Understanding Eye Floaters and Suspicious Findings: What to Do After a Routine Eye Test

A recent eye test has revealed a small dot at the back of your right eye. Here’s a guide to help you understand what it might be and the steps you should take.

What Could It Be?

When an optometrist notices a tiny dot during a routine eye test, the first concern is that it could be a floater. Floaters are common and generally harmless. They are caused when the vitreous, a gel-like substance in the eye, begins to separate from the retina. As this gel breaks up, it creates small pieces that move around and cast shadows on the retina, making them more visible against a white background or when looking at the sky.

Floaters are benign and a typical occurrence as we age. However, if the optometrist noticed something suspicious, they may refer you to an eye hospital for further evaluation. Regardless of the potential cause, it's always wise to follow the recommendation and seek a specialist's opinion.

Why Referral to an Eye Hospital?

As a retina specialist, I often deal with such referrals. Over the past 25 years, I have evaluated thousands of patients with suspicious findings from routine exams. Most of these findings are of no or minimal concern. Some potential findings that are often seen and should prompt a referral include:

Retinal tears or detachments Inflammation inside the eye Eye tumors (including freckles on the retina, known as naevi)

While the full list of potential findings is extensive, the decision to refer is usually based on certain criteria set by specialists. Don't worry too much; most findings turn out to be harmless. Focus on getting the appropriate specialist's evaluation within the recommended timeframe.

Understanding Floaters and Retinal Damage

Floaters are not always what the eye doctor is looking for. Sometimes, a small dot or speckle could be a naevus, a type of benign freckle on the retina. These spots are generally harmless and very common, just like freckles on the skin. Your optometrist might refer you to an ophthalmologist to confirm that the dot is a naevus and not something more serious.

The retina is the photosensitive layer at the back of the eye. If an ophthalmologist uses a special scope, they can visualize the retina and look for any signs of damage or abnormalities. While floaters are usually harmless, any sign of retinal damage or other concerning findings should be evaluated promptly.

What If It's Something Serious?

It's natural to worry about what a small dot or speckle could be. However, it's important not to speculate overly. Instead, follow the guidance of the healthcare professionals involved. If the ophthalmologist at the hospital diagnoses something different, they'll advise you accordingly. In the meantime, don't lose sleep—most findings are of no significant concern.

Conclusion

A small dot in your eye can be alarming, but it doesn't necessarily mean anything serious. Most findings are harmless, and seeking a specialist's opinion is the best course of action. Trust in the healthcare professionals and follow their guidance for your peace of mind.