What are floaters?
Floaters are small dark dots, squiggly lines, rings or cobweb shapes that drift as the eye moves; flashes are sudden bursts of light in the field of vision. They can occur separately or together.
The commonest cause is posterior vitreous detachment — the gel inside the eye changing with age and separating from the retina. That process is harmless in itself and very common. Floaters can also arise from retinal detachment, which is serious, and sometimes they occur with no obvious cause.
A floater by itself therefore does not tell you which of these it is. The clue is not in the shape of the floater but in how it appeared and what came with it.
Which changes need immediate care?
The NHS lists seven situations requiring immediate assessment by an optometrist or clinician. Every one of them concerns a change rather than the presence of floaters as such.
| Situation | Why it matters | What to do |
|---|---|---|
| Floaters or flashes for the first time | A new change that has never been assessed | Seek care immediately rather than waiting |
| Appearing suddenly, or suddenly increasing | Suddenness is characteristic of a retinal problem | Seek care immediately |
| A dark curtain or shadow across the vision | This is the classic presentation of retinal detachment | Seek care immediately |
| With blurred vision or eye pain | Floaters do not hurt; pain points to something else | Seek care immediately |
| Beginning after eye surgery or injury | Complications of surgery or trauma need excluding | Seek care immediately |