What causes floaters in the eyes and what should be done about them?

Written by Jiang Wen Min
Ophthalmology
Updated on January 28, 2025
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The occurrence of floaters indicates vitreous opacification, where the vitreous body is affected by the pathological changes of the surrounding tissues, such as degeneration, bleeding, and exudation. This is known as vitreous opacification, also referred to as floaters, characterized by vitreous clouding, liquefaction, and the formation and contraction of fibrous membranes. In general, floaters in elderly people are mostly related to age-associated vitreous liquefaction. For myopic patients, particularly those with high myopia, a sudden onset of floaters or an increase in the number of opacities, accompanied by flashes of light, should raise concerns for potential retinal tears or retinal bleeding. It is essential to seek medical attention promptly and have a retinal examination performed by a doctor for diagnosis. Therefore, if the retinal condition is good and the floaters are merely due to vitreous liquefaction, one should overcome psychological stress and deal with it rationally. If the aforementioned retinal pathologies occur, one should immediately follow the doctor's advice to avoid delaying treatment.

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

Are the floaters in floater eye disease always black?

Floaters generally appear as black, fixed, variously shaped materials floating in front of the eyes, and are more visible in bright light than in dim light. This condition is called physiological vitreous opacity. If the color turns red or brown, it should be considered as vitreous hemorrhage or retinal pathology, and a further eye examination at an ophthalmology department is recommended. This usually indicates pathological vitreous opacity, which can severely affect vision. For physiological vitreous opacities, it is important to rest, reduce close-up activities, and appropriately use some Ametin iodide eye drops. Treatment can generally lead to improvement.

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Written by Li Zhen Dong
Ophthalmology
55sec home-news-image

How to treat blurry vision and floaters?

Blurry vision and floaters should prompt an examination by an ophthalmologist. Physiological vitreous opacities generally do not affect vision, but if they do, active treatment is required. Vitreous cloudiness can also be seen in patients with refractive errors, which include myopia, hyperopia, astigmatism, and presbyopia. In these cases, correct pupil dilation and optical correction should be done. After alleviating the issues with glasses, it is important to use the eyes properly, and orthokeratology can also be used. Once the prescription stabilizes, surgical treatment can be considered. However, surgical treatment generally only relieves the refractive condition and does not solve the nature of eye surrounding issues. Hence, it is crucial to use the eyes correctly and be cautious of further increase in the prescription.

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home-news-image
Written by Jiang Wen Min
Ophthalmology
1min 19sec home-news-image

What causes floaters in the eyes and what should be done about them?

The occurrence of floaters indicates vitreous opacification, where the vitreous body is affected by the pathological changes of the surrounding tissues, such as degeneration, bleeding, and exudation. This is known as vitreous opacification, also referred to as floaters, characterized by vitreous clouding, liquefaction, and the formation and contraction of fibrous membranes. In general, floaters in elderly people are mostly related to age-associated vitreous liquefaction. For myopic patients, particularly those with high myopia, a sudden onset of floaters or an increase in the number of opacities, accompanied by flashes of light, should raise concerns for potential retinal tears or retinal bleeding. It is essential to seek medical attention promptly and have a retinal examination performed by a doctor for diagnosis. Therefore, if the retinal condition is good and the floaters are merely due to vitreous liquefaction, one should overcome psychological stress and deal with it rationally. If the aforementioned retinal pathologies occur, one should immediately follow the doctor's advice to avoid delaying treatment.

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Written by Li Zhen Dong
Ophthalmology
49sec home-news-image

How should acute floater syndrome be treated?

Vitreous opacity, also known as floaters, generally does not have acute attacks. Floaters can be divided into physiological and pathological types. Physiological floaters generally do not require special treatment because they do not affect vision. It's important to rest properly, use eyes correctly, and use Amupeptide eye drops when necessary. Pathological vitreous opacity affects vision and must undergo further ophthalmic examinations, such as tests for uncorrected visual acuity, corrected visual acuity, intraocular pressure, ocular ultrasound, and fundus photography. Treatment should be tailored according to the condition, especially treating the underlying cause. Vitreous opacity can affect vision, but with active treatment, vision generally can be partially restored.

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Written by Li Zhen Dong
Ophthalmology
51sec home-news-image

What will happen if the floater condition becomes severe?

Floater, also called vitreous opacity, can affect vision if it is severe. Vitreous opacity can be divided into physiological and pathological types. Physiological vitreous opacities, generally referred to as floaters, do not affect vision. They are more visible in bright light and less visible in dim light or at night. Treatment primarily involves rest, proper eye usage, and the appropriate use of Amiodine eye drops, with regular check-ups recommended. If vision is affected, further examination in an ophthalmology department is advised, including checks of intraocular pressure, an ocular B-scan ultrasound, and fundus photography, with treatment adjusted according to the condition and regular reviews. (Please use medication under the guidance of a physician.)