Eye movement, with the eyes continuously looking towards the left and right sides of the visual field?
Hello, Doctor Gao: Recently, I have noticed that under indoor lighting, if I suddenly look from left to right, I see small light spots in my left visual field, along with a sensation similar to an afterimage from staring at the light for a while.
Additionally, if I gaze far to the extreme right or left for a period, I experience a feeling of blurriness and color distortion.
Could these two phenomena be related to vitreous detachment or retinal tears or detachments? I have a family history of high myopia and have had floaters since elementary school (though floaters are likely not hereditary).
Currently, my myopia is around -9.00 diopters in both eyes, and it hasn't increased for a while, but I haven't had an eye examination in a year.
Jeter, 10~19 year old female. Ask Date: 2020/10/27
Dr. Gao Pilin reply Ophthalmology
Hello Jeter: This phenomenon does not appear to be vitreous detachment or retinal tear or detachment.
It is recommended that you visit an ophthalmologist for a dilated eye examination to assess your condition.
In Taiwan, the ophthalmology department at Puzi Hospital is available: 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 a reference; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin
Reply Date: 2020/10/27
More Info
Hello! Thank you for your question regarding the visual phenomena you are experiencing, particularly the light spots and blurriness when moving your gaze. Based on your description, it seems that you are encountering two distinct visual effects: the perception of small light spots and the blurriness or color changes when you move your eyes rapidly to the extremes of your visual field.
Understanding the Visual Phenomena
1. Light Spots and Afterimages: The small light spots you see when you quickly shift your gaze from one side to another could be related to several factors. One possibility is that these are afterimages, which occur when the photoreceptors in your retina (the cells that detect light) become temporarily overstimulated. When you look at a bright light source for a period and then shift your gaze, the receptors may still be firing, creating a lingering visual impression of that light. This is a common phenomenon and is generally not a cause for concern unless it is accompanied by other symptoms.
2. Blurriness and Color Changes: The blurriness and color changes you experience when looking to the extremes of your visual field may be related to the way your eyes and brain process visual information. When you move your eyes rapidly, the brain may not immediately adjust to the new visual input, leading to temporary blurriness. Additionally, if you have high myopia (nearsightedness) and floaters (which you mentioned), these can contribute to visual disturbances, especially in low-light conditions or when your eyes are under strain.
Potential Concerns
Given your history of high myopia and floaters, there is a possibility that these visual phenomena could be related to more serious conditions such as vitreous detachment or retinal issues. Vitreous detachment occurs when the gel-like substance in the eye (the vitreous) begins to pull away from the retina. This can lead to symptoms such as flashes of light, floaters, or even visual disturbances like the ones you described. Retinal tears or detachments can also present with similar symptoms and are considered medical emergencies.
Recommendations
1. Eye Examination: Since you have not had an eye examination in over a year, it is highly advisable to schedule an appointment with an eye care professional. They can perform a comprehensive eye exam, including a dilated fundus examination, to assess the health of your retina and vitreous. Given your history of high myopia and floaters, regular check-ups are crucial to monitor any changes.
2. Monitoring Symptoms: Pay attention to any changes in your symptoms. If you experience a sudden increase in floaters, flashes of light, or a shadow or curtain effect in your vision, seek immediate medical attention. These could be signs of retinal detachment, which requires prompt treatment.
3. Managing Eye Health: Maintaining good eye health is essential, especially with high myopia. Ensure you are protecting your eyes from excessive strain, taking regular breaks from screens, and considering proper lighting in your environment. Staying hydrated and eating a balanced diet rich in vitamins A, C, and E can also support eye health.
Conclusion
In summary, while the phenomena you are experiencing may be related to normal visual processing, they could also indicate underlying issues associated with your high myopia and floaters. A thorough examination by an eye care professional is essential to rule out any serious conditions and to ensure your visual health is being properly managed. Please do not hesitate to reach out to a specialist for further evaluation. Take care!
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