Eye floaters are usually harmless and often become less noticeable over time, but in selected cases they can be treated with laser or surgery when they severely affect daily life.
When treatment is and is not needed
Most new floaters only require a careful retinal check to rule out tears or detachment. Once serious causes are excluded, many people adapt and do not need active treatment.
- Treatment is rarely offered for small, scattered floaters that the brain can ignore
- Large, dense floaters close to the centre of vision cause the most trouble
- Any sudden increase in floaters with flashes or a shadow needs urgent review
- Regular monitoring is important if you are at higher retinal risk
Available treatment options
For very bothersome floaters, YAG vitreolysis or vitrectomy surgery may be discussed. Vitreolysis uses laser to break up selected floaters, while vitrectomy removes the vitreous gel and floaters altogether.
- Vitrectomy is more effective but carries higher risks, including retinal detachment and cataract
- Laser is less invasive but suitable only for certain floater types
- Decisions are individual and based on symptoms, eye health, and lifestyle
- Talking through pros and cons with a specialist helps you choose safely
