If, while gazing at a bright white wall or the clear blue sky, you’ve seen tiny, squiggly black shapes dance in your line of vision, you’re not alone. Eye floaters, medically known as myodesopsias, are fairly common, especially in older adults. While in most cases, this is a benign condition, a sudden increase in eye floaters could indicate something serious, and requires a visit to an eye specialist.
What are eye floaters?
The middle part of your eye consists of a clear gel-like substance known as vitreous humour. It fills the space between the lens and the retina, and provides nutrients, and also helps maintain the shape of the eye. As people age, the vitreous humour shrinks. When this happens, clumps or strands can form within the vitreous. These cast shadows on your retina, and these are what people see as floaters. Often, floaters happen with posterior vitreous detachment — a condition of ageing where the vitreous humour pulls away from the retina, but they can appear without it.
People describe floaters differently — some see spots, while others can see lines, cobwebs, specks or strings. They may drift when you move your eyes or when you try and look at them directly, and will remain even if you blink.
What are flashes?
Some people notice flashes of light (photopsias) at the same time as floaters, or separately. They may appear as lights flashing or lightning streaks. Seeing flashes occasionally, is common with ageing. They also occur with posterior vitreous detachment.
Who is at risk of floaters?
Being over the age of 50, being near-sighted (needing glasses to see things at a distance), having had surgery for cataracts, a family history of retinal tears or detachment and having swelling inside the eye are all risk factors for floaters.
Additionally, floaters can also be caused due to bleeding in the eye due to a retinal tear or diabetic retinopathy, infections, retinal detachment, eye injuries or inflammatory conditions like uveitis, which is an inflammation of the middle layer of the eye.
Do floaters require treatment?
Most cases of floaters are not serious, and are generally harmless even though they may be irksome. Over time, they may become less noticeable. Ageing-related floaters generally do not need treatment. Severe floaters that are affecting the vision can be removed through a surgical procedure called vitrectomy, in which the vitreous is removed through a small incision and is replaced with a solution to help your eye maintain its shape. However, this procedure carries risks.
When do you need to see a doctor?
At times, floaters and flashes could be signs of a serious condition. It is important to consult a doctor, if: there is a rapid increase in the number of floaters, a shadow appears in the side vision, a grey curtain or blurry area blocking part of the vision, a lot of flashes, eye pain or redness. These could be signs of a retinal tear or detachment and immediate medical attention is needed.
Managing chronic conditions like diabetes and high blood pressure is also vital. Getting regular eye exams can go a long way towards helping keep your eyes healthy.
Published – April 29, 2025 06:58 pm IST