Original Research
Patients With Floaters or Flashes Could Face Higher Risk of Retinal Detachment
Background: Data from ophthalmology practices showed that experiencing newly emerging floaters in vision is more strongly associated with retinal tears than experiencing flashes. However, these associations have not been studied in primary care. In this study, researchers conducted a retrospective cohort study using electronic records from seven family practices in the Netherlands to examine whether patients presenting with floaters, flashes, or both had different risks of retinal detachment in primary care.
What They Found: Researchers reviewed 1,181 episodes of care between 2012 and 2021 involving adults with floaters or flashes. Retinal detachment occurred in 77 of these episodes. The absolute risk of retinal detachment was 6.1% among episodes with floaters alone, 4.7% among episodes with flashes alone, and 8.4% among episodes with both floaters and flashes. Episodes with new or recently changed acute floaters, more than 10 floaters, or floaters described as a cloud, haze, or curtain, showed higher relative risk compared with flashes alone. The most common final diagnoses were vitreous floaters without a specific disease diagnosis, posterior vitreous detachment, and migraine.
Implications: The study findings suggest that floaters, with or without flashes, are an important warning sign for retinal detachment.
Do Vitreous Floaters Predict Retinal Detachment? Retrospective Cohort Study in Primary Care
Floris A. van de Laar, MD, PhD, et al
Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
The Annals of Family Medicine
23-Mar-2026