Eye Floaters

What are Eye Floaters?

… and other frequently asked Questions

Floaters are “flakes,” “dots,” “threads,” or “opacities” in the field of vision, which can disturb activities such as driving, reading, or focusing on a computer screen. These symptoms are >entopic images that are linked to a process called >vitreous degeneration. The terms “vitreous degeneration,” “vitreous opacities,” “floaters” or “eye floaters” as well as “mouches volantes” are often used interchangeably to describe this condition. Recently, some scientists prefer the term “vision degrading myodesopsia,” arguing that “floaters” is too benign and fails to convey the severity of the condition.

How to reduce floaters in eyes - entopic images explained

Who Sees Eye Floaters?

Eye floaters are common, with research indicating that about 30% of the population see eye floaters occasionally. While the prevalence of floaters increases with age, younger individuals can also develop them, even in their 20s and 30s. Being >myopic raises the likelihood of developing floaters, as research shows that more severe myopia accelerates the aging of the vitreous.

What Causes Floaters?

Ultimately, floaters are most likely caused by the aggregation of collagen fibrils. These clumped fibers cast shadows on the retina leading to the perception of flying spots in the field of vision.

Below, you see an image showing clumped collagen fibers. In the first row, one eye is depicted looking in five different directions. In the second row, the same images are shown with the vitreous opacity areas marked by yellow lines.

Eye Floaters capture of viterous opacity areas with Heildelberg Spectralis FLIES study
©Emmanuel Ankamah, Marina Green-Gomez, Warren Roche, Eugene Ng, Ulrich Welge-Lüßen, Thomas Kaercher, and John M. Nolan

To find out more about the root causes of eye floaters, please visit >CAUSES

 

Who Should Be Concerned About Eye Floaters?

In most cases, floaters are harmless, and vitreous opacities are not typically associated with progressive or degenerative eye diseases.

However, a sudden increase in the number of black dots may indicate severe damage to the internal eye structure, especially when accompanied by the appearance of >flashing lights. Affected individuals sometimes describe this condition as “smuts,” “falling clouds of soot,” or “a swarm of black flies.” In such cases, seeking immediate consultation with an eye care professional is crucial. If access to an eye care professional is unavailable, visiting the nearest hospital emergency room is advised, as there is a risk of a torn or detached retina.

Is There a Cure for Floaters?

Though floaters may not always necessitate immediate concern, patients have various options, from dietary adjustments to surgical interventions, to diminish their impact on quality of life. Choosing not to treat floaters may avoid potential surgical risks, yet it does not counteract or reverse the degenerative effects of vitreous degeneration. To explore comprehensive treatment options for eye floaters, please visit >TREATMENT.