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    Retina

    Floaters and flashes: when they are harmless and when to act fast

    Most floaters are harmless, but a sudden shower of floaters, flashes or a curtain over your vision can mean a retinal tear. Here is how to tell.

    Medically reviewed by Dr. Vinay Patil, MBBS, MS (Ophthalmology), founder of Sankalp Nethralaya. Last reviewed .

    Eye pain, injury or sudden vision change? Check how urgent it is
    Vidhana Soudha in Bengaluru on a sunny day, with gardens and a road in front
    Most floaters are harmless. A sudden shower of new floaters, flashes of light or a shadow over your vision needs a same-day eye exam. This is a simulation, not a diagnosis. Photo: Vidhana Soudha, Bengaluru, by Aaron Antony Paul via Unsplash.

    Floaters look like specks, threads or cobwebs drifting across your vision, most noticeable against a bright sky or white wall. Most of the time they are harmless. Occasionally, though, they are the warning sign of a retinal tear or detachment, which needs urgent treatment.

    Why floaters happen

    The inside of the eye is filled with a clear gel called the vitreous. With age, it becomes more liquid and can pull away from the retina at the back of the eye. Clumps in the gel cast shadows on the retina, which you see as floaters. This is called posterior vitreous detachment and is very common after 50.

    Flashes of light

    Flashes, like lightning streaks at the edge of vision, happen when the gel tugs on the retina. Occasional flashes can occur with normal gel changes, but they deserve a check, especially when new.

    Warning signs: see an eye doctor the same day

    • A sudden shower of new floaters
    • New or frequent flashes of light
    • A dark shadow or curtain spreading across part of your vision
    • Sudden blurring of vision

    These can mean the retina has torn. A tear can be sealed with laser in the clinic. If it progresses to a retinal detachment, surgery is needed, and the sooner it is done the better the chance of saving vision.

    Who is at higher risk

    • People over 50
    • Short-sighted people, especially with high power
    • Those who have had cataract surgery or an eye injury
    • A previous retinal tear or detachment in either eye
    • Family history of retinal detachment

    What happens at the exam

    Your doctor will dilate your pupils and examine the entire retina, including its edges. If everything is healthy, you will be told what changes to watch for. Long-standing floaters often become less noticeable over time as the brain learns to ignore them.

    Learn about our retina care, or contact your nearest clinic if you notice warning signs.

    Frequently asked questions

    Can floaters be removed?

    Most floaters do not need treatment. Rarely, when they seriously affect vision, surgery may be considered after a careful discussion of risks.

    Do eye drops help floaters?

    No eye drops are proven to remove floaters.

    Sources

    1. Floaters, National Eye Institute (NIH)
    2. Floaters and flashes in the eyes, NHS
    3. Retinal detachment, National Eye Institute (NIH)
    This article is for general information and does not replace an examination by an eye doctor. If you have symptoms, please book a consultation.

    Book an eye check-up at a clinic near you.