Flashes and floaters are specks, squiggles, or bright
flashes in your field of vision. Usually they come and go
quickly. They are quite common and usually harmless.
Floaters can look like little bugs, stars, threads, or
cobwebs. They move when you try to look at them and are
most noticeable in bright light. They are sometimes more
obvious in bright light or when looking at a light
background like a white wall.
Flashes look like flashing lights or streaks of lightning.
You may not be able to tell in which eye the flashes
occurred. Flashes and floaters can occur at any age but
are more common in older people.
How do they occur?
Flashes and floaters result from changes in the vitreous.
The vitreous is the gel that fills most of the eyeball.
Clumps may form in the vitreous. These clumps appear as
floaters across your vision.
As you get older, you may suddenly see a large floater. As
a normal part of aging, the vitreous gets more watery and
begins to separate from the back of the eye (the retina).
After separating, the vitreous sometimes moves forward and
floats in the middle of the eyeball. Then you see a large
floater. This process is called vitreous detachment. It is
most common after age 55.
Sometimes flashes may occur in your peripheral (side)
vision. They occur when part of the retina is tugged or
torn by the separating vitreous. If a tear forms, it can
lead to a retinal detachment. Retinal detachment can lead
to severe loss of vision.
What are the symptoms?
- You see spots that look like little bugs, threads, or
cobwebs.
- The spots usually shift away from your focus when you try
to look at them and are most noticeable in bright light.
- Sometimes you also see flashing lights that happen when
the eyes are either open or closed. It may be more
noticeable in dim light or when you move your eyes.
How are they diagnosed?
Your eye doctor will put eyedrops in your eyes to dilate
them. Then he or she will examine the inside of your eyes
using a lighted tool called an ophthalmoscope.
How are they treated?
Most floaters do not require treatment. However, sometimes
floaters are a symptom of a tear in the retina. Retinal
tears can be serious. Without treatment, fluid can leak
through the tear and cause the retina to detach. Retinal
detachment may require surgery.
The warning signs of a retinal tear or detachment include:
- suddenly seeing many new flashes of light or many new
floaters
- loss of side vision
- blurred or distorted vision.
If you have these symptoms, call your doctor right away.
How long do the effects last?
Flashes and floaters not caused by a retinal tear or
detachment are harmless. They may never go away completely,
but they tend to become much less noticeable with time.
However, if the floaters or flashes are caused by retinal
tears or detachment, you could lose your vision if you don't
get treatment.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File eye4215.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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