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What Are Eye Floaters and Flashes?

Eye floaters and flashes are visual disturbances that many people experience as they age. While floaters are often harmless, flashes can signal a more serious retinal condition for which you require immediate medical attention.

Eye Floaters

Eye floaters appear as small spots, threads, or cobweb-like shadows that drift through your vision, especially when looking at a bright surface like a clear sky or white wall. They occur when the vitreous, the gel-like substance filling the eye, begins to shrink and pull away from the retina, creating small clumps or strands that cast shadows. Though often a natural part of aging, a sudden increase in floaters can be a warning sign of retinal damage. Floater removal in NYC provides a precise treatment option to restore visual clarity and comfort.

Eye Flashes

You see flashes when your vitreous humor pulls or rubs against your retina, triggering brief bursts or streaks of light. Flashes are not just a nuisance: they’re a warning sign that you may be at risk of a retinal tear or detachment, which can lead to vision loss. If you experience new or persistent flashes, seek immediate medical care. Dr. Johnson and the team at New York Retina Center offer urgent evaluation and treatment to protect your vision.

Dr. Johnson consults with a female patient about floater surgery and removal in NYC.

Common Signs & Symptoms of Eye Floaters/Flashes:

  • Seeing small specks, dots, threads, or cobweb-like shapes that drift across your vision
  • Noticing sudden bursts or streaks of light, especially in dark or dim environments
  • A new or rapid increase in the number of floaters or flashes
  • Blurred or distorted areas in your vision
  • A sensation of flickering or “lightning” in one or both eyes
  • A shadow, curtain, or dark area across your visual field (possible sign of retinal detachment)

What Causes Eye Floaters and Flashes?

The inside of your eye is filled with a clear, gel-like substance called the vitreous humor, which helps maintain the eye’s shape and keeps the retina in place. As you age, the vitreous gradually becomes thinner and begins to shrink, pulling slightly away from the retina. This process, known as posterior vitreous detachment (PVD), is the most common cause of floaters. When the vitreous tugs or rubs on the retina, it can create light sensations (flashes) in your vision. In advanced cases, NYC floater surgery can provide lasting relief.

Several factors can increase your risk or trigger these symptoms:

  • Aging and natural vitreous degeneration
  • Nearsightedness (myopia), which changes the shape of the eye
  • Eye trauma or injury
  • Previous eye surgery, such as cataract removal or vitrectomy
  • Inflammation inside the eye (uveitis)
  • Bleeding within the vitreous (vitreous hemorrhage)
  • Retinal tear or detachment (a serious condition requiring immediate attention)

When to Seek Treatment for Eye Floaters/Flashes?

While occasional floaters are often harmless, flashes of light should never be ignored, even if you see them only once. A flash can signal traction on the retina or the beginning of a tear. You must seek medical attention if you experience flashes, new, worsening, or persistent floaters, shadows, or blurred vision. These could indicate a retinal detachment, which requires urgent evaluation and treatment by Dr. Johnson at New York Retina Center.

Treatment and Management Options for Eye Floaters and Flashes

Treatment for eye floaters and flashes depends on their underlying cause. In many cases, mild floaters caused by age-related changes in the vitreous do not require immediate intervention and may become less noticeable as the brain adapts to them. NYC floater removal can be an option for patients with more severe symptoms. Dr. Johnson always performs a thorough retinal examination to rule out serious complications such as retinal tears or detachments.

When floaters become dense, persistent, or significantly impact daily vision, several management options are available. One non-surgical approach is laser vitreolysis, which uses a precisely focused YAG laser to break up larger vitreous strands into smaller, less noticeable particles. This in-office procedure is minimally invasive and can provide meaningful improvement in selected cases. However, its success depends on floater type, location, and patient anatomy, and it is not suitable for everyone.

For patients seeking a more definitive solution, vitrectomy remains the most reliable and effective treatment. During a vitrectomy, Dr. Johnson carefully removes the vitreous gel and replaces it with a clear solution, eliminating the floaters entirely and relieving visual disturbances. Modern small-gauge, sutureless vitrectomy techniques make the procedure safer and more comfortable than ever, with rapid recovery and excellent visual outcomes. Ultimately, vitrectomy is recommended as the safest and most effective option for those whose floaters severely interfere with their quality of life.

Schedule Your Consultation

New York Retina Center is a trusted destination for expert diagnosis and treatment of eye floaters and flashes, including floater surgery in NYC. Led by Dr. Brandon Johnson, our board-certified ophthalmologist and fellowship-trained retina specialist with over 15 years of experience, our practice offers expert, patient-centered care to help you preserve your vision. Dr. Johnson’s extensive training at Wills Eye Institute and Emory University ensures you receive the highest standard of retinal care. If you’ve noticed floaters or flashes, schedule your consultation promptly.

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