Eye Floaters and Spots

By Judith Lee and Gretchyn Bailey; reviewed by Vance Thompson, MD

You may sometimes see small specks or clouds moving in your field of vision; they are called floaters. You can often see them when looking at a plain background, like a blank wall or blue sky.

Floaters are actually tiny clumps of gel or cells inside the vitreous, the clear jelly-like fluid that fills the inside of your eye.



Floaters may look like specks, strands, webs or other shapes. Actually, what you are seeing are the shadows of floaters cast on the retina, the light-sensitive part of the eye.
Eye Floaters and Spots: Symptoms and Signs

If a spot or shadowy shape passes in front of your field of vision or to the side, you are seeing a floater. Because they are inside your eye, floaters move with your eyes when you try to see them.

You may also see flashes of light. These flashes occur more often in older people and usually are caused by mechanical stimulation of photoreceptors when the gel-like vitreous occasionally tugs on the light-sensitive retina. They may be a warning sign of a detached retina.

Flashes also occur after a blow to the head, often called "seeing stars."

Some people experience flashes of light that appear as jagged lines or "heat waves" in both eyes, often lasting 10-20 minutes. These types of flashes are usually caused by a spasm of blood vessels in the brain, which is called a migraine.

If a headache follows the flashes, it is called a migraine headache. However, jagged lines or "heat waves" can occur without a headache. In this case, the light flashes are called an ophthalmic migraine, or a migraine without a headache.
Vitreous detachment
Clumps can occur when the vitreous gel begins to liquefy or shrink, usually with aging, and detaches from the retina.



Spots and eye floaters
If you have floaters, they'll likely look like this when you peer up at a bright, blue sky. What you see is actually the shadows cast by clumps of vitreous gel when light shines past them onto the retina, where vision processing occurs.

What Causes Eye Floaters and Spots?
When people reach middle age, the gel-like vitreous begins to liquefy and contract. Some parts of the vitreous form clumps or strands inside the eye.

The vitreous gel pulls away from the back wall of the eye, causing a posterior vitreous detachment.

It is a common cause of floaters, and it is more common for people who:

* have had inflammation inside the eye;
* are nearsighted;
* have undergone cataract surgery;
* have had YAG laser surgery of the eye.

Treatment for Spots and Floaters
Most spots and floaters in the eye are harmless and merely annoying. Many will fade over time and become less bothersome.

Sometimes people are interested in surgery to remove floaters, but doctors are willing to perform such surgery only in rare instances.

However, the sudden appearance of a significant number of floaters, especially if they are accompanied by flashes of light or other vision disturbances, could indicate a retinal detachment or other serious problem in the eye.

If you suddenly see new floaters, visit your eye doctor immediately.

Source: All About Vision