Looking upward?
Hello, Doctor Gao.
I have noticed in the past few days that when I look up with my right eye, it slowly moves to the upper right, and I experience a sensation as if I am looking through water (a circular area).
To describe it, it feels like a camera lens has been splashed with water, creating a distorted view, but it’s not the entire field of vision—just a small circular area that appears obstructed by water (while the area around my eyelids is dry).
Additionally, I need to slightly adjust the angle of my head to see it; even a small change in angle can make it disappear.
When I look straight ahead without tilting my head too much, I don’t notice it, so it seems to be visible only at a specific angle.
I have high myopia and undergo regular dilated eye examinations; my last one was two weeks ago, and the doctor said my retina was fine.
I would like to ask, if the retina is fine, what could be causing the above symptoms? Do I need to undergo further examinations? Thank you.
Niming, 20~29 year old female. Ask Date: 2021/04/15
Dr. Gao Pilin reply Ophthalmology
Hello: Typically, this situation is caused by vitreous liquefaction.
However, we cannot rule out retinal issues, especially in cases of high myopia, which requires more caution.
It is advisable to have an examination for peace of mind.
In Taiwan, the Department of Ophthalmology at Puzi Hospital 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 a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2021/04/15
More Info
The visual distortion you are experiencing, described as seeing through water in a circular area when looking upwards and to the right, can be quite concerning. Given your history of high myopia and the recent examination indicating that your retina is healthy, it’s essential to explore potential causes for these symptoms further.
The phenomenon you are describing could be attributed to several factors. One possibility is the presence of a vitreous detachment or changes in the vitreous gel that fills the eye. In individuals with high myopia, the vitreous gel can undergo liquefaction and separation from the retina, which may lead to visual distortions. This can manifest as seeing wavy lines, blurred areas, or the sensation of looking through water, particularly when the eye is moved in certain directions.
Another potential cause could be related to the cornea or lens of the eye. If there are any irregularities or opacities in these structures, they can also lead to distorted vision. For instance, cataracts or changes in the lens due to age or other factors can create a similar effect. However, since you mentioned that your last examination showed no issues with the retina, it’s less likely that the retina is the source of the problem.
Additionally, the symptoms you describe could be related to a phenomenon known as visual snow or other visual disturbances that can occur in the context of migraines or other neurological conditions. These conditions can cause transient visual distortions that may not necessarily be linked to structural problems in the eye itself.
Given that your symptoms are specific to certain head positions and are not present when looking straight ahead, it may be beneficial to consider the possibility of positional or gaze-dependent visual disturbances. These can sometimes be linked to issues with the eye muscles or the way the brain processes visual information.
While your recent eye examination indicated that your retina is healthy, it is still advisable to follow up with your eye care provider or a specialist. They may recommend additional tests, such as a detailed optical coherence tomography (OCT) scan, to assess the vitreous and retinal structures more closely. Furthermore, if you have not already done so, consulting with a neurologist may also be beneficial, especially if you have a history of migraines or other neurological symptoms.
In summary, while your retina appears to be healthy, the visual distortions you are experiencing warrant further investigation. It is essential to rule out any underlying issues with the vitreous, cornea, or lens, as well as to consider potential neurological factors. Keeping a detailed log of your symptoms, including when they occur and any associated factors, can also provide valuable information for your healthcare provider. Remember, timely follow-up is crucial in managing any eye-related concerns, especially with a history of high myopia.
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