When Flashes & Floaters Need an Exam Sudden onset of many new floaters Light flashes, streaks, or sparkles in one or both eyes A gray curtain, veil, or shadow in your side vision Blurred or distorted vision that seems to come on quickly Recent eye injury, surgery, or a history of high nearsightedness These symptoms can be related to normal aging changes, but they may also signal a retinal tear or detachment that requires urgent care. Optometrist performing a dilated retinal exam for flashes and floaters How We Evaluate Flashes & Floaters Review of your symptoms, timing, and risk factors Measurement of vision, eye pressure, and pupil responses Dilated retinal examination with bright light and special lenses Thorough check of the peripheral retina for tears or weak areas Referral to a retinal specialist if any urgent findings are discovered What Happens After the Exam? Normal age-related findings are documented and monitored over time Suspicious thin spots or small tears may need laser treatment by a retinal specialist Confirmed retinal detachment is treated urgently to help preserve vision You receive clear instructions about warning signs to watch for and when to return What Causes Flashes & Floaters? Age-related changes in the vitreous gel inside the eye Posterior vitreous detachment (PVD) Retinal tears or early retinal detachment Old inflammation, bleeding, or injury inside the eye Less commonly, migraines or other neurologic causes Only a dilated eye exam can show whether the retina is stable or at risk, which makes timely evaluation essential. Monitoring & Protecting Your Vision Schedule an exam promptly if you notice new or changing floaters Call right away if you see a curtain, shadow, or sudden loss of vision Wear protective eyewear during sports, yard work, and high-risk activities Keep regular eye exams, especially if you are highly nearsighted or have a family history of retinal problems Insurance & Medical Coverage Flashes and floaters evaluations are usually billed to medical insurance. Visit our Insurance & Vision Plans page and bring your card—our team will help you understand your coverage and any expected copays. Don’t Ignore New Flashes or Floaters New floaters, light flashes, or curtain-like shadows should never be dismissed. A prompt, dilated exam can catch retinal problems early and help protect your vision. Request Appointment Related Services Pink Eye (Conjunctivitis) Treatment Red Eye Evaluation & Treatment Eye Infection Treatment Foreign Body Removal Frequently Asked Questions (FAQs)For Flashes & Floaters Evaluation Are all floaters normal? Many people develop a few floaters with age, but a sudden increase or new symptoms should be checked promptly. Do flashes always mean a retinal tear? Not always, but flashes can signal pulling on the retina. An exam is the only way to know if a tear is present. Will my pupils be dilated? Yes, a complete flashes and floaters evaluation typically requires dilation so we can see the far edges of the retina. How long does the visit take? Plan for about an hour, including dilation time and a careful retinal exam. Can floaters be removed? Most floaters become less noticeable over time. In rare cases with severe symptoms, a retinal specialist may discuss additional options.