Visual Disturbances: Branch-Like Shadows and Eyelash Concerns - Ophthalmology

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Light and shadow in the eyes?


Hello Doctor: Two days ago and today upon waking up, I experienced a strange phenomenon where I saw a branch-like light pattern when I opened my eyes.
However, after blinking a few times, it disappeared and did not reappear throughout the day.
It felt similar to an afterimage seen after looking at a bright light.
Since I have high myopia, I felt uneasy and went to the hospital for an outpatient consultation in the afternoon.
After undergoing dilation, fundus photography, and OCT examination, everything appeared normal.
However, I noticed that the pattern I saw in the morning resembled blood vessels in the fundus photography images.
After the doctor reassured me that there were no issues, I went home and realized I forgot to ask about what I saw in the morning.
I would like to ask the doctor two questions: 1.
What could the image I saw in the morning possibly be? 2.
While showering, I noticed a small eyelash stuck between my lower eyelid and eyeball.
I directly used the showerhead to rinse it out by pulling down my lower eyelid, and it seemed to be gone afterward.
I assume it was washed away, but is there really no gap between the eyeball and eyelid that would allow it to get into my eye? Thank you for your answers to these two questions!

Niming, 20~29 year old female. Ask Date: 2018/06/17

Dr. He Jianxian reply Ophthalmology


1.
I'm not sure what you saw either.

2.
The space between the eyeball and the eyelid is completely sealed, preventing any eyelashes from entering.

Reply Date: 2018/06/17

More Info


Hello! Thank you for sharing your concerns regarding the visual disturbances you've been experiencing. Based on your description, it seems you are encountering a few different phenomena that can be quite unsettling. Let’s break down your questions and provide some insights.

1. Branch-like Shadows: The phenomenon of seeing branch-like shadows or patterns upon waking can be attributed to several factors. One common explanation is the presence of visual afterimages, which occur when the photoreceptors in your retina become temporarily overstimulated by light. This can happen if you’ve been exposed to bright light before closing your eyes or upon waking. The fact that these shadows disappear after blinking a few times suggests they are likely transient and not indicative of a serious issue. Additionally, the appearance of these shadows resembling blood vessels could be related to the way your brain interprets visual information, especially if there is a temporary disturbance in the vitreous humor (the gel-like substance in the eye) or the retina.

2. Eyelash Concerns: Regarding the eyelash that you felt was caught between your lower eyelid and the eyeball, it’s important to note that the anatomy of the eye does indeed have a small gap between the eyelid and the eyeball. This space is typically very minimal, but it can allow for small objects like eyelashes to become lodged temporarily. If you were able to rinse it out with water, it’s likely that the eyelash was dislodged safely. However, if you ever feel that something is still in your eye or if you experience persistent discomfort, it’s advisable to seek medical attention.
In general, the visual disturbances you are experiencing, especially if they are intermittent and resolve quickly, may not be a cause for alarm. However, it’s crucial to remain vigilant. If you notice any changes in your vision, such as persistent shadows, flashes of light, or a sudden increase in floaters, it’s essential to consult with an eye care professional.
Additionally, given your history of high myopia (nearsightedness), you may be at a higher risk for certain eye conditions, including retinal detachment or vitreous detachment. Regular eye examinations are vital to monitor your eye health, especially if you experience new symptoms.

In summary, while the branch-like shadows you see upon waking are likely benign and related to afterimages or temporary visual disturbances, it’s always best to keep an open line of communication with your eye care provider. They can provide tailored advice and reassurance based on your specific situation. If you have any further questions or if the symptoms persist, don’t hesitate to reach out for a follow-up examination. Your eye health is important, and staying proactive is key!

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