
Noticing black spots during a beach walk or flashes of light while playing golf can be unsettling. Although floaters are common, new or changing symptoms deserve attention. At Gulf Coast Retina Center, we help patients in Sarasota understand these changes and determine whether the retina needs prompt treatment.
Black spots that drift across your vision are often floaters. They may look like dots, threads, or cobwebs and seem to move away when you try to look directly at them.
Floaters stand out against bright, plain backgrounds, such as a clear sky. Being outdoors may make existing floaters easier to notice without being the cause of the problem. However, you should not assume that sudden new spots are simply an effect of sunlight.
The vitreous is the gel that fills the inside of your eye. As it changes with age, small strands can clump together and cast shadows on the retina, creating floaters.
The vitreous can also separate from the retina, a process called posterior vitreous detachment. When it pulls on the retina, you may see brief flashes resembling lightning streaks, often toward the edge of your vision.
Many vitreous changes do not damage the retina. Sometimes, however, pulling creates a retinal tear. Fluid can then pass through the tear and cause a retinal detachment. An examination is needed to distinguish uncomplicated changes from a problem that threatens vision.
We recommend contacting an eye doctor promptly for any new flashes or floaters. Seek immediate evaluation for:
A sudden shower of black spots or a major increase in floaters
New flashes accompanied by blurred or reduced vision
A dark curtain, shadow, or missing area in your vision
Flashes or floaters after an eye injury
A retinal detachment can occur without pain. If you notice a curtain, vision loss, or sudden significant changes, seek emergency eye care immediately. If an eye doctor is unavailable, go to an emergency department rather than waiting for a routine appointment.
At our Sarasota practice, we review when symptoms began, whether one or both eyes are affected, and any history of eye injury or surgery. A dilated retinal examination helps us look for tears, detachment, bleeding, and other possible causes. Additional imaging may be used when needed.
If we find uncomplicated floaters, monitoring may be appropriate. If we identify a retinal tear or detachment, we explain the treatment needed and its urgency.
Wear appropriate protective eyewear for sports or yardwork where an impact or flying debris could injure your eyes. If new visual symptoms develop, pause your activity and arrange an evaluation. Avoid driving yourself if your vision is affected.
For an evaluation of black spots or light flashes, contact Gulf Coast Retina Center in Sarasota, FL, by calling (941) 312-2769.