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Those filaments in your vision: when should you worry? A specialist answers

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These small moving shadows that sometimes cross your field of vision have a name: myodesopsia. Although generally benign, their sudden or repeated appearance can signal an eye problem. Dr. Daniel Polya sheds light on these phenomena and the signs that should alert you.
Understanding eye floaters
Illustration of floaters in the eye

Floaters, those tiny particles that appear to dance across our field of vision, result from the thickening of collagen fibers within the vitreous, the gelatinous material that occupies most of the eyeball. As we age, these fibers can clump together, creating shadows that cast on the retina. These phenomena become particularly visible when staring at a uniformly bright surface or a clear sky, where they appear as filaments or moving dots.

When should you be concerned about these visual particles?
Eye with vision problems

While most floaters are harmless, they can sometimes be a sign of more serious eye conditions. Vitreous detachment is the most common complication, occurring when the gelatinous substance separates from the retina. Although generally harmless, this condition can cause retinal damage in 5% of cases. In extreme cases, this can develop into retinal detachment, a true ophthalmic emergency requiring immediate treatment.

Alarming symptoms to be aware of
Specialists like Dr. Polya recommend being particularly vigilant in the face of certain telltale signs:

Sudden increase in floaters
Appearance of unusual shapes (like rings)
Sudden luminous phenomena (photopsias)
Sudden reduction of the visual field or appearance of a persistent shadow
These manifestations may indicate the beginning of retinal damage or detachment, two situations where every minute counts to preserve vision.

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