Floaters and White Haze: Eye Health Concerns Explained - Ophthalmology

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Floaters sometimes appear as white fog. What is that?


Hello doctor, I am currently in the second year of high school.
My myopia is -1.40/-1.50 and I have astigmatism of -5.00.
I also have floaters and sometimes see a white haze.
What could that be? Is there a high risk of going blind? Thank you.

You Yu De Gao Er Sheng, 10~19 year old female. Ask Date: 2015/09/23

Dr. Wang Zhishun reply Ophthalmology


Hello, the situation you described may be related to floaters, but it could also be something else.
If you haven't had an examination, it's better to get checked.
You have a high degree of myopia, but the chance of losing your vision is still quite low, so there's no need to worry too much.
Just take good care of your eye health.

Reply Date: 2015/09/23

More Info


Floaters and visual disturbances such as white haze can be concerning, especially for someone with significant myopia and astigmatism like yourself. Let's break down what you might be experiencing and what it means for your eye health.

Understanding Floaters:
Floaters are small specks or strands that float across your field of vision. They are often more noticeable when looking at a plain background, such as a clear sky or a white wall. Floaters are typically caused by changes in the vitreous gel that fills the eye. As we age, the vitreous can become more liquid and pull away from the retina, leading to the formation of floaters. In younger individuals, especially those with high myopia, floaters can occur due to the elongation of the eyeball and changes in the vitreous.

White Haze:
The white haze you describe could be related to several factors. It might be a result of the same vitreous changes that cause floaters. In some cases, it can also be associated with light scattering due to the irregularities in the cornea or lens, which can be exacerbated by high levels of myopia. If the haze appears more prominently in bright light or when you move your eyes, it could indicate that the vitreous gel is shifting or that there are changes in the retina or lens.

Risk of Vision Loss:
Your concern about the risk of blindness is understandable. While floaters and occasional visual disturbances are common, they can sometimes indicate more serious conditions, especially in individuals with high myopia. High myopia increases the risk of retinal detachment, which can lead to vision loss if not treated promptly. However, the presence of floaters alone does not mean you will lose your vision. It is essential to monitor your symptoms and seek regular eye examinations, especially if you notice a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision.

What to Do Next:
1. Regular Eye Exams: Given your high degree of myopia and the presence of floaters, it is crucial to have regular eye examinations with an eye care professional. They can perform a thorough examination, including a dilated fundus exam, to check the health of your retina and vitreous.

2. Monitor Symptoms: Keep track of any changes in your vision. If you notice a sudden increase in floaters, flashes of light, or any significant changes in your vision, seek immediate medical attention.

3. Protect Your Eyes: Since you are in high school and likely spend a lot of time on screens, ensure you take regular breaks to reduce eye strain. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Healthy Lifestyle: Maintain a healthy diet rich in antioxidants, such as leafy greens and fruits, which can support overall eye health. Staying hydrated and managing screen time can also help reduce eye strain.

In conclusion, while floaters and white haze can be concerning, they are often benign, especially in the context of high myopia. However, it is essential to stay vigilant and maintain regular check-ups with your eye care provider to ensure your eyes remain healthy. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare professional.

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