Circular Shadows in Bright Light: An Eye Health Inquiry - Ophthalmology

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Questions Under Bright Light


Hello doctor, when I work under the bright sun, if I stare at a white wall or look down at a white floor, I see a round shadow in my vision, but within that shadow, there appears to be something flowing (it stays in the same spot that I am looking at).
Unlike floaters, which drift around, this phenomenon only occurs in bright sunlight.
When I am not in the sun, it does not happen.
I have had a fundus examination, and the report indicated some mild floaters.
I would like to ask the doctor what this phenomenon is.

weifeng, 10~19 year old female. Ask Date: 2021/05/31

Dr. He Jianxian reply Ophthalmology


Based on your description, it seems more likely that this is related to floaters.
If you have undergone a dilated fundus examination and there were no issues, you probably don't need to be overly concerned about this phenomenon.
Dr.
He Jian-xian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2021/05/31

More Info


The phenomenon you are experiencing, where you see circular shadows or patterns in bright light, particularly when looking at a white wall or floor, can be attributed to several factors related to eye health and physiology. This condition is often linked to the way our eyes react to bright light and the presence of certain visual disturbances, such as floaters.

Firstly, the circular shadows you describe could be a result of the way light interacts with the structures in your eye. When you are in bright sunlight and focus on a bright surface, your pupils constrict to limit the amount of light entering the eye. This constriction can sometimes lead to visual phenomena as your retina adjusts to the sudden influx of light. The "flowing" effect you see within the circular shadow may be related to the movement of the vitreous gel in your eye, which can create the appearance of shadows or shapes, especially in bright conditions.

The presence of floaters, which you mentioned in your eye examination, is also relevant here. Floaters are tiny clumps of gel or cells that float in the vitreous humor, the clear gel that fills the space between the lens and the retina. They can cast shadows on the retina, particularly when you are looking at a bright background. This is why you may notice them more prominently against a white wall or floor. While floaters are generally harmless, they can be more noticeable in certain lighting conditions, especially if you have a higher degree of myopia (nearsightedness), as the vitreous gel can undergo changes more readily in those with high myopia.

Moreover, the fact that you do not experience these shadows in darker conditions suggests that they are indeed related to the way your eyes are processing light. In low-light situations, your pupils dilate, allowing more light to enter, which can reduce the contrast between the floaters and your visual field, making them less noticeable.

It is also important to consider that visual disturbances can be exacerbated by eye strain or fatigue, especially if you are working in bright conditions for extended periods. If you find yourself squinting or straining to see in bright light, it could lead to temporary visual disturbances.

While your eye examination showed some floaters and no significant issues, it is always wise to keep an eye on any changes in your vision. If the circular shadows become more pronounced, or if you experience other symptoms such as flashes of light, sudden increases in floaters, or changes in your peripheral vision, it is crucial to seek further evaluation from an eye care professional. These could be signs of more serious conditions, such as retinal detachment, which requires immediate attention.

In summary, the circular shadows you see in bright light are likely related to the interaction of light with the structures in your eye, particularly in the context of floaters and the way your eyes adapt to different lighting conditions. If you have ongoing concerns or if your symptoms change, do not hesitate to consult with your eye doctor for further assessment and peace of mind. Regular eye check-ups are essential, especially for individuals with high myopia, to monitor any potential changes in eye health.

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