The vision appears distorted, similar to a poor television signal?
Hello Doctor: Occasionally (sometimes once a year, sometimes once a day), I experience visual disturbances where my vision appears to have slight interference, resembling a poor television signal.
The disturbances manifest as short, white flashes that change from short to long, but they are always brief (about 0.1 cm).
The entire visual field shows several of these disturbances, typically occurring in the outer eight segments of both eyes.
In recent years, I have seen many doctors, but none have been able to identify the cause.
Recently, the frequency has increased to about once a week, so I would like to know what tests I should undergo to determine the underlying issue.
Thank you.
Miss Wei, 20~29 year old female. Ask Date: 2016/10/03
Dr. He Jianxian reply Ophthalmology
Based on your description, it is likely a symptom of a subtype of migraine.
This condition does not typically involve headaches, but due to abnormal electrical discharges in the brain, it can lead to what is known as "visual aura." There will be no abnormalities found in an ophthalmological examination.
It is recommended that you consult a neurologist for further evaluation.
Reply Date: 2016/10/03
More Info
Hello,
Thank you for your detailed description of your visual disturbances. Based on your symptoms, it sounds like you are experiencing a phenomenon that could be related to several potential causes, including visual migraines, retinal issues, or even neurological conditions. Let's break down your symptoms and discuss possible examinations and considerations.
Understanding Your Symptoms
1. Visual Disturbances: You mentioned seeing short, white flashes or static-like disturbances in your vision. This could be indicative of a few different conditions. One possibility is a visual migraine, which can occur with or without a headache. These migraines can cause temporary visual disturbances, including flashes of light or static-like patterns in your field of vision.
2. Frequency and Duration: The fact that these disturbances occur infrequently (once a year or once a day) but have recently increased in frequency (once a week) is noteworthy. An increase in frequency could suggest a change in your ocular or neurological health that warrants further investigation.
3. Location of Disturbances: You mentioned that these disturbances are typically located outside the central vision, which might suggest that they are not directly related to the macula (the central part of the retina responsible for sharp vision) but could involve peripheral retinal issues or even the visual pathways in the brain.
Recommended Examinations
Given the nature of your symptoms and their increasing frequency, I recommend the following examinations:
1. Comprehensive Eye Examination: A thorough eye exam by an ophthalmologist is essential. This should include:
- Dilated Fundus Examination: This allows the doctor to examine the retina and optic nerve for any abnormalities.
- Visual Field Testing: This can help determine if there are any blind spots or peripheral vision issues that correlate with your symptoms.
2. Optical Coherence Tomography (OCT): This imaging test provides detailed images of the retina and can help identify any structural changes or abnormalities that might not be visible during a standard examination.
3. Electroretinography (ERG): This test measures the electrical responses of the retina's light-sensitive cells and can help assess retinal function.
4. Neurological Evaluation: If your eye examinations return normal but your symptoms persist, it may be beneficial to consult a neurologist. They may recommend imaging studies, such as an MRI of the brain, to rule out any neurological conditions that could be causing your visual disturbances.
5. Blood Tests: Sometimes, systemic conditions (like autoimmune diseases) can manifest with visual symptoms. Blood tests can help rule out these conditions.
Lifestyle Considerations
In addition to medical evaluations, consider the following lifestyle adjustments:
- Monitor Triggers: Keep a diary of when these disturbances occur. Note any potential triggers, such as stress, lack of sleep, or dietary factors.
- Manage Stress: Stress can exacerbate visual disturbances. Techniques such as mindfulness, yoga, or regular exercise may help.
- Regular Eye Care: Ensure you have regular check-ups with your eye care provider, especially if you notice changes in your vision.
Conclusion
While your symptoms may not currently indicate a serious condition, the increase in frequency and the nature of your visual disturbances warrant further investigation. A comprehensive approach involving both ophthalmological and neurological evaluations will help determine the underlying cause and guide appropriate management. Don't hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your vision is vital, and understanding these disturbances is crucial for your overall health.
Take care, and I hope you find clarity and resolution soon.
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