[net.med] floaters

marc (01/21/83)

Question regarding floaters:

Is there anything that can be done to eliminate them
or at least make them less noticeable?  Has anyone noticed any
changes with diet, etc.?

Marc Pucci

smk (01/23/83)

	I have had floaters in my eye since I had eye surgery.
They don't appear all the time, but I can get them to appear
when I want.
	When in boring classes in school, I used to make the
floaters appear and get them to dance around.  I would also try
to line them up with objects in the room.  Everyone was watching
the teacher/professor, so no one noticed my eyes were moving
around.  It sure beat listening to the material.
	--steve

patc (01/28/83)

	There was a discussion of "floaters" among other eye
phenomenon in the "Ameture Scientist" column of "Scientific
American" about 3-6 months ago. If you have noticed floaters
or are intrested in them you might look up the article.
			Pat Caudill
			{decvax,ucpvax,pur-ee,zehntel}!teklabs!tekmdp!patc

avr@purdue.UUCP (Andrew V. Royappa) (02/07/86)

	Pardon  me if this  subject  has been  dealt  with  before  (how
unlikely), or if it's too weird.

	When  I look  at a  light  surface,  I see  small  round  things
floating  by -  particles  of  some  kind  in the  eye  fluid  (aqueous,
vitreous,  something  like that?).  Anyway, this is probably  normal for
most  people.  The  problem  is, *I* see big  blobs of  floaters  (whole
collections  of round  particles).  This is usually  not very  annoying,
except  that I happen to be a student,  and all the  classes  I'm in are
taught using  projectors with  transparencies,  so I'm often in the in a
semi-darkened  room looking up at a big bright screen with some stuff on
it,  and the blobs of floaters are immensely  magnified and distracting,
since they  don't  stand  still, and are always  running  away from your
direct line of vision.

	I remember  reading a Scientific  American  article about this a
long time back (when I didn't have this problem).  Apparently the little
round things are red blood vessels let loose into the eye by capillaries
(?) in the retina or  whatever.  That  seems to make  sense to me, since
when I see the floaters  "magnified," they sure look very similar to red
blood cells.  I can see them in rather good detail, even if I can't look
at them directly.

	I'd like to know any or all of the following, if possible:

	1. Why I have so many of these round things floating around
	2. If it is an indication of an eye problem
	3. If answer to (2) is "yes,"
	   a. what I could do about it
	   b. what kind of person I should consult - "doctor" 
	      "optician" "optometrist" "opthalmologist" etc. 
	      - I don't know how they precisely differ.
	4. Which (Year+Month) SciAm magazine the above-mentioned
	   article on this subject appeared in
	5. If answer to (5) is "dunno," how I can find out
	   (other than writing to SciAm, I guess), and what
	   other kinds of books/publications (might) deal with this.
	6. Any other information you feel may be remotely helpful, or
	   relevant - respond to me or the net as you find appropriate.

				Thank you,

					Andrew V. Royappa
					Dept. of Computer Science
					Purdue University

	UUCP:	{ihnp4, decvax, pur-ee, ucbvax}!purdue!avr

	ARPA:	avr@purdue-mordred
	    	avr@purdue-arthur
	CSNET:	avr%purdue.csnet


P.S.  -- If you have trouble reaching me by mail, please post.  I really
want as much information on this as possible.

unixcorn@dcc1.UUCP (math.c) (02/11/86)

In article <483@mordred.purdue.UUCP> avr@purdue.UUCP (Andrew V. Royappa) writes:
>
>	When  I look  at a  light  surface,  I see  small  round  things
>floating  by -  particles  of  some  kind  in the  eye  fluid  (aqueous,
>vitreous,  something  like that?).  Anyway, this is probably  normal for
>most  people.  The  problem  is, *I* see big  blobs of  floaters  (whole
>collections  of round  particles).  This is usually  not very  annoying,
>except  that I happen to be a student,  and all the  classes  I'm in are
>taught using  projectors with  transparencies,  so I'm often in the in a
>semi-darkened  room looking up at a big bright screen with some stuff on
>it,  and the blobs of floaters are immensely  magnified and distracting,
>since they  don't  stand  still, and are always  running  away from your
>direct line of vision.
>					Andrew V. Royappa


   If you have noticed a MARKED increase in the number or size of the
floaters (and especially if you are nearsighted) GOTO an opthamologist
NOW!  Do not let the receptionist give you an appt next month, get one 
today, tomorrow! I am not talking about the little floaters we all have,
but a large number of small floaters or a large one appearing suddenly
can be very bad news.

  Why my hysteria? I had the lovely experience of having my right 
retina detach in my first semester of grad school.  Once it has
detached it can only be repaired (if lucky, I was) by major, expensive,
long recovery time for the eye, surgery.  If you have a sudden increase
of floaters, it MAY be a signal that part of your retina has a tear in
it.  These can sit quietly without going further for years, or your
retina can peel away from the back of your eye and leave you blind in a
minute. A tear can be repaired using laser surgery on an outpatient
basis.  The detachment is a real pain.

  The laser surgery (if you are ever so unlucky as to need it) is
fast, near painless (get that damn light out of my eyes!) and has 
a pretty short recovery time. (Days, not weeks) I have had it on
both eyes now (evidently my eyes rip as badly as my stockings) and
have had no further problems.

  I am particularly paranoid on the subject because two people I know
asked me about NEW, BIG floaters that had appeared suddenly, I gave
them the advise to see someone right away, neither did.  Both had 
detachments within a week. (Sorry if this sounds like a chain letter,
but honestly, twice was too much).

  If you want, I can tell you how they repair the detachment...
I am glad I did not know how they did it til after it was done.

       DISCLAIMER:  I'm a simple hardworking Math/Cs instructor,
   not a Vet. This is the general rest in bed drink plenty of 
   fluids wear your sweater advise your mom would give you.

-- 

             unixcorn  (alias m. gould)

                   "there's a unicorn in the garden and he's eating a lily"
                    gatech!dcc1!unixcorn

dr@ski.UUCP (David Robins) (02/12/86)

> 
> 	Pardon  me if this  subject  has been  dealt  with  before  (how
> unlikely), or if it's too weird.
> 
> 	When  I look  at a  light  surface,  I see  small  round  things
> floating  by -  particles  of  some  kind  in the  eye  fluid  (aqueous,
> vitreous,  something  like that?).  Anyway, this is probably  normal for
> most  people.  The  problem  is, *I* see big  blobs of  floaters  (whole
> collections  of round  particles).  This is usually  not very  annoying,
> except  that I happen to be a student,  and all the  classes  I'm in are
> taught using  projectors with  transparencies,  so I'm often in the in a
> semi-darkened  room looking up at a big bright screen with some stuff on
> it,  and the blobs of floaters are immensely  magnified and distracting,
> since they  don't  stand  still, and are always  running  away from your
> direct line of vision.
> 
> 	I remember  reading a Scientific  American  article about this a
> long time back (when I didn't have this problem).  Apparently the little
> round things are red blood vessels let loose into the eye by capillaries
> (?) in the retina or  whatever.  That  seems to make  sense to me, since
> when I see the floaters  "magnified," they sure look very similar to red
> blood cells.  I can see them in rather good detail, even if I can't look
> at them directly.
> 
> 	I'd like to know any or all of the following, if possible:




>     1. Why I have so many of these round things floating around

Most people have some floaters- they are usually light-gray, and out-of-focus,
because they are in the mid-vitreous.  They are usually clumps of collagen 
fibrils.  The normally separated fibrils clump up as the vitrous ages and 
liquifies centrally.  (I haven't heard of them being red blood cells- the
retinal capillaries usually don't leak ANY cells.  What you may have heard
is about another phenomenon- referred to as the BLUE FIELD ENTOPTIC
Phenomenon.  When looking at a bright pure blue light (sometimes the
blue sky), one can see dancing, tiny round spots which have a clear surround.
These are the white blood cells WITHIN the capillaries of the macula
(central) area of the retina.  They are seen moving along pathways
described by the vessels.

Other types of vitreous floaters are due to debris on the back of a
separated vitreous posterior face, where it has separated normally
from a healthy retina, OR are due to material within the vitreous,
other than the collagen mentioned above.  Such clumps can be pigment,
recent hemorrhages, or pieces of the retina.  Anyone who has recent onset of
floaters, either solid, fluffy, or cobwebbed in appearance, should be
examined to rule out the possibilty of a retinal tear or retinal
hole.

All vitreous floaters move around because they are either
free-floating in the vitreous gel, on the posterior vitreous face, or
in the middle of liquified vitreous.  Liquification occurs due to
aging (40's and up), happens earlier in myopes (nearsighted), or with
a history of eye injury or intraocular infection.

>     2. If it is an indication of an eye problem

Most innocuous vitreous floaters are gradual onset, and long-standing.  
A new vitreous separation will cause a sudden shower of floaters, associated
with FLASHES.  Flashes are due to traction on, or bouncing against,
the retina.  They look like lightning.  Flashes can also be due to
retina tears, and impending retinal detachment.  Non-progressive,
long-standing flashes are not dangerous, but new ones MUST be
examined.  Seriousness cannot always be differentiated by the
symptoms.

If you have large floaters, and have never been examined, it should be
done.

>     3. If answer to (2) is "yes,"
>          a. what I could do about it
>           b. what kind of person I should consult - "doctor" 
	      "optician" "optometrist" "opthalmologist" etc. 
	      - I don't know how they precisely differ.
You should have a DILATED retinal examination by an OPHTHALMOLOGIST.
An ophthalmologist (M.D. or O.D.)is a medical physician and surgeon, 
trained in the specialty of the eyes(3-4 years after internship).  
An even better person is an ophthalmologist
who is a sub-specialist in RETINA.  Look up one, or your
ophthalmologist can examine you and refer you if necessary. A dilated
exam is necessary to examine the periphery of the retina, where most
of the pathology and tears occur.  (Don't drive after dilation until
the pupils return to normal in several hours, and bring dark
sunglasses if you have them).

An optometrist (D.O.) is someone who has gone to a school of optometry.
They are trained in basic eye examination, but especially in measuring
the vison and refraction, for correction with glasses, contact lenses,
etc.  Some also offer eye exercise programs. (I personally feel most
eye exercise are nt of great value.)  Optometrists are often the
primary person consulted by eye patients, partly becasue there are
many more of them than ophthalmologists.  Although ophthalmologists
also do refractions, there main forte is in pathologic conditions and
therapy of the eyes. In most states, medications for the yes can only
be prescribed by a physician (M.D. or D.O.)

An optician is someone trained in making eyeglasses (grinding lenses,
fitting frames, etc).  Some have extra training to enable them to fit
contact lenses under the auspices of an ophthalmologist or
optometrist.

>     4. Which (Year+Month) SciAm magazine the above-mentioned
	   article on this subject appeared in
Don't know

>     5. If answer to (5) is "dunno," how I can find out
	   (other than writing to SciAm, I guess), and what
	   other kinds of books/publications (might) deal with this.

>     6. Any other information you feel may be remotely helpful, or
	   relevant - respond to me or the net as you find appropriate.

I have a handout about floaters, but most of what it covers is
mentioned above.  In addition, many ophthalmologists have a pamphlet in
the office from the American Academy of Ophthalmology on floaters (it
was added to the pamphlet list this year).

-- 
====================================================================
David Robins, M.D. 
Smith-Kettlewell Institute of Visual Sciences
2232 Webster St; San Francisco CA 94115
415/561-1705
			{ihnp4,qantel,dual}!ptsfa!ski!dr

The opinions expressed herein do not reflect the opinion of the Institute!

rft@ihuxb.UUCP (Tamos) (02/12/86)

> 	When  I look  at a  light  surface,  I see  small  round  things
> floating  by -  particles  of  some  kind  in the  eye  fluid  (aqueous,
> vitreous,  something  like that?).  Anyway, this is probably  normal for
> most  people.  The  problem  is, *I* see big  blobs of  floaters  (whole
> collections  of round  particles).  This is usually  not very  annoying,
> except  that I happen to be a student,  and all the  classes  I'm in are
> taught using  projectors with  transparencies,  so I'm often in the in a
> semi-darkened  room looking up at a big bright screen with some stuff on
> it,  and the blobs of floaters are immensely  magnified and distracting,

Get to an opthamologist NOW!!!  It seems as if you have had floaters for
a while, but the change for the worse is serious.  I got my floaters after
a detached retina, not before.  You do NOT WANT to go through the experience
of a detached retina.  Time is CRITICAL when it involves retinas.  An extra
day can make difference between sight and blindness.