Eye Symptoms: Are Floaters and Visual Disturbances Normal? - Ophthalmology

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Doctor, is it normal to see transparent grids upon waking up, which then disappear after a while? I have floaters, thank you.

xin, 20~29 year old female. Ask Date: 2015/11/27

Dr. Wang Zhishun reply Ophthalmology


Hello, if this is the first occurrence, it is advisable to get it checked.

Reply Date: 2015/11/27

More Info


When it comes to understanding eye symptoms such as floaters and visual disturbances, it's important to recognize that these can be common experiences, particularly among individuals who have conditions like myopia (nearsightedness) or those who are aging. Floaters, which are small specks or strands that drift through your field of vision, 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 perception of floaters.
In your case, waking up to see transparent grids or patterns that disappear after a while can be concerning, but it is often not indicative of a serious problem, especially if you have a history of floaters. This phenomenon may be related to a temporary visual disturbance, possibly due to the way your eyes adjust from sleep to wakefulness. When you first wake up, your eyes may still be adjusting to light and the visual environment, which can lead to transient visual disturbances.

However, it is crucial to monitor these symptoms closely. If you notice that the floaters are increasing in number, or if you experience flashes of light, a sudden increase in visual disturbances, or a shadow or curtain effect in your vision, it is essential to seek medical attention promptly. These could be signs of more serious conditions such as retinal detachment or vitreous hemorrhage.

In terms of treatment, if your floaters are not accompanied by any other alarming symptoms and do not significantly impair your vision, they are generally considered benign and do not require treatment. Many people learn to live with them, as they often become less noticeable over time. However, if they become bothersome, there are options such as vitrectomy (a surgical procedure to remove the vitreous gel) or laser treatment, but these are typically reserved for severe cases due to the risks involved.

It's also worth noting that visual disturbances can sometimes be exacerbated by eye strain, particularly if you spend long hours looking at screens or engaging in activities that require intense focus. Taking regular breaks, practicing the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds), and ensuring proper lighting can help alleviate some of these symptoms.

In conclusion, while floaters and transient visual disturbances can be normal, it is essential to remain vigilant about any changes in your vision. Regular eye examinations with an ophthalmologist are crucial, especially if you have pre-existing conditions like myopia or if you experience new or worsening symptoms. Always feel free to discuss any concerns with your eye care provider to ensure your eye health is monitored appropriately.

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