since your retina has been assessed and found to be healthy, engaging in moderate exercise like running or swimming should not significantly worsen your floaters or lead to complications.

It is also worth noting that while floaters can be bothersome, they do not typically indicate a risk of blindness unless accompanied by other symptoms such as flashes of light, sudden increase in floaters, or a shadow in your peripheral vision, which could suggest retinal detachment. Regular eye examinations are crucial, especially for individuals with high myopia, as they are at a higher risk for retinal problems. Your eye care professional can provide personalized advice based on your specific condition and visual health.

In terms of your question about whether floaters can worsen with vigorous activities, the consensus is that while excessive shaking or jarring movements may be uncomfortable, they are unlikely to cause direct harm to the vitreous or retina in a healthy eye. However, if you experience any new symptoms or changes in your vision, it is essential to seek medical advice promptly.

To summarize, floaters are generally harmless, especially if your retina is healthy. Engaging in moderate exercise like swimming and running is usually safe, but always listen to your body and consult with your eye care provider if you have concerns. Regular check-ups will help monitor your eye health and ensure that any potential issues are addressed early.

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