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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11094
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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For two days I have been seeing a small black circle in my

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For two days I have been seeing a small black circle in my left Eye vision the circle moves around and is broken with small breaks in the circle it is smaller than a penny in size I have an appointment with the VA eye doctor tuesday of next week shold I wait or go to the emergency room?
Thank you for you help,
Mike

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Have you been noticing any flashes of light at all?

Dr. Rick :

Would you say that this black circle kinda "floats" around in your vision rather then staying in one area?

Dr. Rick :

 


We have been experiencing problems with the chat system for the last few days. Our engineers are working on it. However, I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)

We have been experiencing technical difficulties with the chat system. Please allow me to retype my chat here for your review:

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Have you been noticing any flashes of light at all?

Dr. Rick :

Would you say that this black circle kinda "floats" around in your vision rather then staying in one area?

 

I look forward to your response so we can figure out what is going on with your eye.

 

Customer: replied 4 years ago.
hi the dark spots floats around
OK. Thanks for that information.

There is no need to go to the ER. You should be fine with your VA appt. next week.

You are likely experiencing a PVD or posterior vitreous detachment, a common event that happens in many people.

You have a thick gel material in the middle of your eyes called the vitreous. Over time as it liquefies, this gel material collapses on itself, forms little clumps that you can see as dots, lines or bugs. As these clumps form the vitreous pulls away from the wall of the eye. In the process it can stimulate the retina -- causing the flashes that you may see.

It is recommended that you see your ophthalmologist to look at the retina to make sure there are no problems such as a retinal hole or tear. In most cases, there are no problems, but this exam is precautionary and allows for preventative treatment of any lesions that are found.

If you notice a sudden increase in floaters, flashes of light (like a lightning storm), or a shadow/veil in the periphery of your vision, this can be worrisome for a retinal detachment. You would need to contact your ophthalmologist promptly in that case.

What can you do about the floaters? Well, floaters don't go away, and they don't really get worse. Over time they tend to "sink" out of your central vision and you brain "filters" them out so you don't notice them so much anymore. They almost never cause significant visual problems except, of course, if they cause a secondary retinal detachment as discussed above. The only way to decrease or remove the floaters is with a major surgery called a vitrectomy. As a retinal specialist for almost 2 decades I've only done this procedure to remove floaters in a handful of cases.

Here is a video of the actual surgery to remove floaters:

http://www.retinavitreous.com/video%20files/intro_floaters.html


Does this make sense to you?

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Let me know if you have further questions.

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Customer: replied 4 years ago.

Excellent Service,


Thank you !!!!


Mike

My pleasure :)
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