Floaters

 Floaters

Floaters in the eye are tiny spots, specks, threads, or cobweb-like shapes that drift across your field of vision.


Causes

Aging & Vitreous Degeneration

  • As you age, the vitreous gel in your eye shrinks and liquefies, causing collagen fibers to clump together and cast shadows.
  • This process is most common in individuals over 50.

Posterior Vitreous Detachment (PVD)

  • The vitreous gel can pull away from the retina, leading to an increase in floaters.

  • PVD is more common in people with nearsightedness or after cataract surgery.

Eye Injuries & Inflammation

  • Trauma or inflammation inside the eye (uveitis) can cause cellular debris to appear as floaters.

Retinal Tears & Detachments

  • Sudden onset of floaters along with flashes of light could indicate a retinal tear or detachment, a serious condition requiring immediate medical attention.


Symptoms 

  • Moving spots or strings in vision

  • More noticeable when looking at a bright plain background (e.g., sky or wall)

  • Usually move as the eye moves

  • When to seek immediate medical help

  • Sudden increase in floaters

  • Flashes of light

  • A shadow or curtain coming over part of vision

  • Loss of vision

Treatment

1. Observation & Lifestyle Adjustments

  • If floaters are mild and not affecting vision significantly, no treatment is usually required.

  • Avoid bright lights and adjust your screen brightness to reduce distraction.

2. Laser Therapy (Laser Vitreolysis)

  • A laser is used to break large floaters into smaller, less noticeable pieces.

  • Best suited for patients whose floaters interfere significantly with daily life.

3. Surgical Removal (Vitrectomy)

  • A surgical procedure that removes the vitreous gel and replaces it with a saline solution.

  • Used in severe cases but carries risks such as infection or retinal detachment.

4. Addressing Underlying Conditions

  • If floaters are due to uveitis or diabetes-related conditions, treating the underlying cause can reduce their presence.



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