"You'll 'See' - We Care."
Community Eye Care of Indiana
Floaters & Flashes



What are floaters?

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.
shadows they cast on the they are actually floating inside.
What you see are the shadows they cast on the
retina, the
nerve layer at
retina, the nerve layer at the back of the eye
that senses , the nerve layer at the back of the eye that
senses light and allows you to see.
of the eye that senses light and allows you to see.


Floaters can have different shapes: little dots, circles, lines,
clouds or cobwebs.

What causes floaters?

When people reach middle age, the vitreous gel may start
to thicken or shrink, forming 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.

Posterior vitreous detachment is more common for
people who:

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

The appearance of floaters may be alarming, especially if
they develop suddenly. You should see an ophthalmologist
(Eye M.D.) right away if you suddenly develop new floaters,
especially if you are over 45 years of age.

Are floaters ever serious?

The retina can tear if the shrinking vitreous gel pulls away
from the wall of the eye. This sometimes causes a small
amount of bleeding in the eye that may appear as new
floaters.

A torn retina is always a serious problem, since it can lead
to a retinal detachment. You should see your
ophthalmologist as soon as possible if:

  • even one new floater appears suddenly;
  • you see sudden flashes of light.

If you notice other symptoms, like the loss of side vision, you
should see your ophthalmologist.

What can be done about floaters?

Because you need to know if your retina is torn, call your
ophthalmologist if a new floater appears suddenly.

Floaters can get in the way of clear vision, which may be
quite annoying, especially if you are trying to read. You can
try moving your eyes, looking up and then down to move the
floaters out of the way.

While some floaters may remain in your vision, many of
them will fade over time and become less bothersome.
Even if you have had some floaters for years, you should
have an eye examination immediately if you notice new
ones.

What causes flashing lights?

When the vitreous gel rubs or pulls on the retina, you may
see what look like flashing lights or lightning streaks. You
may have experienced this same sensation if you have ever
been hit in the eye and seen "stars."
The flashes of light can appear off and on for several weeks
or months. As we grow older, it is more common to
experience flashes. If you notice the sudden appearance of
light flashes, you should visit your ophthalmologist
immediately to see if the retina has been torn.

Migraine

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
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 ophthalmic migraine, or migraine without headache.

How are your eyes examined?

When an ophthalmologist examines your eyes, your pupils
will be dilated with eye drops. During this painless
examination, your ophthalmologist will carefully observe your
retina and vitreous. Because your eyes have been dilated,
you may need to make arrangements for someone to drive
you home afterwards.

Floaters and flashes of light become more common as we
grow older. While not all floaters and flashes are serious,
you should always have a medical eye examination by an
ophthalmologist to make sure there has been no damage to
your retina.
When the vitreous rubs or pulls on the retina, it
creates a sensation of flashing lights.
Although the floaters appear to be in
front of the eye, they are actually floating
in the vitreous fluid inside the eye.
Copyright © 2000 American Academy of Ophthalmology®