Retinal Issues: Symptoms and What They Mean - Ophthalmology

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Retinal issues


Hello doctor, when I close my eyes, I feel like something is pulsating.
When I gently press on the area near the bridge of my nose, I feel something dark coming out.
Could you please explain what this might be? Thank you.

Hei Hei, 10~19 year old female. Ask Date: 2018/01/19

Dr. Cai Wenyuan reply Ophthalmology


Hello: Is it floaters? It’s advisable to seek medical examination.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/19

More Info


Understanding retinal issues can be complex, especially when symptoms manifest in unusual ways. Based on your description, it sounds like you are experiencing some concerning visual phenomena, which could be related to various retinal conditions. Let's break down your symptoms and what they might indicate.

1. Visual Disturbances: The sensation of seeing something "zooming" or "pulsating" when you close your eyes could be related to several factors. One possibility is the presence of floaters, which are small clumps of gel or cells that float in the vitreous humor of the eye. They can cast shadows on the retina, leading to the perception of movement or distortion in your vision. However, if these floaters are accompanied by flashes of light or a sudden increase in their number, it could indicate a more serious issue, such as a retinal tear or detachment.

2. Pressure Sensation and Black Spots: The feeling of pressing on your eyes and seeing black spots could also be linked to the same underlying issues. When you apply pressure to your eyes, it can temporarily change the way light is perceived by the retina, leading to visual disturbances. If you notice these black spots consistently, especially if they appear suddenly, it is essential to seek immediate medical attention. This could be a sign of a retinal tear, which requires prompt treatment to prevent further complications.

3. Potential Retinal Issues: Retinal problems can range from benign conditions like floaters to more serious issues such as retinal detachment, diabetic retinopathy, or age-related macular degeneration. Each of these conditions has distinct symptoms:
- Retinal Detachment: This occurs when the retina separates from the back of the eye, leading to symptoms like sudden flashes of light, a curtain-like shadow over your vision, or a sudden increase in floaters.

- Diabetic Retinopathy: Common in individuals with diabetes, this condition can cause blurred vision, floaters, and even vision loss if not managed properly.

- Age-Related Macular Degeneration (AMD): This condition affects the central part of your vision and can lead to distortion or loss of central vision.

4. What to Do Next: Given your symptoms, it is crucial to schedule an appointment with an ophthalmologist as soon as possible. They will likely perform a comprehensive eye examination, including a dilated fundus exam, to assess the health of your retina and rule out any serious conditions. If necessary, they may also conduct imaging tests such as Optical Coherence Tomography (OCT) or a fluorescein angiography to get a clearer picture of your retinal health.

5. Preventive Measures: While waiting for your appointment, it’s advisable to avoid any activities that could strain your eyes, such as prolonged screen time or reading in poor lighting. Ensure you are maintaining a healthy lifestyle, including a balanced diet rich in antioxidants, which can support eye health. Additionally, managing any underlying health conditions, such as diabetes or hypertension, is vital for preventing retinal issues.

In summary, the symptoms you are experiencing warrant a thorough evaluation by a healthcare professional. Early detection and treatment of retinal issues can significantly improve outcomes and preserve your vision. Please prioritize getting an appointment with an eye specialist to address your concerns.

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