Temporary Vision Changes After Turning Off Lights - Ophthalmology

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After turning off the left eye


Hello Doctor, last night before bed, after I turned off the bedside lamp (on the left side of the bed), my left eye (from the center to the lower right) felt like it was covered with a cloth, and the vision was significantly darker compared to my right eye, making it hard to see clearly.
However, when I woke up today, everything was normal again.
I would like to ask if this is related? I had a fundus examination a month ago that was normal, and I experienced slight dilation about 5 minutes before turning off the light.
Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2021/08/17

Dr. Gao Pilin reply Ophthalmology


Hello: It may be due to the desk lamp's illumination that more and stronger light is entering the left eye, while the right eye might be partially obstructed and not receiving the light from the lamp.
When the retina that is exposed to light is no longer stimulated by it after turning off the light, it can create a sensation of darkness, which explains this phenomenon.
Please continue to observe the situation.
Online responses should only be considered as references; if necessary, it is important to seek medical attention at a healthcare facility.
Gao Pilin

Reply Date: 2021/08/17

More Info


Temporary vision changes, such as the phenomenon you experienced after turning off the lights, can be attributed to several factors related to how our eyes adapt to different lighting conditions. It's important to understand that our eyes are constantly adjusting to varying levels of light, and this adaptation process can sometimes lead to temporary visual disturbances.

One possible explanation for your experience is related to the pupil's response to light. When you turned off the light, your pupils would have dilated to allow more light to enter the eye in the darker environment. If you had been exposed to bright light prior to turning off the lamp, your eyes might have still been adjusting to the sudden change in light levels. This adjustment can sometimes cause temporary blurriness or a feeling of darkness in one eye, especially if there is any asymmetry in how your eyes respond to light.

Another factor to consider is contrast sensitivity. In low-light conditions, our ability to perceive contrast decreases, which can make one eye appear less clear than the other. If you had been focusing on a particular object before turning off the light, your brain might have been more attuned to the visual input from your right eye, leading to a temporary imbalance in visual perception when the light was turned off.

Additionally, since you mentioned that you had some dilation of your pupils prior to turning off the light, this could have contributed to your experience. Dilation can temporarily affect how well you see in low-light conditions, as it changes the way light is processed by the retina. If your left eye was more affected by the dilation or had a slight difference in refractive error compared to your right eye, this could explain why you perceived a significant difference in clarity.

It's also worth noting that fatigue or strain on the eyes can lead to temporary visual disturbances. If you had been reading or focusing on something for an extended period before bed, your eyes might have been fatigued, which can exacerbate any existing differences in vision between your two eyes.

Given that you had a normal eye examination a month ago, it is reassuring that there are no underlying issues detected at that time. However, if you continue to experience these temporary vision changes, or if they become more frequent or severe, it would be wise to consult with an eye care professional for a thorough evaluation. They can assess for any potential issues such as retinal problems, optic nerve health, or other conditions that might contribute to these symptoms.

In summary, the temporary vision changes you experienced after turning off the lights could be due to a combination of pupil response, contrast sensitivity, and eye fatigue. These are generally benign and can occur in healthy individuals, especially in varying light conditions. However, maintaining regular eye check-ups and being attentive to any persistent changes in your vision is essential for ensuring long-term eye health.

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