Common Eye Issues: Blackout Sensations and Screen Clarity - Ophthalmology

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Eye problems


Hello, Doctor Gao:
1.
I apologize for asking two questions.
Is it normal to experience a sensation of a white light within the darkness when closing or covering the eyes? (This feeling is different from the flashes or sudden appearances associated with retinal detachment that I found online.)
2.
Why do I sometimes feel that the entire screen is bright and the text appears somewhat blurry when looking at my phone or computer, especially on websites with a white background and black text? However, I do not experience this when reading regular books.
Thank you for your response.

Niming, 30~39 year old female. Ask Date: 2022/02/01

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Even with closed eyes, any slight light can still stimulate the retina, causing it to discharge and produce visual sensations.
Phosphenes are another reason for this, and it is a physiological phenomenon.
2.
This phenomenon occurs because screens are backlit, while books rely on ambient light.

Reply Date: 2022/02/01

More Info


Hello! Thank you for your questions regarding common eye issues, particularly concerning blackout sensations and screen clarity. Let’s address each of your concerns in detail.

1. Blackout Sensations with a Hint of White: It is not uncommon to experience a sensation of "black with a hint of white" when your eyes are closed or covered. This phenomenon can be attributed to the way our visual system processes light and darkness. When your eyes are closed, the retina is still somewhat active, and you might perceive light or patterns due to the residual activity of the photoreceptors in your eyes. This is different from the symptoms associated with retinal detachment, such as flashes of light or sudden dark spots, which are more alarming and require immediate medical attention. If you are not experiencing any other symptoms, such as persistent flashes of light or significant vision changes, this sensation is generally considered normal. However, if you have concerns or if the sensation changes, it’s always best to consult with an eye care professional for a thorough examination.

2. Screen Clarity Issues: The experience of seeing a bright or "glowy" screen, especially with white backgrounds and black text, can be attributed to several factors. One common cause is digital eye strain, also known as computer vision syndrome. This condition arises from prolonged screen time, leading to symptoms such as blurred vision, dry eyes, and discomfort. The brightness of screens, particularly with high contrast settings (like white backgrounds), can cause glare, making it difficult for your eyes to focus properly.
Additionally, the phenomenon of seeing text as slightly blurred or "glowy" may be related to the way your eyes adjust to different lighting conditions. When looking at screens, especially in dim environments, your pupils dilate to let in more light, which can sometimes lead to a perception of halos or blurriness around text. This is less common when reading printed materials, as the contrast and lighting conditions are typically more favorable for our eyes.

To alleviate these issues, consider the following tips:
- Adjust Screen Settings: Lower the brightness of your screen and increase the contrast to reduce glare. You can also try using a blue light filter, which can help reduce eye strain.


- Take Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps to relax your eye muscles and reduce fatigue.

- Maintain Proper Distance: Ensure that your screen is at a comfortable distance (about an arm's length) and at eye level to minimize strain.

- Stay Hydrated: Keep your eyes moist by blinking frequently and using artificial tears if necessary, especially if you experience dryness.

- Consult an Eye Care Professional: If these symptoms persist or worsen, it’s advisable to seek a comprehensive eye examination. An eye care professional can assess your vision and screen habits and provide personalized recommendations.

In summary, while the sensations you describe can be common and often benign, it’s crucial to monitor your symptoms and seek professional advice if you notice significant changes or if your discomfort continues. Taking proactive steps to care for your eyes, especially in our screen-dominated world, can help maintain your visual health. Thank you for your questions, and I hope this information helps clarify your concerns!

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