Our eye is as a ball. They are filled with a gel-like fluid called vitreous. The vitreous is in the middle of the eye with the other structures that allow us to see the world located around it.
When you have photopsia eye floaters and flashes in the vitreous, they’re hovering in front of the retina. This casts shadows and shapes on the retina, which you then see as a part of the thing you are looking at.
Sometimes when you’re looking at the sky or a blank wall and notice little shapes floating in front of you, some people see spiders, blubs, little worms, medusas, amoebas or clouds, Squiggly lines, Spider-like shapes or cobwebs, Thread-like strands, Black or very dark spots etc. They’re not quite clear — almost like little bits of dust stuck on a camera lens. You try to blink them away, but they’re still there. When you look somewhere else, these shapes move with you; in most people, the brain will eventually learn to ignore them.
Eye floaters are solidified parts of a gel-like substance within the middle of our eye called vitreous or vitreous humor. With the age the Vitreous body undergoes syneresis (process in which water is separated from solid components, creating pockets of fluids that are perceived by the patient as blobs/cobweb, little worms etc). The major structure protein of the vitreous “collagen fibrils” becomes denatured, clump together and can be seen as cobwebs.
The vitreous is separated from the retina, this is known as posterior vitreous detachment (PVD); PVD is very common and is generally benign and does not require treatment.
Moving from the front of the eye to the back, eye have several layers (The cornea, The pupil, The iris, The lens, The retina, The optic nerve); retina (located at the back of the eye) changes the light that comes into our eyes into electrical signals. These signals go to the brain where they become images.
As you age, the vitreous starts to shrink within your eye, creating these small particles. Floaters slowly drift through the vitreous. As they move, they pass in front of your macula (the center of the retina), which allows you to see them; But what you see is not the floaters themselves but the shadow they cast on the retina. The closer they are to the retina, the larger and clear they appear in field of vision.
These fluid floaters my collapse, causing the vitreous to shrink and pull away from the retina; this pulling exerts mechanical stimulation on the retina producing “flashes of light” or Photopsia in the peripheral vision.
Seeing a flash of light can be one symptom of a migraine. When you have a migraine, your vision can be affected. You might see a flash that looks like a jagged bolt of lightning or a zigzag line. This might look different than a flash you would experience if you had posterior vitreous detachment.
Flashes that are linked to migraines typically happen in younger people, while seeing flashes when your vitreous is shrinking usually happens at an older age.
Photopsia eye floaters and flashes Complications… may happen, however in small number of cases. As the vitreous detaches (it’s called posterior vitreous detachment), it may pull the retina with it, resulting in the retinal tear. Fluid from the vitreous may then sip through the tear and causes the retina to separate from the underlying tissue – known as the retinal detachment, the fluid from the vitreous can get behind the retina and cause damage to vision (sight-threatening condition).
Worrying signs to watch out for photopsia eye floaters and flashes 
1- Aging (eye floaters often happen naturally over time and are a part of the aging process).
2- A sudden increase in number of floaters, especially tiny ones as they may represent pigments or blood cells released from the damaged retina or blood vessels).
3- A shade or curtain of – a sign of loss vision from the detached part of the retina.
4- People with the higher degree of myopia (nearsightedness) are at higher risk of having PVD, because the longer shape of the eyeball in myopia increases the likelihood of PVD and also the risk of retinal complications. This is because the retina is stretched over the large surface and become thinner and more vulnerable to tears.
5- Intraocular inflammation (uveitis).
6- Trauma and/or surgery to correct cataracts.
7- Previous eye surgery.
8- Diabetes (diabetic retinopathy).
9- Family history of retinal detachment or tears.
Causes
Many conditions affecting the eyes and brain can trigger photopsia. The most common causes of this visual phenomenon include:
Age-Related Macular Degeneration
Age-related macular degeneration (AMD) is a gradual breakdown of the macula, the part of your eye that provides sharp central vision. It’s a common eye condition in people over age 50.
Photopsia is one of the early symptoms of AMD. Other common symptoms include blurry vision and a loss of central vision.
Retinal Detachment
The retina is a light-sensitive tissue that lines the inner back wall of the eye. It sends messages to your brain so you can see.
Retinal detachment happens when the retina moves out of its normal position. When this occurs, retinal cells don’t get the oxygen and nutrients they need to do their job.
Light flashes, floaters, and reduced vision can be early warning signs of retinal detachment. Without immediate treatment, a detached retina can cause permanent vision loss.
Retinal Tears
A retinal tear often leads to retinal detachment. Blurry vision and seeing flashes of light or floaters are common symptoms of retinal tears.
Posterior Vitreous Detachment
Vitreous is the gel-like substance inside your eye. Normally, the vitreous attaches to the retina. Posterior vitreous detachment (PVD) is when the vitreous separates from the retina.
Floaters and flashes of light in your peripheral vision are common symptoms of PVD. Sometimes, PVD leads to retinal tears and detachment.
Vertebrobasilar Insufficiency
Vertebrobasilar insufficiency (VBI) is poor blood flow to the back of your brain. Without oxygen and nutrients from blood, brain damage occurs.
The back of your brain processes visual information and coordinates movement. Brain damage in this area causes visual changes like photopsia and difficulty walking and balancing.
Optic Neuritis 
Optic neuritis is inflammation of the eye’s optic nerve. This nerve relays signals from the retina to the brain so you can see.
Inflammation damages the optic nerve and causes symptoms such as:
- Eye pain
- Blurry vision
- Photopsia
Multiple sclerosis (MS) is a common cause of optic nerve inflammation.
Ocular Migraine
Migraines are known for causing intense, throbbing headaches. Other symptoms that can occur with ocular migraines include visual changes called auras. A visual aura is a type of photopsia that can look like snow or static on a television screen.
Charles Bonnet Syndrome
Charles Bonnet Syndrome (CBS) is a condition that can affect people with full or partial vision loss. CBS causes visual hallucinations, such as repeating patterns of dots, lines, or geometric shapes.
Digitalis Toxicity
Digitalis, which includes the medications digitoxin or digoxin, is a medication that treats heart disease. Taking too much digitalis at once or over a long-term period can be toxic.
Photopsia is a common early symptom of digitalis toxicity, which can be life-threatening. Other symptoms of digitalis toxicity include nausea, vomiting, and diarrhea.
Diagnosis
Your doctor will usually diagnose eye floaters during an eye exam. Your eyes will be dilated so that the doctor can get a clear look at the inside of your eye. This allows the doctor to see floaters you have and check on your retina for other possible problems.
Floaters are typically harmless, but they can easily be confused with other vision changes like large spots in your vision. These symptoms can be signs of other medical conditions like:
Allopathic treatment for Photopsia or eye floaters or flashes
There’s no single treatment plan for photopsia in allopathy. The doctor will identify the condition that’s causing patient’s visual symptoms, the type of treatment will depend on the underlying condition, that’s why allopathic doctors change treatment plan, accordingly, depending on the type and severity of patient’s condition.
With allopathic treatment photopsia is not reversible.
Homeopathic treatment for Photopsia or eye floaters or flashes
This can be frustrating for people who notice the eye floaters dancing across their view often; The most common and the only treatment for eye floaters is the D-Eye drops. 
If you suddenly have more floaters than normal, reach out to nearest doctor right away. This could be a sign of a retinal tear or detachment, and it will need to be treated quickly.
There is a surgical option for removing floaters, but it involves a lot of risk to your vision. In cases where there are a lot of floaters and they’re starting to impact the way you see; a procedure called a vitrectomy can be used to remove them.
This surgical procedure involves using incisions to remove the gel-like vitreous from inside your eye and replaced with a solution that mimics the vitreous; and of course, there are several risks involved in this procedure, including:
- Developing retinal detachment.
- Developing retinal tears.
- Not getting all of the floaters out of your eye.
- Developing cataracts.
That’s why surgery is not the option.
It’s important to take care of your eyes, especially as you age. If you notice anything unusual happening with your eyes/vision, it’s often a good idea to start using D-Eye drops to prevent not only floaters and flashes/photopsia but to prevent and even treat cataract, D-Eye also increase eyesight in very short time (30-60 days).
There are many Homeopathic medicines for photopsia eye floaters and flashes and is easily be treated, here are very few of them:
Cineraria Maritima
This is one of the leading homeopathic medicines that are quite helpful in supporting eye circulation. All kinds of eye toxins are completely removed as a result of which vision difficulties can be prevented. On the other hand, eye tissues are thoroughly nourished as a result of using this kind of ingredient Cineraria Maritima.
Euphrasia officianalis
An effective homeopathic medicine for eye floaters. Catarrhal conjunctivitis; discharge of acrid matter. The eyes water all the time. Acrid lachrymation; bland coryza. Discharge thick and excoriating. Burning and swelling of the lids. Frequent inclination to blink. Free discharge of acrid matter. Sticky mucus on cornea; must wink to remove it. Photopsia or eye floaters or flashes. Pressure in eyes. Little blisters on cornea. Opacities. Rheumatic iritis. Ptosis.
Mercurius Solubilis
Lids red, thick, swollen. Profuse, burning, acrid discharge. Floating black spots – Photopsia or eye floaters or flashes. After exposure to glare of fire; foundrymen. Parenchymatous keratitis of syphilitic origin with burning pain. Iritis, with hypopyon.
Baryta Carbonica
Photopsia or eye floaters or flashes. Alternate dilatation and contraction of pupils. Photophobia. Gauze before eyes. Cataracts.
Oleum Animale
Smarting in eyes; misty vision. Glistening bodies before eyes. Lachrymation when eating. Short-sighted. Twitching of lids. Photopsia or eye floaters or flashes. Photophobia. Gauze before eyes.
Cyclamen Europaeum 
Dim vision, worse on waking, with spots before eyes. Flickering of various colors; Photopsia or eye floaters or flashes. Convergent strabismus. Sees countless stars. Diplopia. Disturbance of vision, associated with gastric disturbances.
Viola Odorata
Heaviness of lids. Eyeball feels compressed. Flames before eyes. Photopsia or eye floaters or flashes. Choroiditis. Illusions of vision; fiery, serpentine circles. Myopia and/or Hyperopia, accompanied by severe pain in the eyes (remarkable results). Severe pain in the eyes, radiates to the vertex. Heaviness of the eyelids, flames before the eyes.
Physostigma Venenosum
Night-blindness. photophobia; contraction of pupils; twitching of ocular muscles. Lagophthalmos. Muscae volitantes; flashes of light; partial blindness. Photopsia or eye floaters or flashes. Glaucoma; paresis of accommodation; astigmatism. Profuse lachrymation. Spasm of ciliary muscles, with irritability after using eyes. Increasing myopia. Post-diphtheritic paralysis of eye and accommodation muscles.
Argentum Nitricum
Inner canthi swollen and red. Spots before the vision. Blurred vision. Photopsia or eye floaters or flashes. Photophobia in warm room. Purulent ophthalmia. Swelling of conjunctiva; discharge abundant and purulent. Chronic ulceration of margin of lids; sore, thick, swollen. Unable to keep eyes fixed steadily. Eyestrain from sewing. Aching, tired feeling in eyes. Useful in restoring power to the weakened ciliary muscles. Paretic condition of ciliary muscle. Acute granular conjunctivitis. Cornea opaque. Ulcer in cornea.
China Officianalis
Blue color around eyes. Hollow eyes. Yellowish sclerotic. Black specks, bright dazzling illusions; night blindness in anemic retina. Spots before eyes. Photopsia or eye floaters or flashes. Photophobia. Distortion of eyeballs. Intermittent ciliary neuralgia. Pressure in eyes. Amaurosis; scalding lachrymation.
Nuphar Luteum
Photopsia or eye floaters or flashes, in sun brilliant sparks filled field of vision, converging from circumference to center (an old symptom revived, and subsequently reproduced frequently, especially after hard coughing).
Arnica Montana
Diplopia from traumatism, muscular paralysis, retinal hemorrhage. Bruised, sore feeling in eyes after close work. Must keep eyes open. Dizzy on closing them. Feel tired and weary after sight-seeing, moving pictures, etc. Photopsia or eye floaters or flashes.
Hyoscyamus Niger
Pupils dilated, sparkling, fixed. Eyes open, but does not pay attention; downcast and dull, fixed. Strabismus. Spasmodic closing of lids. Diplopia. Objects have colored borders. Photopsia or eye floaters or flashes.
Silicia Tera
Angles of eyes affected. Swelling of lachrymal duct. Aversion to light, especially daylight; it produces dazzling, sharp pain through eyes; eyes tender to touch; worse when closed. Vision confused; letters run together on reading. Styes. Iritis and irido-choroiditis, with pus in anterior chamber. Perforating or sloughing ulcer of cornea. Abscess in cornea after traumatic injury. Cataract in office workers. After-effects of keratitis and ulcus cornea, clearing the opacity. Photopsia or eye floaters or flashes.
Kali Carbonium 
Stitches in eyes. Spots, gauze, and black points before eyes. Photopsia eye floaters and flashes. Swelling over upper lid, like little bags. Swelling of glabella between brows. Asthenopia. Weak sight from excessive sexual indulgence. On shutting eyes, painful sensation of light penetrating the brain.
Magnesium Phosphoricum
Supraorbital pains; worse, right side; relieved by warmth applied externally. Increased lachrymation. Twitching of lids. Nystagmus strabismus, ptosis. Eyes hot, tired, vision blurred, colored lights before eyes, photopsia or eye floaters or flashes.
Causticum
Cataract with motor disturbances. Inflammation of eyelids; ulceration. Sparks and dark spots before eyes Ptosis, photopsia or eye floaters or flashes. Vision impaired, as if film were before eyes. Paralysis of ocular muscles after exposure to cold.
Belladona
Throbbing deep in eyes on lying down. Pupils dilated (Agnus). Eyes feel swollen and protruding, staring, brilliant; conjunctiva red; dry, burn; photophobia; shooting in eyes. Exophthalmos. Ocular illusions; fiery appearance. Diplopia, squinting, spasms of lids. Sensation as if eyes were half closed. Eyelids swollen. Fundus congested.
Sepia Officianalis
In this homeopathic treatment for eye floaters. Different vision issues can be effectively dealt with by this ingredient like veiled vision, spots, glare, light blurring streaks, photopsia or eye floaters or flashes.
Natrum Muriaticum
Photopsia or eye floaters or flashes. Feels bruised, with headache. Eyelids heavy. Muscles weak and stiff. Letters run together. Sees sparks. Fiery, zigzag appearance around all objects. Burning in eyes. Give out on reading or writing. Stricture of lachrymal duct with suppuration. Escape of muco-pus when pressing upon sac. Lachrymation, burning and acrid. Lids swollen. Eyes appear wet with tears. Tears stream down face on coughing. Asthenopia due to insufficiency of internal recti muscles. Pain in eyes when looking down. Cataract incipient.
Naphthalinum
Marked affinity for the eye. Detachment of the retina; Papillo-retinal infiltration; deposits in patches upon the retina; amblyopia and consecutive amaurosis; sparkling synchesis; soft cataract. Exudation in the retina, choroid and ciliary body. Cataract. Opacity of the cornea. Photopsia or eye floaters or flashes.
Arsenicum Album
Burning in eyes, with acrid lachrymation. Lids red, ulcerated, scabby, scaly, granulated. Edema around eyes. External inflammation, with extreme painfulness; burning, hot, and excoriating lachrymation. Photopsia or eye floaters or flashes. Corneal ulceration. Intense photophobia; better external warmth. Ciliary neuralgia, with fine burning pain.
Calcarea Fluorica
Tiny eye capillaries can be strengthened by means of this specific homeopathic medicine calcarea fluorica. Other troubles of eye floaters that can be corrected by the ingredient are corneal opacity, cataract, blurry vision. Photopsia or eye floaters or flashes.
Aurum Metallicum 
Aurm met is excellent for Retinal detachment, feeling of strong pulsation of the central portion of retinal vessels. Chorio- retinitis chronica with accumulation of fluid beneath retina, which settled to lower portion of eye causing large detachment of retina. Stitching pain inward. Extreme photophobia, hemiopia, upper half of objects visible. Everything looks blue. Black spots, flames, sparks before the eyes. Pupils not very active, generally contracted. Photopsia or eye floaters or flashes.
Crotalus Horidus
Retinal detachment due to retinal hemorrhages. Bleeding eyes after a stroke. Photophobia. Intense ciliary neuralgia, tearing, boring pain, as if a cut had been made around eyes. Photopsia or eye floaters or flashes.
Canabis Sativa
Opacity of cornea. Cataract from nervous disturbances, abuse of alcohol and tobacco; patient feels deeply approaching blindness. Photopsia or eye floaters or flashes. Misty sight. Pressure from back of eyes, forward. Gonorrheal ophthalmia. Eyeballs ache. Scrofulous eye troubles.
Sulphur
Burning ulceration of margin of lids. Halo around light sources. Heat and burning in eyes. Black motes before eyes. First stage of ulceration of cornea. Chronic ophthalmia, with burning and itching. Parenchymatous keratitis. Cornea like ground glass.
Gelsemium
Centers its action upon the nervous system, curing various degrees of motor paralysis. Paralysis of various groups of muscles about the eyes, throat, chest, larynx, sphincter, extremities, etc. Post-diphtheritic paralysis. Muscular weakness. Complete relaxation and prostration. Lack of muscular co-ordination. Ptosis; eyelids heavy; patient can hardly open them. Double vision. Disturbed muscular apparatus. Blurry vision, discomfort in eyes even after accurately adjusted glasses. Photopsia or eye floaters or flashes. Vision smoky. Dim-sighted; pupils dilated and insensible to light. Orbital neuralgia, with contraction and twitching of muscles. Bruised pain back of the orbits. One pupil dilated, the other contracted. Deep inflammations, with haziness of vitreous. Serous inflammations. Albuminuric retinitis. Detached retina, glaucoma and descemetitis. Hysterical amblyopia.
Silicia Tera
Photopsia or eye floaters or flashes. Angles of eyes affected. Swelling of lachrymal duct. Aversion to light, especially daylight; it produces dazzling, sharp pain through eyes; eyes tender to touch; worse when closed. Vision confused; letters run together on reading. Styes. Iritis and irido-choroiditis, with pus in anterior chamber. Perforating or sloughing ulcer of cornea. Abscess in cornea after traumatic injury. Cataract in office workers. After-effects of keratitis and ulcus cornae, clearing the opacity.
Digitalis Purpura
Retinal detachment with a feeling of wavering vision and everything appears green or yellow. Dim vision, irregular pupils and diplopia. Change in acuteness perception of shades of green. Dark bodies seem like flies before the eyes. Photopsia or eye floaters or flashes.
Jaborandi
Jaborandi is best for Retinal detachment with opacity of the lens. Smarting pain in eyes with vertigo and nausea. Spasm of the accommodation while reading. Everything at a distance appears hazy, vision becomes indistinct every few moments. Tension in the eyes. Photopsia or eye floaters or flashes.
Agaricus Muscarious
Photopsia or eye floaters or flashes. Reading difficult, as type seems to move, to swim. Vibrating specters. Double vision, dim and flickering. Asthenopia from prolonged strain, spasm of accommodation. Twitching of lids and eyeballs. Margins of lids red; itch and burn and agglutinate. Inner angles very red.
Ruta Graveolens
Ruta is best for Retinal detachment with asthenopia, astigmatism, and a sensation of violent heat in eyes. Disturbances of accommodation and pressure deep in orbits. Eye strain, headache from eye strain. Photopsia or eye floaters or flashes.
P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).
For proper consultation and treatment, please visit our clinic.
None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.
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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.
Senior research officer at Dnepropetrovsk state medical academy Ukraine.
Location: Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.
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