Eye Floaters: When They’re Normal and When to Get Help Fast
Short answer: floaters, the specks and threads that drift across your vision, are very common with age and usually harmless. But a sudden shower of new floaters, flashes of light or a shadow over part of your vision can mean a retinal tear or detachment. That needs an eye doctor the same day.
Normal or urgent?
- Usually normal: a few floaters that come and go, unchanged for a while
- Urgent: many new floaters appearing suddenly
- Urgent: flashes of light
- Urgent: a dark shadow or curtain over part of your vision
- Supplements and drops don’t get rid of floaters
What floaters are
The National Eye Institute (NEI) describes floaters as small dark shapes that drift across your vision: spots, threads, squiggly lines or even little cobwebs. As you age, tiny strands in the vitreous, the gel that fills the eye, clump together and cast shadows on the retina. Those shadows are what you see.
Why they’re usually harmless
Most people have floaters that come and go, and they often don’t need treatment. A common reason for new floaters with age is a posterior vitreous detachment, when the vitreous gel shrinks and pulls away from the back of the eye. The American Academy of Ophthalmology (AAO) describes it as a normal condition that usually happens on its own.
The catch is that the same process can occasionally tear the retina. That’s why new symptoms need a proper exam, even though most turn out to be harmless.
When floaters are an emergency
See an eye doctor right away, the same day, if you notice:
- A lot of new floaters that appear suddenly
- Flashes of light, with or without new floaters (see flashes of light in your vision)
- A dark shadow, like a curtain, or a blurry area in your side or central vision
These can be signs of a retinal tear or detachment. The AAO stresses that this isn’t something to wait on, because a detached retina left untreated can lead to permanent vision loss. Found early, tears and detachments can be treated.
Warning signs of a retinal tear or detachment include a lot of new floaters appearing suddenly, sometimes with flashes of light, or a dark shadow or blurry area in your side or central vision.
National Eye Institute. “Floaters” and “Retinal Detachment.”
How often is it serious? In a review of 17 studies, about 1 in 7 people who saw an eye doctor for sudden new floaters or flashes turned out to have a retinal tear. Most people are fine, but those odds are why the same-day exam matters.
Among people who saw an eye doctor for sudden new floaters or flashes, 14% had a retinal tear. A feeling that vision had gotten worse was the symptom most strongly linked to a tear.
Hollands H, et al. “Acute-onset floaters and flashes: is this patient at risk for retinal detachment?” JAMA, 2009 (review of 17 studies).
Who’s at higher risk
Floaters become more common with age. The NEI notes that risk is also higher if you are very nearsighted, have diabetes, or have had cataract surgery. If any of these apply, it’s worth knowing the warning signs above.
Wondering about other changes too? See our guides to blurry vision after 50 and signs of cataracts.
Do floaters need treatment?
Usually not. The NEI says that if your floaters are caused by aging and don’t bother you, you probably won’t need any treatment. In the rare cases where floaters seriously interfere with vision, surgery to remove the vitreous (vitrectomy) is an option an eye specialist can discuss.
Can supplements help floaters?
We found no good evidence that any supplement or eye drop gets rid of floaters, and neither the NEI nor the AAO recommends one. Products marketed to “dissolve” floaters are something to be skeptical of.
What protects your sight here is acting fast on the warning signs, not a pill.
Frequently asked questions
Are eye floaters normal?
What causes eye floaters?
When are floaters an emergency?
Do eye floaters go away?
Can supplements or eye drops get rid of floaters?
Who is more likely to get floaters?
The bottom line
A few floaters that drift in and out are a normal part of aging and usually need no treatment. What matters is recognizing the warning signs: a sudden shower of new floaters, flashes of light or a shadow over your vision. Any of those means seeing an eye doctor the same day, because a retinal tear caught early can be treated.
This article is for informational purposes and isn’t a substitute for medical advice. Sudden new floaters, flashes of light or a shadow over your vision need an eye doctor right away.
Sources
- National Eye Institute. “Floaters.”
- National Eye Institute. “Retinal Detachment.”
- American Academy of Ophthalmology. “What Are Floaters and Flashes?”
- American Academy of Ophthalmology. “Detached Retina.”
- Hollands H, Johnson D, Brox AC, et al. “Acute-onset floaters and flashes: is this patient at risk for retinal detachment?” JAMA, 2009;302(20):2243-2249.
Photo: Roberto Sorin / Unsplash