Visual Disturbances: What Causes Floating Light Spots? - Ophthalmology

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Eye problems


Hello, doctor: I have a question to ask you.
Sometimes it seems like I experience visual hallucinations, with many light spots moving around.
What could this be? Thank you.

Xiao Gou, 20~29 year old female. Ask Date: 2003/03/08

Dr. Chen Xuan reply Ophthalmology


A: When there are many spots moving in front of the eyes, it is necessary to differentiate the following conditions: 1.
If it is only temporary (lasting a few seconds to a few minutes): consider it as an aura of a migraine attack, which is usually accompanied by dizziness or even headache after the appearance of the small spots.
2.
If it is a persistent condition (lasting days to months): common causes include vitreous degeneration, vitreous hemorrhage, and uveitis.
Less common but requiring urgent medical attention are retinal tears and retinal detachment.
A detailed medical history and examination should be conducted by an ophthalmologist, potentially leading to a referral to a cornea specialist, Dr.
Chen Hsuan.

Reply Date: 2003/03/08

More Info


Visual disturbances, such as seeing floating light spots or flashes, can be concerning and may indicate various underlying conditions. The phenomenon you describe, where you perceive multiple light spots moving around in your vision, is commonly associated with a condition known as "floaters." Floaters are small specks or clouds that drift through your field of vision, often appearing as dots, lines, or cobweb-like structures. 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 formation of floaters. This process is generally benign and is a common occurrence, especially in individuals over the age of 40. However, if you experience a sudden increase in 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 crucial to prevent potential vision loss.

The light spots you see may also be related to other factors, such as:
1. Migraine Aura: Some individuals experience visual disturbances, including flashing lights or zigzag patterns, as part of a migraine aura. This can occur with or without a headache and may last from a few minutes to an hour.

2. Ocular Migraines: Similar to migraine aura, ocular migraines can cause temporary visual disturbances, including light spots or flashes. These symptoms usually resolve on their own.

3. Retinal Issues: Conditions affecting the retina, such as retinal tears, detachment, or other retinal diseases, can lead to visual disturbances. These conditions require prompt evaluation by an eye care professional.

4. Vitreous Detachment: As mentioned earlier, the vitreous can detach from the retina, leading to the perception of floaters and flashes of light. This is often a normal part of aging but should be monitored for any changes.

5. Eye Strain or Fatigue: Prolonged periods of focusing on screens or reading can lead to eye strain, which may cause temporary visual disturbances, including light spots.

6. Dry Eyes: Poor tear quality or dry eyes can lead to visual disturbances, including the perception of light spots. This is often accompanied by discomfort or a gritty sensation in the eyes.

If you or your friend are experiencing these symptoms, it is essential to consult an eye care professional for a comprehensive eye examination. They can assess the health of your eyes, rule out any serious conditions, and provide appropriate recommendations or treatments.

In summary, while seeing floating light spots can be a common and benign experience, it is crucial to pay attention to any changes in your vision, especially if they are sudden or accompanied by other symptoms. Regular eye exams and open communication with your eye care provider are key to maintaining good eye health and addressing any concerns promptly.

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