Light spots in front of the eyes?
1.
Hello Doctor, I have a question that has been bothering me for a long time.
Whenever I look at white walls, the sky, or a dark room with the lights off, I see small flickering lights that resemble noise.
This symptom is not very pronounced, but it is always quite bothersome.
I am highly myopic and also have floaters.
I recently had a retinal examination, and everything was normal.
2.
Additionally, when I shake my head without wearing my glasses, I see a blurry small circle in each eye, located approximately in my blind spot.
This phenomenon only occurs when I shake my head and am not wearing my glasses.
Can you explain why this happens?
3.
Lastly, sometimes when I lie in bed and close my eyes for a while, then open them, I notice slight pulsations that are not very pronounced and do not involve light.
What could be the reason for this?
Dàxuéshēng, 20~29 year old female. Ask Date: 2016/07/28
Dr. Gao Pilin reply Ophthalmology
Hello, university student: 1.
If the examination shows no issues, then there is no need to worry.
2.
It may be that the vitreous has detached from the retina, and that small circle represents the location of the nerve.
Please refer to this link: https://goo.gl/aDUjFr.
3.
I am sorry, but I cannot provide an answer regarding what the pulsating object is.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoon from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2016/07/28
More Info
Understanding visual disturbances can be quite complex, especially when considering the various underlying conditions that can affect our eyesight. Based on your concerns, let's break down each of your questions and provide some insights into what might be happening with your vision.
1. Seeing Flickering Lights on White Surfaces: The phenomenon you describe, where you see flickering lights or "visual noise" when looking at bright surfaces like white walls or the sky, can be attributed to several factors. In individuals with high myopia (nearsightedness) and floaters (known as "myodesopsia"), the vitreous gel in the eye can pull on the retina, leading to visual disturbances. These flickering lights may also be related to a condition known as visual snow syndrome, where individuals perceive a constant flickering or static-like visual disturbance. Since you mentioned that your retinal examination was normal, it is less likely that there is a serious underlying issue, but it is essential to continue monitoring your symptoms and consult with an eye care professional if they worsen.
2. Seeing Double Circles When Shaking Your Head: The experience of seeing double or blurred images, particularly when you shake your head and are not wearing your glasses, could be related to a few factors. One possibility is that your eyes are not properly aligned, which can lead to transient diplopia (double vision). This misalignment can be more pronounced when your visual system is not corrected by glasses, especially in cases of high myopia or astigmatism. Additionally, the visual system relies on precise coordination between both eyes, and any disruption in this coordination can lead to temporary visual disturbances. If this occurs frequently or is bothersome, it may be worth discussing with an eye care specialist who can assess your eye alignment and overall ocular health.
3. Seeing Slight Movements After Closing Your Eyes: The sensation of seeing slight movements or flashes of light after closing your eyes and then reopening them can be attributed to several benign phenomena. One common explanation is the persistence of vision, where the photoreceptors in your retina continue to respond to light stimuli even after the light source is removed. This can create a brief afterimage effect. Additionally, when you close your eyes, the brain may still process visual information, leading to transient visual sensations upon reopening your eyes. If these sensations are not accompanied by pain, significant discomfort, or other concerning symptoms, they are generally not a cause for alarm.
In summary, while visual disturbances can be concerning, many of the symptoms you describe are common and often benign, especially in the context of high myopia and floaters. However, it is crucial to maintain regular eye examinations and communicate any changes in your vision to your eye care provider. They can conduct comprehensive assessments, including visual field tests and imaging studies, to rule out any serious conditions and provide you with the appropriate guidance and treatment options. If you experience any new symptoms, such as flashes of light, sudden vision loss, or significant changes in your visual field, seek immediate medical attention, as these could indicate more serious issues that require prompt evaluation.
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