Sudden White Spots in Vision: Causes and Concerns - Ophthalmology

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White spot issues in the eyes?


Hello, doctor.
I would like to ask, this afternoon I noticed a small white light spot suddenly appear in my field of vision, and then it disappeared immediately.
This has made me a bit worried about whether there is a problem with my eyes.
Could you please let me know if there is an issue with my eyes? Thank you!

Niming, 20~29 year old female. Ask Date: 2021/06/02

Dr. Gao Pilin reply Ophthalmology


Hello: Please pay attention to this matter.
If it occurs again and frequently, it is best to seek medical examination.
If it does not happen again, there should be no concern.
Online responses can only serve as a reference; if necessary, it is still important to visit a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2021/06/02

More Info


Hello! Thank you for reaching out with your concern about the sudden appearance of small white spots in your vision. This phenomenon can be alarming, but it's important to understand that there are various potential causes, some of which are benign while others may require further investigation.

The appearance of small white spots or flashes of light in your vision can be attributed to several factors:
1. Visual Snow Syndrome: This condition is characterized by the perception of tiny flickering dots or "snow" in the visual field, often more noticeable against a plain background. While the exact cause is not fully understood, it is generally considered benign.

2. Posterior Vitreous Detachment (PVD): As we age, the vitreous gel inside the eye can shrink and pull away from the retina. This can lead to the perception of flashes or spots of light. PVD is common and usually not serious, but it can sometimes lead to complications like retinal tears or detachment.

3. Migraine Aura: Some individuals experience visual disturbances, including spots or flashes of light, as part of a migraine aura. This can occur with or without a headache and typically resolves within 30 minutes to an hour.

4. Retinal Issues: Sudden changes in vision, such as the appearance of white spots, can sometimes indicate more serious conditions affecting the retina, such as retinal tears or detachment. These conditions require prompt medical attention to prevent permanent vision loss.

5. Ocular Migraines: Similar to migraine aura, ocular migraines can cause temporary visual disturbances, including spots or flashes of light, without the headache component.

6. Stress or Fatigue: High levels of stress or fatigue can sometimes lead to visual disturbances. If you have been under significant stress or have not been sleeping well, this could be a contributing factor.

Given your description of the sudden appearance of white spots that quickly disappear, it is essential to monitor the situation. Here are some recommendations:
- Keep a Record: Note when the spots occur, how long they last, and any accompanying symptoms (such as headaches, dizziness, or changes in vision). This information can be helpful for your healthcare provider.

- Avoid Eye Strain: Ensure you take regular breaks from screens and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Consult an Eye Care Professional: If the spots persist, increase in frequency, or are accompanied by other symptoms (like flashes of light, a curtain-like shadow in your vision, or significant headaches), it is crucial to see an eye care professional. They can perform a comprehensive eye examination, including dilated fundus examination and possibly imaging studies, to rule out any serious conditions.

In conclusion, while the sudden appearance of white spots in your vision can be concerning, many potential causes are benign. However, it is always best to err on the side of caution and consult with an eye care professional if you have any doubts or if your symptoms change. Your eye health is important, and regular check-ups can help ensure that any potential issues are addressed promptly. Take care!

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