Visual Shadows: Causes and When to Seek Help - Ophthalmology

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Visual field scotoma


Hello doctor, today I went to the store to purchase some items and upon returning home (after squatting and turning), I noticed a distinct straight line and a square-shaped shadow appearing when I blink.
The shadow becomes clearer when I blink, and gradually fades away when I don't blink.
After resting for about fifteen minutes, the symptoms disappeared.
However, I am still concerned and would like to ask if this is a serious issue.
Thank you.

Niming, 20~29 year old female. Ask Date: 2021/05/26

Dr. Gao Pilin reply Ophthalmology


Hello: Symptoms that disappear are usually less serious, and you can observe them.
If they do not reappear, it should be fine.
However, if they occur again, you should seek medical attention for an examination.
Online responses can only serve as a reference; it is essential to visit a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2021/05/26

More Info


Visual disturbances, such as the shadows or shapes you described, can be concerning, especially when they appear suddenly or change with eye movements. Based on your description, it seems like you experienced transient visual phenomena that could be related to several factors, including fatigue, eye strain, or even changes in the vitreous gel inside the eye.

When you mentioned seeing a straight line and a square shape that became clearer with blinking, this could be indicative of a few things. One possibility is that you are experiencing a form of visual afterimage or a phenomenon related to the way your eyes and brain process visual information. Afterimages occur when the photoreceptors in your retina become temporarily desensitized after prolonged exposure to a bright light or a specific visual stimulus. When you blink, the change in focus and the refresh of your visual field can make these afterimages more pronounced.

Another consideration is the possibility of visual floaters or flashes, which are often caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age or due to certain activities, the vitreous can become more liquid and pull away from the retina, leading to the perception of shadows or shapes. These are usually harmless, but if they are accompanied by other symptoms such as flashes of light or a sudden increase in floaters, it could indicate a more serious condition, such as a retinal tear or detachment.

Given that your symptoms resolved after resting for about fifteen minutes, it suggests that they may have been related to temporary eye strain or fatigue. This is common, especially if you have been engaging in activities that require intense focus, such as reading or using a computer. The phenomenon you experienced could also be exacerbated by environmental factors, such as lighting conditions or glare.

However, it is essential to take any new or unusual visual symptoms seriously. While your symptoms may not indicate a severe issue, it is always wise to consult with an eye care professional for a comprehensive examination, especially if you have a history of eye problems or if the symptoms recur. An eye doctor can perform tests to evaluate your vision and the health of your eyes, ensuring that there are no underlying conditions that need to be addressed.

In summary, while your experience may not be indicative of a severe problem, it is crucial to monitor your symptoms and seek professional advice if they persist or worsen. Regular eye check-ups are essential for maintaining eye health, especially if you notice any changes in your vision. Taking breaks during prolonged visual tasks, ensuring proper lighting, and practicing good eye hygiene can also help reduce the likelihood of experiencing similar symptoms in the future.

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