Small dots or threads floating in the visual field (“floaters”), flashes of light: these signs are often benign, but may herald a retinal tear. Recognising them helps avoid missing an emergency.
What floaters are
The vitreous, the transparent gel filling the eye, liquefies with age and separates from the retina. The resulting small opacities cast shadows on the retina: they appear to move when the eye moves, especially against a light background.
Warning signs
Sudden appearance of many new floaters, or a ring.
Flashes of light in the corner of the eye.
A black veil or curtain spreading across the visual field, reduced vision.
A fundus examination after pupil dilation allows a tear to be looked for. It is painless; dilation affects near vision and driving for a few hours (see preparing for your consultation).
Treatments
Long-standing, stable floaters usually receive no treatment: the brain gets used to them. A retinal tear can be treated with laser to prevent detachment.
Frequently asked questions
Do floaters disappear?
They often become less noticeable over time as the brain gradually ignores them, without necessarily disappearing.
Should I seek advice if I have had them for a long time?
An initial check-up is useful to ensure that the retina is healthy; any sudden change requires another examination without delay.
Can laser remove them?
Some techniques are available but are not suitable for every eye: the decision is made during a consultation.
In the event of sudden loss of vision or pain, see eye emergencies.
A question about your situation?
Your ophthalmologist answers your questions during the consultation. For a sudden symptom or sudden loss of vision, seek advice promptly: see the eye emergencies page.