Our eye are as a ball. They are filled with a gel-like fluid called vitreous. The vitreous is in the middle of the eye with the other structures that allow us to see the world located around it.
Thank you for reading this post, don't forget to subscribe!When you have floaters in the vitreous, they’re hovering in front of the retina. This casts shadows and shapes on the retina, which you then see as a part of the thing you are looking at.
Sometimes when you’re looking at the sky or a blank wall and notice little shapes floating in front of you, Some people see spiders, blubs, little worms, medusas, amoebas or clouds, Squiggly lines, Spider-like shapes or cobwebs, Thread-like strands, Black or very dark spots etc. They’re not quite clear — almost like little bits of dust stuck on a camera lens. You try to blink them away, but they’re still there. When you look somewhere else, these shapes move with you; in most people, the brain will eventually learn to ignore them.
Eye floaters are solidified parts of a gel-like substance within the middle of our eye called vitreous or vitreous humor. With the age the Vitreous body undergoes syneresis (process in which water is separated from solid components, creating pockets of fluids that are perceived by the patient as blobs/cobweb, little worms etc). The major structure protein of the vitreous “collagen fibrils” becomes denatured, clump together and can be seen as cobwebs.
The vitreous is separated from the retina, this is known as posterior vitreous detachment (PVD); PVD is very common and is generally benign and does not require treatment.
Moving from the front of the eye to the back, eye have several layers (The cornea, The pupil, The iris, The lens, The retina, The optic nerve); retina (located at the back of the eye) changes the light that comes into our eyes into electrical signals. These signals go to the brain where they become images.
As you age, the vitreous starts to shrink within your eye, creating these small particles. Floaters slowly drift through the vitreous. As they move, they pass in front of your macula (the center of the retina), which allows you to see them; But what you see is not the floaters themselves but the shadow they cast on the retina. The closer they are to the retina, the larger and clear they appear in field of vision.
These fluid floaters my collapse, causing the vitreous to shrink and pull away from the retina; this pulling exerts mechanical stimulation on the retina producing “flashes of light” or Photopsia in the peripheral vision.
Seeing a flash of light can be one symptom of a migraine. When you have a migraine, your vision can be affected. You might see a flash that looks like a jagged bolt of lightening or a zigzag line. This might look different than a flash you would experience if you have posterior vitreous detachment.
Flashes that are linked to migraines typically happen in younger people, while seeing flashes when your vitreous is shrinking usually happens at an older age.
Eye Floaters and Eye Flashes/Photopsia Complications… may happen, however in small number of cases. As the vitreous detaches (it’s called posterior vitreous detachment), it may pull the retina with it, resulting in the retinal tear. Fluid from the vitreous may then sip through the tear and causes the retina to separate from the underlying tissue – known as the retinal detachment, the fluid from the vitreous can get behind the retina and cause damage to vision (sight-threatening condition).
Worrying signs to watchout for Eye Floaters and Eye Flashes (Photopsia) :
1- Aging (eye floaters often happen naturally over time and are a part of the aging process).
2- A sudden increase in number of floaters, especially tiny ones as they may represent pigments or blood cells released from the damaged retina or blood vessels).
3- A shade or curtain of – a sign of loss vision from the detached part of the retina.
4- People with the higher degree of myopia (nearsightedness) are at higher risk of having PVD, because the longer shape of the eyeball in myopia increase the likelihood of PVD and also the risk of retinal complications. This is because the retina is stretched over the large surface and become thinner and more vulnerable to tears.
5- Intraocular inflammation (uveitis).
6- Trauma and/or surgery to correct cataracts.
7- Previous eye surgery.
8- Diabetes (diabetic retinopathy).
9- Family history of retinal detachment or tears.
Diagnosis:
Your doctor will usually diagnose eye floaters during an eye exam. Your eyes will be dilated so that the doctor can get a clear look at the inside of your eye. This allows the doctor to see floaters you have and check on your retina for other possible problems.
Floaters are typically harmless, but they can easily be confused with other vision changes like large spots in your vision. These symptoms can be signs of other medical conditions like:
- High blood pressure (hypertension).
- Stroke.
- Multiple sclerosis (MS).
- Diabetes.
How do you treat Eye Floaters and Eye Flashes (Photopsia)?
This can be frustrating for people who notice the eye floaters dancing across their view often; The most common and the only treatment for eye floaters is the D-Eye drops. 
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If you suddenly have more floaters than normal, reach out to nearest doctor right away. This could be a sign of a retinal tear or detachment and it will need to be treated quickly.
There is a surgical option for removing floaters, but it involves a lot of risk to your vision. In cases where there are a lot of floaters and they’re starting to impact the way you see, a procedure called a vitrectomy can be used to remove them.
This surgical procedure involves using incisions to remove the gel-like vitreous from inside your eye and replaced with a solution that mimics the vitreous; and ofcourse there are several risks involved in this procedure, including:
- Developing retinal detachment.
- Developing retinal tears.
- Not getting all of the floaters out of your eye.
- Developing cataracts.
That’s why surgery is not the option.
It’s important to take care of your eyes, especially as you age. If you notice anything unusual happening with your eyes/vision, it’s often a good idea to start using D-Eye drops to prevent not only floaters and flashes/photopsia but to prevent and even treat cataract, D-Eye also increase eyesight in very short time (30-60 days).
Having your eyes checked regularly and voicing any concerns is a good way to keep your eyes healthy over time.
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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.
Senior research officer at Dnepropetrovsk state medical academy Ukraine.
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