Floaters and astigmatism issues?
Hello Doctor, I am currently in the ninth grade and have been experiencing floaters and monocular diplopia for several months.
However, there is one thing that has been bothering me: whenever I look at a light bulb or any light source, I see the light extending downward.
It resembles astigmatism, but my vision test did not indicate any astigmatism.
The light appears white, and I can clearly see the floaters within the extended light.
They can take the form of dots, lines, or clumps, and they are very distinct! When I look at a fluorescent light tube, it appears as a long rectangle extending downward, and I can see all the floaters clearly within that rectangle.
It’s somewhat similar to the circular light projection seen when there are water droplets on the eye, but it is elongated.
Additionally, this symptom becomes less noticeable when I widen my eyes, but it becomes very apparent when I relax my eyes or squint.
I have searched online but found no information regarding this type of light extension.
I feel very helpless.
I used to spend a long time using my phone in the dark, and this symptom appeared afterward.
I hope you can help me identify the source of this problem.
Thank you!
Mr. Zhang, 10~19 year old female. Ask Date: 2021/03/17
Dr. Gao Pilin reply Ophthalmology
Hello Mr.
Chang: This situation is likely an optical effect caused by the eyelashes, which everyone experiences.
When you open your eyes wide, this phenomenon should not occur as the eyelashes will interfere less.
Please rest assured.
The Ophthalmology Department of Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2021/03/17
More Info
Floaters and light distortion can be concerning symptoms for many individuals, especially when they manifest suddenly or change in intensity. Based on your description, it seems you are experiencing both floaters and a peculiar light distortion effect, particularly when looking at bright light sources. Let’s break down these symptoms and explore their potential causes and implications.
Understanding Floaters
Floaters are small specks or cobweb-like shapes that drift around in your field of vision. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters. While floaters are usually harmless, a sudden increase in their number or changes in your vision can indicate a more serious condition, such as a retinal tear or detachment.
Light Distortion
The light distortion you describe, particularly the elongated shapes or streaks of light when looking at bright sources, could be related to several factors:
1. Visual Phenomena: This could be a type of visual distortion known as "light scatter," which can occur due to imperfections in the eye's lens or cornea. It might also be related to the way light interacts with the floaters themselves.
2. Refractive Errors: Although you mentioned that your vision test did not indicate astigmatism (a common cause of light distortion), it’s still possible that other refractive issues could be at play. Sometimes, even minor changes in the eye's structure can lead to noticeable visual effects.
3. Eye Strain: Prolonged use of screens, especially in low-light conditions, can lead to eye strain, which may exacerbate visual distortions. This could explain why you notice the symptoms more when your eyes are relaxed or squinted.
4. Migraine Aura: In some cases, visual disturbances can be associated with migraine auras, which can occur with or without a headache. These auras can manifest as light distortions, zigzag patterns, or even temporary vision loss.
Recommendations
Given your symptoms, here are some steps you can take:
1. Consult an Eye Specialist: It’s crucial to see an ophthalmologist or optometrist for a comprehensive eye examination. They can assess the health of your retina and vitreous and determine if there are any underlying issues that need to be addressed.
2. Monitor Symptoms: Keep a record of when the symptoms occur, their duration, and any associated activities (like using your phone in the dark). This information can be helpful for your eye care provider.
3. Limit Screen Time: If you suspect that prolonged screen use is contributing to your symptoms, try to take regular breaks and ensure you are in well-lit environments.
4. Protect Your Eyes: Wearing sunglasses in bright light can help reduce glare and may alleviate some of the light distortion you experience.
5. Stay Informed: While it’s good to research your symptoms, be cautious about self-diagnosing based on online information. Always discuss your findings with a healthcare professional.
Conclusion
Your experience with floaters and light distortion is not uncommon, but it is essential to address these symptoms with a qualified eye care professional. They can provide a thorough evaluation and recommend appropriate treatment or management strategies. Remember, early detection and intervention are key to maintaining good eye health, especially if there are any underlying conditions that need attention.
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