Visual Disturbances: When to Worry About Eye Symptoms - Ophthalmology

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The issue of light spots and noise?


Dear Doctor,
Hello.
I have recently started experiencing sudden appearances of moving white, glowing spots or objects that resemble noise or black dots and lines.
Strangely, these phenomena disappear on their own after a short while, and my vision returns to normal.
What puzzles me further is that I had a fundus examination last month, and the doctor mentioned that I only have vitreous opacities and that I shouldn't be overly concerned.

I would like to ask: Is this situation serious? Could it indicate a problem with my retina? How should I interpret this phenomenon? Will it improve on its own? Thank you for your clarification!

Shijie, 30~39 year old female. Ask Date: 2020/03/25

Dr. Gao Pilin reply Ophthalmology


Hello, Mr.
Shijie: This condition is known as vitreous floaters, or myodesopsia.
Since the doctor has examined you and found no issues, there's no need to worry about it.
Try to coexist with it calmly; it may persist for a long time, but after a while, you will likely stop noticing it.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Best regards, Gao Pilin.

Reply Date: 2020/03/25

More Info


Hello! Thank you for reaching out with your concerns about your recent visual disturbances. It’s understandable to feel anxious when experiencing unusual visual symptoms, especially when they involve sudden appearances of moving white spots or lines, often described as floaters or flashes.
From your description, it sounds like you may be experiencing symptoms related to vitreous floaters, which are common and often benign. The vitreous humor is a gel-like substance that fills the eye, and as we age or due to other factors, it can become more liquid and form clumps or strands. These can cast shadows on the retina, which is perceived as floaters or moving spots in your vision. The fact that these symptoms come and go is also typical of floaters.

You mentioned that you recently had a thorough eye examination, including a check for retinal issues, and that your doctor noted only vitreous opacities. This is reassuring, as it suggests that there are no immediate concerns regarding your retina. However, it’s important to remain vigilant. If you notice a sudden increase in the number of 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. In such cases, immediate medical attention is warranted.

Regarding your question about whether these symptoms will improve on their own, many people find that they become less noticeable over time as the brain learns to ignore them. However, if the floaters are bothersome, there are treatments available, such as vitrectomy or laser therapy, though these come with their own risks and are typically reserved for more severe cases.

In terms of managing your anxiety about these symptoms, it may be helpful to focus on maintaining regular eye check-ups and discussing your concerns with your eye care provider. They can provide reassurance and monitor any changes in your condition. Additionally, practicing relaxation techniques, such as mindfulness or deep breathing exercises, can help alleviate anxiety related to your visual symptoms.

Lastly, if you have any underlying health conditions, such as high blood pressure or diabetes, managing these effectively is crucial, as they can impact eye health. Staying hydrated, protecting your eyes from excessive strain (especially during prolonged screen time), and ensuring you have adequate lighting while reading or working can also help maintain your overall eye health.

In summary, while your current symptoms may be benign, it’s essential to remain observant and proactive about your eye health. If you experience any significant changes or new symptoms, don’t hesitate to seek further evaluation from your eye care professional. Your peace of mind is important, and addressing these concerns with a qualified professional can help you feel more secure about your vision. Thank you for your question, and I hope this information helps clarify your situation!

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