Eye Symptoms: Black Spots and Swelling in Your Vision - Ophthalmology

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Hello! Thank you for reaching out with your concerns regarding your eye symptoms. Based on the information you've provided, it seems you are experiencing a combination of eyelid swelling, visual disturbances, and transient visual phenomena, which can understandably be quite alarming.


Eyelid Swelling and Allergies
The swelling of your left eyelid that has been diagnosed as an allergy is not uncommon. Allergic reactions can cause localized swelling, redness, and discomfort. Common allergens include dust, pollen, pet dander, and certain cosmetics. It’s good to hear that you have seen improvement with the prescribed eye drops, but the recurrence of swelling suggests that you may need to identify and avoid the specific allergen triggering your symptoms. If the swelling persists or worsens, consider consulting an allergist for further evaluation and management.


Visual Disturbances: Red Framed Black Spots
The transient visual disturbances you describe, particularly the "red framed black dots" seen upon waking, could be related to several factors. These include:
1. Visual Migraines: These can cause temporary visual disturbances, often described as flickering lights, zigzag patterns, or spots. They typically last for a few minutes and resolve without any lasting effects.

2. Vitreous Floaters: Given your age and the fact that you are myopic (nearsighted), you may be experiencing floaters, which are small clumps of gel or cells inside the vitreous, the clear gel that fills the eye. They can appear as spots, threads, or cobweb-like images, especially in bright light or when looking at a plain background.

3. Retinal Issues: Although your doctor mentioned that your optic nerve appears normal, it’s crucial to rule out any retinal issues, especially since you are experiencing new visual symptoms. Conditions like retinal tears or detachments can present with sudden changes in vision, including flashes of light or new floaters.

4. Ocular Migraines: These can cause temporary visual disturbances, including seeing spots or flashes of light, often accompanied by headache but not always.


Recommendations
1. Follow-Up with an Eye Specialist: Since you are experiencing new symptoms, it’s essential to have a thorough eye examination, including a dilated fundus exam, to assess the retina and vitreous. This will help rule out any serious conditions.

2. Monitor Symptoms: Keep a record of when these visual disturbances occur, their duration, and any associated symptoms (like headaches or changes in vision). This information can be helpful for your eye care provider.

3. Consider Lifestyle Factors: Ensure you are getting enough rest, managing stress, and maintaining a healthy diet. Sometimes, fatigue and stress can exacerbate visual symptoms.

4. Allergy Management: Continue managing your allergies, as they can contribute to eye discomfort and swelling. Over-the-counter antihistamines or prescription medications may help.


Conclusion
While your symptoms may be benign, it’s always best to err on the side of caution when it comes to eye health. Regular check-ups with your eye care provider will help ensure that any potential issues are caught early. If you notice any sudden changes in your vision, such as a sudden increase in floaters, flashes of light, or a curtain-like shadow over your vision, seek immediate medical attention. Your eye health is paramount, and early detection can make a significant difference in outcomes. Wishing you the best in your journey towards clearer vision and comfort!