Black Spots in Vision: Retinal Issues or Floaters?

Seeing black spots in the eyes?

I experienced a period of about three weeks where I noticed a black spot in my vision when I blinked, and a bright light when I closed my eyes, primarily in the upper left part of my visual field.
After resting for a few days, the symptoms diminished.
However, they have recently reappeared, although not for as long as before.
I would like to ask if this could be a retinal issue or floaters? I'm worried it might be a tear.
Thank you.

Tie, 20~29 year old female. Ask Date: 2017/04/13

Dr. He Jianxian reply Ophthalmology

It sounds like you're experiencing floaters; I recommend getting a dilated eye exam for a better assessment!

Reply Date: 2017/04/13

More Info

When it comes to experiencing black spots in your vision, it’s essential to understand the potential causes and implications of these symptoms. Based on your description, it seems you are experiencing a phenomenon that could be related to either floaters or more serious retinal issues.
Floaters are small specks or strands that drift through your field of vision. They are often caused by changes in the vitreous gel that fills the eye, which can become more liquid with age, leading to the formation of these shadows. Floaters are generally harmless and are particularly common in individuals who are nearsighted or have undergone cataract surgery. However, if you notice a sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, it could indicate a more serious condition, such as a retinal tear or detachment.

The fact that you see these black spots primarily when blinking and that they seem to be in a consistent location could suggest that they are indeed floaters. However, the concern about retinal issues is valid, especially since you mentioned the possibility of a retinal tear. Retinal tears can occur when the vitreous gel pulls away from the retina, which can lead to more severe complications if not addressed promptly.

The transient nature of your symptoms—where they seem to improve with rest—might indicate that the floaters are not a sign of a serious issue. However, the recurrence of these symptoms is something that should not be ignored. It is crucial to have a comprehensive eye examination, including a dilated fundus exam, to assess the health of your retina and vitreous. This examination can help determine whether there are any signs of retinal detachment or other underlying conditions that may require treatment.

In addition to the physical examination, it’s also important to consider other factors that could contribute to your symptoms. For instance, prolonged screen time, lack of proper lighting, and eye strain can exacerbate visual disturbances. If you spend a lot of time in front of screens, you may be experiencing symptoms related to Computer Vision Syndrome (CVS), which can lead to discomfort and visual disturbances, including the perception of floaters.

In conclusion, while your symptoms may suggest floaters, the recurrence and specific nature of your visual disturbances warrant a thorough evaluation by an eye care professional. Early detection and treatment of any potential retinal issues are crucial in preventing more severe complications, including vision loss. Therefore, I recommend scheduling an appointment with an ophthalmologist as soon as possible to ensure your eye health is properly assessed and managed. Remember, it’s always better to err on the side of caution when it comes to your vision.

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