I've been feeling like there are always two small black spots floating in my vision these days.

Patient's question:

I've been feeling like there are always two small black spots floating around when I look at things these days. They are more noticeable in bright light or sunlight.

Doctor's answer:

Medical Analysis: Based on your description, it is suspected to be floaters. The patient may see black spots in front of their eyes, which will float around with eye movement, resembling flying insects. The shapes can vary, including circular, elliptical, point-like, and linear. Commonly, it is more noticeable when the patient looks at bright backgrounds like blue skies or white walls.
Advice: Physiological floaters often do not require treatment and can be resolved with proper rest and avoiding fatigue. Pathological floaters are usually caused by moderate to high myopia, internal eye bleeding, inflammation, or other factors. Generally, these causes can be identified through simple examinations, and treatment targeting the underlying cause is necessary for recovery.

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