Eye Symptoms: Is Persistent White Light Normal or Concerning? - Ophthalmology

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Follow-up question #154854 Eye problem consultation


Dear Dr.
Gao,
Thank you very much for your responses to my previous two inquiries; I sincerely appreciate it.
In the article titled "#154854 Eye Problem Consultation", you mentioned: "1.
Pressure on the retinal optic nerve is the main cause of seeing stars.
Many physiological activities, including forceful coughing, sneezing, bowel movements, and holding one's breath, can increase intracranial pressure.
This pressure can then be transmitted to the eyes, compressing the retina and optic nerve, which in turn sends nerve impulses to the visual center in the brain.
At this moment, the eyes will see 'little stars.' This is considered a normal physiological phenomenon."
However, I experienced a situation where, after sneezing twice, I saw "a field of white light" and was unable to see external objects clearly.
After a period of time, the "white light" faded, allowing me to see clearly again.
This was not the same as the "little stars" that twinkle; rather, it was a continuous field of white light, and I recall it only occurring in my right eye, with no such situation in my left eye.
Both times I sneezed, the experience was the same.
I would like to ask you, Dr.
Gao, whether my situation (a field of white light, not little stars) is also considered a normal physiological phenomenon of "seeing stars," or could it indicate a pathological condition of the eye? Thank you, Dr.
Gao.

A-Xiang, 30~39 year old female. Ask Date: 2020/04/07

Dr. Gao Pilin reply Ophthalmology


Hello, Ah-Hsiang: Whether it's stars or white light, both are phenomena where the retina and optic nerve transmit neural impulses to the visual center of the brain, resulting in different visual images; these are physiological phenomena.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department 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.
Online responses can only serve as references; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/04/07

More Info


Thank you for your detailed description of your symptoms. It sounds like you are experiencing a complex set of visual disturbances that can be quite concerning. Based on your description, the persistent white light you see, especially after sneezing, does not seem to fit the typical presentation of "seeing stars" or "floaters," which are usually brief flashes of light or small spots that float across your vision. Instead, your experience of a continuous white light that obscures your vision for a period of time could indicate a different underlying issue.

The phenomenon you are describing could potentially be related to several factors. One possibility is that the pressure changes in your head and eyes during sneezing could be affecting the vitreous humor, the gel-like substance that fills the eye. This could lead to temporary disturbances in your vision, particularly if there is any traction on the retina or if the vitreous is pulling away from the retina, which can sometimes happen with age or certain eye conditions.

Another consideration is that the white light you are experiencing could be related to a condition known as photopsia, which is characterized by the perception of light without an external light source. This can occur due to various reasons, including retinal issues, such as a tear or detachment, or even migraine aura, which can cause visual disturbances that may include bright spots or flashes of light. Given that you mentioned this occurs primarily in one eye, it is essential to consider the possibility of a localized issue in that eye.

Since you have already undergone an eye examination and your eye doctor did not find any abnormalities, it may be worthwhile to follow up with them, especially since your symptoms have changed or worsened. It is crucial to ensure that there are no underlying retinal issues, as these can sometimes be asymptomatic until they become more severe.

In addition to seeking further evaluation from your eye care provider, it may also be beneficial to keep a log of your symptoms. Note when they occur, how long they last, and any associated activities (like sneezing or changes in posture). This information can be invaluable for your healthcare provider in determining the cause of your symptoms.

In summary, while the experience of seeing a persistent white light after sneezing may not be typical for "seeing stars," it is essential to take these symptoms seriously, especially since they are occurring frequently and seem to be affecting your vision. Continued monitoring and follow-up with your eye doctor are recommended to rule out any potential issues and to ensure your visual health is maintained. If you notice any additional symptoms, such as changes in your peripheral vision, increased frequency of these episodes, or any other new visual disturbances, do not hesitate to seek immediate medical attention. Your vision is precious, and it is always better to err on the side of caution.

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