Seeing black spots, which are increasing in number?
Dr.
Wang: I would like to ask you, I see black spots when looking at white paper or in bright light.
In the past, there were only one or two, but now they are increasing.
What should I do? Should I see a doctor? Zeng Zhaoping, 7/25/2002.
Zeng, 40~49 year old female. Ask Date: 2002/07/25
Dr. Wang Zhangji reply Ophthalmology
Your condition is likely vitreous floaters, caused by the degeneration of the vitreous body.
If the number of floaters increases, or if you see flashes of light, or experience large shadows, you should visit a clinic to have your retina examined.
If there are any tears in the retina, it is important to undergo laser treatment as soon as possible to prevent retinal detachment.
Reply Date: 2002/07/25
More Info
When it comes to experiencing an increase in the number of black spots in your vision, especially when looking at bright backgrounds like white paper or under strong light, it is essential to take these symptoms seriously. The presence of black spots, often referred to as "floaters," can be a common occurrence, particularly as we age. However, a sudden increase in their number or a change in their appearance can indicate underlying issues that require medical attention.
Floaters 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 formation of floaters. While many people experience floaters without any significant problems, a sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, could signal a more serious condition, such as a retinal tear or detachment.
Given your description of seeing more black spots than before, it is advisable to consult an eye care professional as soon as possible. An eye doctor can perform a comprehensive eye examination, including a dilated fundus examination, to assess the health of your retina and vitreous. This examination will help rule out any serious conditions that could lead to vision loss if left untreated.
In addition to floaters, other symptoms that warrant immediate attention include:
1. Flashes of Light: If you notice flashes of light in your vision, especially if they are new or increasing in frequency, this could indicate that the vitreous is pulling on the retina, which can lead to a tear.
2. Loss of Peripheral Vision: If you experience a shadow or curtain effect in your peripheral vision, this could be a sign of retinal detachment.
3. Sudden Changes in Vision: Any sudden changes in your vision, such as blurriness or a significant decrease in visual acuity, should be evaluated promptly.
4. Eye Pain or Discomfort: If you experience pain or discomfort in your eye along with visual changes, this could indicate an underlying issue that needs to be addressed.
It's important to remember that while floaters are often benign, any significant changes in your vision should not be ignored. Early detection and treatment of retinal issues can be crucial in preventing permanent vision loss. Therefore, I strongly recommend that you schedule an appointment with an eye care professional as soon as possible to discuss your symptoms and undergo a thorough examination.
In summary, seeing an increase in black spots in your vision, particularly in bright light, is a reason to seek medical advice. An eye care professional can provide the necessary evaluations to determine the cause of your symptoms and recommend appropriate treatment if needed. Taking proactive steps in eye health is vital for maintaining good vision and overall eye health.
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