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Floaters

Are Floaters and Flashes Dangerous?

You’ve likely experienced occasional visual “floaters” or flashes and may have wondered what they were and if they’re a cause for concern. They look like tiny lines, shapes, shadows, or specks that appear to be drifting in the visual field. More often than not, seeing floaters is a normal occurrence and does not indicate a problem with ocular or visual health. However, when floaters become more frequent and are accompanied by flashes of light, that can indicate a more serious problem. 

Eye flashes resemble star-like specks or strands of light that either flash or flicker in one’s field of vision. They can either be a single burst in one visual zone, or can be several flashes throughout a wider area. Flashes can sometimes be missed as they most often appear in the side or peripheral vision.

Floaters & Flashes Eye Care in Middletown, New Jersey 

If you suddenly, or with increasing frequency, experience flashes or floaters, call Maslansky Eye Care and schedule an eye exam with Dr. Maslansky right away to rule out any serious eye conditions. 

What Causes Floaters?

The vitreous in the eye is a clear gel that fills most of the eyeball and resembles raw egg-white. Within the vitreous are small lumps of protein that drift around and move with the motion of your eyes. When these tiny lumps of protein cast shadows on the retina — the light-sensitive lining at the back of the eye — the shadows appear as floaters. 

As we age, the vitreous shrinks, creating more strands of protein. This is why the appearance of floaters may increase with time. Floaters tend to be more prevalent in nearsighted people and diabetics, and occur more frequently following cataract surgery or an eye injury. 

If seeing floaters becomes bothersome, try moving your eyes up and down or side to side to gently relocate the floaters away from your visual field. 

What Causes Flashes? 

Flashes result from the retinal nerve cells being moved or tugged on. As the vitreous shrinks over time, it can tug at the retina, causing you to “see stars” or bursts of light. The process of the vitreous separating from the retina is called “posterior vitreous detachment” (PVD) and usually isn’t dangerous. 

In about 16% of cases, PVD causes tiny tears in the retina that can lead to retinal detachment — a sight-threatening condition that causes irreversible blindness if left untreated. 

Other possible causes of flashes are eye trauma or migraine headaches. 

When To Call Your Optometrist About Floaters

If you experience any of the following symptoms, promptly make an appointment with an eye doctor near you for emergency eye care. 

Symptoms You Shouldn’t Ignore

  • A sudden onset of floaters accompanied by flashes (which can be any shape or size)
  • An increase of floaters accompanied by a darkening of one side of the visual field 
  • Shadows in the peripheral vision
  • Any time flashes are seen

In many cases, seeing floaters is no cause for concern; however the above symptoms could indicate retinal detachment—which, if left untreated, could cause a permanent loss of sight or even blindness. 

If the receptionists pick up the phone and hear the main concern is floaters or flashes, they will try to squeeze in the appointment within 24 hours. Expect the pupils to be dilated during your eye exam, so the eye doctor can get a really good look at the peripheral retina to diagnose or rule out a retinal tear or other serious condition, as opposed to a non-vision-threatening condition such as uncomplicated posterior vitreous detachment (quite common) or ocular migraine. 

Please contact Maslansky Eye Care in Middletown at 732-671-7451 with any further questions, or to schedule an eye doctor’s appointment. 

Sports-Related Eye Injuries

September Is Sports Eye Safety Month!

Ocular sports trauma is among the leading causes of permanent vision loss in North America. Tens of thousands of people get treated for sports-related eye injuries a year, with the most common injuries occurring during water sports and basketball. Infections, corneal abrasions, eye socket fractures, and detached retinas are just a few of the typical cases eye doctors encounter on a regular basis.

Sports Eye Safety Month is sponsored by Prevent Blindness America (PBA) to remind people to protect their eyes when playing sports. Though young children are usually the most vulnerable to eye injuries, it should be noted that professional athletes can also suffer eye injuries while on the job.

Eye accidents can happen in a split second – the effects can last a lifetime…

By wearing protective eyewear, you can safeguard your eyesight without compromising on your favorite sports activities. Athletes who wear contact lenses still need additional eye protection for relevant sports.

At Maslansky Eye Care, our eye doctor is experienced and trained to treat sports-induced eye injuries sustained by our active patients. Dr. Maslansky and our dedicated staff are committed to providing the most comprehensive eye care to help get you back on the field again. Furthermore, we provide consultations on a wide array of protective eyewear for all your sporting needs.

What Eye Injuries Can Be Caused by Sports?

Corneal Abrasion

A corneal abrasion, also known as a scratched cornea, is the most common sports-related eye injury. When someone gets poked in the eye, the eye’s surface can get scratched. Symptoms may include acute pain and a gritty or foreign body sensation in the eyes, as well as redness, tearing, light sensitivity, headaches, blurry or decreased vision. Medical care includes prevention or treatment of infection, and pain management. If you suspect that you have suffered a corneal abrasion, make sure to see an eye doctor right away.

Traumatic Iritis

Iritis is an inflammation of the iris, the colored part of the eye. The condition rapidly develops and typically affects only one eye. Symptoms include pain in the eye or brow region, blurred vision, a small or oddly-shaped pupil, and sensitivity to bright lights.

Hyphema

Hyphema is among the more common sports-related eye injuries, with racquet sports, baseball and softball accounting for more than 50% of all hyphema injuries in athletics.

A hyphema is a broken blood vessel inside the eye which causes blood to collect in the space between the cornea and iris, also known as the “anterior chamber”. Although the main symptom is blood in the eye, it can be accompanied by blurry or distorted vision, light sensitivity or eye pain.

If you recognize the signs and symptoms of hyphema, make sure to seek immediate medical attention in order to avoid secondary complications.

Angle recession

Angle recession can develop from an eye injury or bruising of the eye, caused by getting punched, elbowed, or hit with a ball. The trauma damages the fluid drainage system of the eye, which causes it to back up, increasing the pressure in the eye. In 20% of people with angle recession, this pressure can become so severe that it damages the optic nerve, and causes glaucoma (known as “angle-recession glaucoma”).

You may not notice any symptoms at first, and it may take years before you experience any signs of vision loss. Therefore, it’s critical to visit the eye doctor as soon as possible for a complete eye exam and make sure that you follow-up with routine screenings.

Retinal tear or detachment

Retinal detachment is a condition in which the retina gets lifted or pulled away from its normal position at the back of the eye. If not treated immediately, retinal detachment can develop permanent vision loss.

Symptoms include seeing flashing lights, floaters or little black spots in your vision. A retinal detachment is a medical emergency and requires an eye doctor’s immediate attention – surgical intervention may be necessary.

Subconjunctival Hemorrhage

This happens when a blood vessel breaks on the white part of the eye. In addition to a sport-related injury, it can be induced by rubbing the eye, heavy lifting, sneezing or coughing. For those with subconjunctival hemorrhage, the eye appears intensely red – though this minor condition will often clear up within a couple weeks on its own without treatment.

Orbital Fracture

This occurs when one or more of the bones around the eyeball break, often caused by a hard blow to the face – such as by a baseball or a fist. This is a major injury and should be assessed by an eye doctor, like Dr. Maslansky, along with X-Rays or CT scan imaging to help confirm the diagnosis.

Black Eye or Periorbital Hematoma

A “shiner” can occur when a blunt object such as a fist or ball strikes the eye-area of the face and causes bruising. Typically, this kind of injury affects the face more than the eye. Blurry vision may be a temporary symptom, but it’s a good idea to get a black eye checked out by an optometrist in any case, because sometimes there is accompanying damage to the eye which could impact vision.

How Does One Prevent Sports-Related Eye Injuries?

One of the most important things one can do in order to prevent eye injuries is to wear protective eyewear. In fact, wearing eye protection should be part of any athlete’s routine, and should be prioritized just like wearing shin guards or a helmet.

Below are a few tips to prevent sports-related eye injuries:

  • Wear safety goggles (with polycarbonate lenses) for racquet sports or basketball. For the best possible protection, the eye guard or sports protective eyewear should be labeled “ASTM F803 approved” – which means it is performance tested.
  • Use batting helmets with polycarbonate face shields for baseball.
  • If you wear prescription eyewear, speak with Dr. Maslansky about fitting you for prescription protective eyewear.
  • Sports eye protection should be comfortably padded along the brow and bridge of the nose, to prevent the eye guards from cutting into the skin.
  • Try on protective eyewear to assess whether it’s the right fit and size for you and adjust the straps as needed. For athletic children who are still growing, make sure that last-year’s pair still fits before the new sports season begins. Consult Dr. Maslansky to determine whether the comfort and safety levels are adequate.
  • Keep in mind that regular glasses don’t provide nearly enough eye protection when playing sports.

For athletes, whether amateur or pro, there is so much more at stake than just losing the game. Fortunately, by wearing high-quality protective eyewear, you can prevent 90% of all sports-related eye injuries.

Speak with Dr. Maslansky at Maslansky Eye Care about getting the right sports-related protective eyewear to ensure healthy eyes and clear vision. Our eye care clinic serves patients from Middletown and the surrounding areas.

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