Visual Disturbances: Fog, Floaters, and Light Perception Issues - Ophthalmology

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Hello! Thank you for reaching out with your concerns regarding your visual disturbances. Based on your description, it seems that you are experiencing a range of symptoms that can be associated with various ocular conditions, particularly given your history of myopia and floaters. Let’s break down your questions and provide some insights.

1. Seeing a White Mist or Fog Around Lights: The phenomenon you describe, where you see a white mist or semi-transparent fluid-like substance around bright lights such as fluorescent tubes or in bright environments, could indeed be related to your floaters. Floaters are tiny clumps of gel or cells that form in the vitreous humor of the eye, and they can cast shadows on the retina, leading to visual disturbances, especially in bright light. This effect can be more pronounced in individuals with myopia, as the vitreous may be more prone to changes. However, if you are noticing significant changes in your vision or if this is a new symptom, it is essential to have a thorough eye examination to rule out any potential issues with the vitreous or retina, such as vitreous detachment or retinal tears.

2. Seeing Transparent Balls of Light: The observation of small, transparent balls moving around when looking at distant lights, especially at night, could be attributed to a few factors. This could be a manifestation of your floaters, as they can appear more pronounced against a dark background. Additionally, this could also be related to a phenomenon known as "visual snow," which is characterized by seeing tiny flickering dots in the visual field. While this is generally benign, it is crucial to discuss these symptoms with your eye care provider to ensure that there are no underlying retinal issues.

3. Perception of Light with Eyes Closed: Experiencing light perception or seeing white light even with your eyes closed can be a normal phenomenon known as "phosphene." Phosphenes are the sensations of light that occur when pressure is applied to the eyes or even spontaneously due to the stimulation of the retina or visual pathways. However, if this sensation is persistent or accompanied by other visual disturbances, it may warrant further investigation to rule out any neurological or retinal issues.

Given your history of high myopia and floaters, it is essential to maintain regular eye examinations, especially if you notice any changes in your vision. While many of the symptoms you describe can be benign, they can also indicate more serious conditions that require prompt attention. If your current eye care provider has reassured you that your eyes are healthy, but you still have concerns, seeking a second opinion from another ophthalmologist may provide you with additional peace of mind.

In summary, while many of your symptoms can be attributed to common conditions associated with myopia and floaters, it is crucial to stay vigilant and proactive about your eye health. Regular check-ups and open communication with your eye care provider are key to managing your visual health effectively. If you experience any sudden changes in vision, such as flashes of light, a sudden increase in floaters, or a shadow in your peripheral vision, seek immediate medical attention. Thank you for your questions, and I hope this information helps clarify your concerns!