Can Pregnancy Cause Eye Floaters?

Eye floaters are common visual phenomena, appearing as small specks or strands drifting across the field of vision. For pregnant individuals, new or increased floaters can raise questions about their connection to pregnancy. This article explores the nature of eye floaters, how physiological changes during pregnancy might influence their appearance, and when these visual changes warrant medical attention.

Understanding Eye Floaters

Eye floaters are small, shadowy shapes seen in one’s vision, often described as tiny specks, strings, or cobwebs. These perceived shapes are shadows cast onto the retina by microscopic clumps of collagen fibers within the vitreous humor, a clear, gel-like substance that fills the eye. Floaters commonly develop as a natural part of aging, as collagen fibers within the vitreous humor shrink and clump over time. Nearsightedness can also contribute to their formation. While often harmless, their sudden onset or increase warrants attention.

How Pregnancy Can Influence Floaters

Pregnancy brings about significant physiological changes, including those affecting the eyes. Hormonal fluctuations can impact fluid retention, potentially causing changes in the eye’s structures. Increased fluid retention can subtly alter the cornea’s shape or thickness. Blood volume also increases substantially during pregnancy, which can affect the eye’s delicate blood vessels. Although the exact mechanism is not fully understood, these fluid shifts and circulatory changes are thought to contribute to the appearance or increased noticeability of eye floaters in some pregnant individuals. Intraocular pressure, the pressure inside the eye, often decreases during pregnancy, which is another physiological adaptation.

When to Be Concerned About Floaters During Pregnancy

While many floaters during pregnancy are benign, certain accompanying symptoms signal a need for immediate medical evaluation. A sudden increase in floaters, especially if they appear suddenly in one eye, is a warning sign. The simultaneous appearance of flashes of light is also a concerning symptom. These symptoms, particularly when combined with a dark curtain or shadow moving across vision, can indicate a serious underlying condition like retinal detachment or a retinal tear.

Other red flags include sudden blurry vision, blind spots, or temporary loss of vision. Such visual disturbances can also be associated with pregnancy-specific conditions, such as preeclampsia, which is characterized by high blood pressure and can affect various organ systems, including the eyes. Gestational diabetes, a condition where high blood sugar develops during pregnancy, may also lead to eye changes, including floaters.

Managing Floaters During Pregnancy

For individuals experiencing benign eye floaters during pregnancy, no specific treatment is typically required. The floaters are often temporary and may resolve on their own after delivery. It is important to monitor any changes in visual symptoms and discuss them with a healthcare provider during regular prenatal appointments. Staying adequately hydrated can support overall eye health and may help manage some visual disturbances.