The difference between floaters and cataracts

Written by Li Zhen Dong
Ophthalmology
Updated on September 01, 2024
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Floater disease is a vitreous opacity, while cataract is a lens opacity; these two conditions are not the same issue.

Vitreous opacities can be classified as physiological or pathological. Physiological vitreous opacities appear as moving objects in front of the eyes, which are less noticeable in the dark and more noticeable under bright light; cataracts gradually affect vision. Physiological vitreous opacities in floater disease generally do not affect vision, but pathological vitreous opacities do affect vision. An eye ultrasound shows severe vitreous opacities and retinal changes, whereas the cloudiness in the lens, namely cataracts, usually means the vitreous and retina are normal.

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Written by Jiang Wen Min
Ophthalmology
1min 19sec home-news-image

What causes floaters in the eyes and what should be done about them?

The occurrence of floaters indicates vitreous opacification, where the vitreous body is affected by the pathological changes of the surrounding tissues, such as degeneration, bleeding, and exudation. This is known as vitreous opacification, also referred to as floaters, characterized by vitreous clouding, liquefaction, and the formation and contraction of fibrous membranes. In general, floaters in elderly people are mostly related to age-associated vitreous liquefaction. For myopic patients, particularly those with high myopia, a sudden onset of floaters or an increase in the number of opacities, accompanied by flashes of light, should raise concerns for potential retinal tears or retinal bleeding. It is essential to seek medical attention promptly and have a retinal examination performed by a doctor for diagnosis. Therefore, if the retinal condition is good and the floaters are merely due to vitreous liquefaction, one should overcome psychological stress and deal with it rationally. If the aforementioned retinal pathologies occur, one should immediately follow the doctor's advice to avoid delaying treatment.

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Written by Li Zhen Dong
Ophthalmology
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Are the floaters in floater eye disease always black?

Floaters generally appear as black, fixed, variously shaped materials floating in front of the eyes, and are more visible in bright light than in dim light. This condition is called physiological vitreous opacity. If the color turns red or brown, it should be considered as vitreous hemorrhage or retinal pathology, and a further eye examination at an ophthalmology department is recommended. This usually indicates pathological vitreous opacity, which can severely affect vision. For physiological vitreous opacities, it is important to rest, reduce close-up activities, and appropriately use some Ametin iodide eye drops. Treatment can generally lead to improvement.

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Written by Li Zhen Dong
Ophthalmology
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Is there a connection between floaters and kidney deficiency?

In Western medicine, floaters are not significantly related to kidney deficiency, and the concept of kidney deficiency in Chinese medicine is different from that in Western medicine. Therefore, the treatment for floaters primarily involves resting sufficiently, reducing close-up work to alleviate eye strain, using eyes correctly, and appropriately using some peptide iodine eye drops, which generally yield good results. If the floaters are pathological, it is necessary to visit an ophthalmology department for further examination, including an eye ultrasound, fundus photography, intraocular pressure, uncorrected visual acuity, and corrected visual acuity, to actively treat and monitor the development of the vision, aiming to restore normal vision.

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Written by Li Zhen Dong
Ophthalmology
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Can flying mosquito disease be treated with a hot compress on the eyes?

Floaters can completely be treated with warm compresses on the eyes, but if the purpose is to treat floaters, then it is meaningless because warm compresses have no effect on the treatment of floaters. Floaters can be divided into physiological floaters and pathological floaters. Physiological floaters do not affect vision at all; one cannot see clearly in dark places, but can see floaters in bright conditions. In such cases, it is only necessary to ensure adequate rest, use eyes properly, and appropriately use medicines like Ammonium Iodide Peptide Eye Drops, or Phosphatidylcholine Complex Iodine Tablets. If it is a pathological vitreous opacity, one should visit the ophthalmology department for thorough examinations and active treatment to strive for the restoration of vision. (Please use medication under the guidance of a physician.)

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Written by Li Zhen Dong
Ophthalmology
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What tests should be done at the hospital for floaters?

To diagnose floaters, hospitals primarily use ultrasound B-scans, which are the most objective and non-invasive examinations, providing insights into the condition of the vitreous body. Floaters can be either physiological or pathological. Physiological floaters generally do not affect vision, and addressing them usually involves rest and proper eye care. If needed, treatment options may include Amniotic Iodine eye drops or oral intake of Lecithin Iodine complexes. However, if the floaters are pathological, proactive eye examinations and rigorous treatment are necessary. In severe cases, surgical intervention might be considered to preserve vision, as the causes of pathological vitreous opacities are diverse.