Changes in vision can become more noticeable as we age. One common condition affecting older adults is vitreous detachment, which can sound alarming but is typically a natural part of aging. Understanding this condition can help you know what to watch for and when to seek medical advice.

What is vitreous detachment?

The vitreous is a gel-like substance that fills the inside of your eye, helping it maintain its shape. Over time, this gel starts to shrink and pull away from the retina, the light-sensitive tissue at the back of the eye. When this occurs, it’s called a vitreous detachment.

“Think of the vitreous as a thick jelly,” says Iowa Eye Center physician Dr. Elizabeth Gauger. “As we age, it becomes more watery, and as it separates from the retina, people often experience symptoms like flashes of light or floaters.”

Symptoms of vitreous detachment

While many people may not even notice the early stages of vitreous detachment, some common symptoms can occur, including:

  • Floaters: Small, shadowy shapes that appear to move in your field of vision. They may look like specks, strings, or cobwebs.
  • Flashes of light: Sudden brief flashes, often in your peripheral vision.
  • Blurred vision: Temporary changes in your visual clarity.

Why does vitreous detachment happen?

Since vitreous detachment is typically related to the natural aging process, most people will experience it after age 50, with the likelihood increasing with each decade of life. Those who are nearsighted or have had eye surgery (such as cataract removal) or eye trauma may be at a higher risk. In most cases, vitreous detachment doesn’t lead to long-term vision problems. However, it’s essential to discuss any new or unusual symptoms with your eye care specialist to rule out complications.

Treatment and monitoring

Vitreous detachment typically doesn’t require any treatment. The floaters may become less noticeable over time, and flashes of light usually diminish as the vitreous fully separates from the retina. If it occurs in one eye, you may eventually experience it in the other eye. Regular eye exams are crucial to monitoring your overall eye health.

When to see your eye doctor

“If you experience a sudden increase in floaters or flashes, or if your vision is obstructed by a ‘curtain’ effect, seek immediate medical attention,” says Dr. Gauger. “These could indicate a retinal tear or detachment, which can lead to permanent vision loss if not treated promptly.”

A dilated eye exam can confirm whether you’re experiencing vitreous detachment or a more serious condition like retinal detachment.

Take the next step for your eye health

If you’ve noticed changes in your vision, don’t wait to have them checked. Call 319-362-3937 or fill out our online contact form to request an appointment with an Iowa Eye Center ophthalmologist. Early evaluation can help protect your vision and give you peace of mind.