The difference between floaters and cataracts

Written by Li Zhen Dong
Ophthalmology
Updated on September 01, 2024
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Floater disease is a vitreous opacity, while cataract is a lens opacity; these two conditions are not the same issue.

Vitreous opacities can be classified as physiological or pathological. Physiological vitreous opacities appear as moving objects in front of the eyes, which are less noticeable in the dark and more noticeable under bright light; cataracts gradually affect vision. Physiological vitreous opacities in floater disease generally do not affect vision, but pathological vitreous opacities do affect vision. An eye ultrasound shows severe vitreous opacities and retinal changes, whereas the cloudiness in the lens, namely cataracts, usually means the vitreous and retina are normal.

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Written by Li Zhen Dong
Ophthalmology
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What tests should be done at the hospital for floaters?

To diagnose floaters, hospitals primarily use ultrasound B-scans, which are the most objective and non-invasive examinations, providing insights into the condition of the vitreous body. Floaters can be either physiological or pathological. Physiological floaters generally do not affect vision, and addressing them usually involves rest and proper eye care. If needed, treatment options may include Amniotic Iodine eye drops or oral intake of Lecithin Iodine complexes. However, if the floaters are pathological, proactive eye examinations and rigorous treatment are necessary. In severe cases, surgical intervention might be considered to preserve vision, as the causes of pathological vitreous opacities are diverse.

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Written by Huo Ze Jun
Traditional Chinese Medicine
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Where to apply moxibustion for floaters?

After developing floaters, it is essential to first visit a hospital for an examination to determine the underlying cause. If there's a serious issue, such as retinal or ciliary body pathological changes, it must be addressed promptly. Some cases of floaters are due to the degeneration of the eyes, which occurs with aging, leading to problems with the vitreous. In such cases, treatments like acupuncture and moxibustion can be beneficial. Moxibustion usually targets acupoints around the eyes. Be careful not to burn the skin. Useful acupoints include the temples, which are located on the outer side of the eyes, and others like Cuanzhu point and Sibai point. More distal points, such as Fengchi at the back of the head, and Hegu on the hand, also benefit the eyes. There's also a beneficial acupoint on the outer side of the lower leg, five cun above the lateral malleolus, called the Guangming point, which is very beneficial for the eyes and can be treated with moxibustion. Additionally, frequent moxibustion at the Jiaji point, located about 0.5 cun (approximately 0.5 to nearly 1 cm) next to the midline of the cervical spine, can also benefit those with floaters.

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Written by Li Zhen Dong
Ophthalmology
46sec home-news-image

The difference between floaters and cataracts

Floater disease is a vitreous opacity, while cataract is a lens opacity; these two conditions are not the same issue. Vitreous opacities can be classified as physiological or pathological. Physiological vitreous opacities appear as moving objects in front of the eyes, which are less noticeable in the dark and more noticeable under bright light; cataracts gradually affect vision. Physiological vitreous opacities in floater disease generally do not affect vision, but pathological vitreous opacities do affect vision. An eye ultrasound shows severe vitreous opacities and retinal changes, whereas the cloudiness in the lens, namely cataracts, usually means the vitreous and retina are normal.

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Written by Li Zhen Dong
Ophthalmology
41sec home-news-image

Will you go blind from floaters as you get older?

Floaters generally do not cause blindness or loss of vision. Floaters can be divided into physiological floaters and pathological floaters. Physiological floaters generally do not cause changes in vision; their symptoms primarily appear under bright light, where one can see fixed floating objects in front of the eyes, appearing in various shapes, which become unclear in darker environments. In such cases, it is important to rest and use some aminoacyl iodine eye drops for improvement. Pathological floaters should prompt a visit to the ophthalmology department for serious and thorough examinations, proactive treatment, and can completely recover vision with regular follow-ups.

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Written by Li Zhen Dong
Ophthalmology
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What eye examinations are needed for floaters?

Common eye examinations for floaters typically include B-ultrasound of the eye, fundus photography, uncorrected visual acuity, corrected visual acuity, and intraocular pressure measurements, which help assess the extent of vitreous opacities. If the vitreous opacities are mild, meaning they are physiological, they generally do not affect vision and don’t require special treatment. Routine rest, proper eye usage, or treatment with amino iodine peptide eye drops may suffice. If the vitreous opacities are pathological, it is important to actively pursue medication or surgical treatments to attempt to restore some of the vision. Common pathological conditions associated with vitreous opacities include increased intraocular pressure, vitreous hemorrhage, and retinal pathology. (Please use medications under the guidance of a doctor)