Could you please provide more context or details regarding the situation?
Hello, doctor.
I would like to ask why sometimes I suddenly see a white shadow quickly floating from the bottom to the top in my peripheral vision (in both eyes, not directly in front).
This occurs when I stretch or sometimes appears out of nowhere without any specific action.
Could this be related to a tumor in the brain pressing on the optic nerve or something similar? Thank you!
C, 20~29 year old female. Ask Date: 2019/03/03
Dr. Hu Ziren reply Oncology
It is advisable to consult an ophthalmologist or a neurologist for a more appropriate evaluation.
Reply Date: 2019/03/03
More Info
Sudden white shadows or flashes in peripheral vision can be concerning, especially when they appear unexpectedly and are accompanied by other symptoms. Based on your description, it seems that you are experiencing transient visual phenomena that could be related to several underlying causes.
Firstly, it is important to understand that the visual system is complex, and disturbances in vision can arise from various sources, including the eyes themselves, the visual pathways in the brain, or even systemic issues. The sudden appearance of white shadows or flashes, particularly when they occur during physical movements like stretching, may be related to changes in the vitreous humor of the eye. The vitreous is a gel-like substance that fills the eye and can sometimes pull away from the retina, leading to visual disturbances such as flashes or floaters. This phenomenon is often benign, especially in individuals with myopia (nearsightedness) or those who are older, as the vitreous naturally changes with age.
However, the concern about potential tumors or other serious conditions is valid. Tumors in the brain, particularly those that affect the visual pathways or the optic nerve, can lead to visual disturbances. If the tumor exerts pressure on the optic nerve or surrounding structures, it may cause symptoms such as visual field loss, flashes of light, or other visual anomalies. It is crucial to note that while these symptoms can be alarming, they are not definitive indicators of a tumor. Many benign conditions can cause similar symptoms.
In your case, since you mentioned that the white shadows appear in your peripheral vision and are transient, it is less likely to be directly related to a tumor. However, it is essential to rule out any serious conditions through a comprehensive eye examination and possibly imaging studies, such as an MRI or CT scan, if deemed necessary by your healthcare provider.
Additionally, other factors such as migraines can also cause visual disturbances. Migraine aura can present as flashes of light or zigzag patterns in the peripheral vision, which may occur with or without a headache. Stress, fatigue, and dehydration can also contribute to visual symptoms.
Given your concerns, I recommend scheduling an appointment with an ophthalmologist or a neuro-ophthalmologist. They can perform a thorough examination, including visual field tests and imaging if needed, to determine the cause of your symptoms. It is essential to address these concerns promptly, especially if you notice any changes in your vision, such as increased frequency of the white shadows, persistent headaches, or any other neurological symptoms.
In summary, while sudden white shadows in peripheral vision can be alarming and may raise concerns about serious conditions like tumors, they are often related to benign causes such as vitreous changes or migraines. A thorough evaluation by a medical professional is the best course of action to ensure your eye health and peace of mind.
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