Fixed Black Spots in Vision: Is It Floaters or Something Else? - Ophthalmology

More Info

---

The symptoms you are describing, particularly the presence of fixed black spots in your vision, can indeed be concerning, especially given your history of high myopia (nearsightedness) and floaters. Floaters, or "myodesopsia," are typically small, shadowy shapes that drift across your field of vision. They are often caused by changes in the vitreous humor, the gel-like substance that fills the eye, which can become more liquid and pull away from the retina as we age. This is a common occurrence and is generally benign, especially if you have a history of floaters.

However, the fixed black spot you mentioned, which appears for a few seconds and then disappears after blinking, may warrant further investigation. While it could still be a type of floater, the fact that it is fixed and does not move with your eye could suggest a different underlying issue. In particular, it raises the possibility of retinal or macular problems, especially given your high degree of myopia. High myopia can increase the risk of retinal detachment, macular degeneration, and other complications.

Regarding your question about whether a fixed black spot could be related to macular issues, it is important to note that macular problems can indeed cause visual disturbances, including fixed spots or scotomas (blind spots). If these spots are related to the macula, they may not disappear and could indicate a more serious condition that requires immediate attention.

Since you are already undergoing regular eye examinations every three months, it is crucial to communicate any new symptoms, such as the appearance of this fixed black spot, to your ophthalmologist. They may recommend additional tests, such as optical coherence tomography (OCT) or a dilated fundus examination, to assess the health of your retina and macula more thoroughly. These tests can help identify any potential issues, such as retinal tears, detachments, or macular degeneration.

In terms of your current treatment for glaucoma, it is essential to continue using your prescribed medications and to monitor your intraocular pressure regularly. High intraocular pressure can lead to optic nerve damage, so maintaining control over this condition is vital.

In summary, while the fixed black spot you are experiencing could be a benign floater, it is essential to rule out any serious conditions, especially given your high myopia and history of floaters. Regular communication with your eye care provider and adherence to your examination schedule will help ensure that any potential issues are caught early. If you notice any changes in the frequency, size, or nature of the black spot, or if you experience any new symptoms such as flashes of light or a sudden increase in floaters, seek immediate medical attention. Your eye health is paramount, and proactive management is key to preserving your vision.