Visual Persistence: Causes and Concerns in Eye Health - Ophthalmology

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Visual persistence


Hello doctor, I have recently been experiencing more severe visual persistence.
For example, when I look at streetlights at night, I still see bright spots for about 5 seconds after I look away.
Could this be due to some underlying issue? Is it related to the retina? Thank you, doctor.

Ya Ya, 10~19 year old female. Ask Date: 2022/03/13

Dr. Gao Pilin reply Ophthalmology


Hello, Duck: When the eyes are exposed to light stimulation, the photopigments in the retina are rapidly broken down.
During the recovery process, afterimages may occur, which is a normal physiological phenomenon.

Reply Date: 2022/03/13

More Info


Visual persistence, also known as afterimages, can be a perplexing phenomenon, especially when it becomes more pronounced or bothersome. It occurs when the eye continues to perceive a visual stimulus even after it has been removed. This can happen for various reasons, and understanding the underlying causes is crucial for addressing any concerns regarding eye health.

One common cause of visual persistence is the overstimulation of photoreceptors in the retina. When you look at a bright light source, such as a street lamp at night, the photoreceptors (rods and cones) in your retina can become temporarily desensitized. When you shift your gaze away from the light, the photoreceptors may still be sending signals to your brain, resulting in the perception of a lingering image or bright spot. This is particularly common in low-light conditions, where the contrast between bright lights and dark surroundings is more pronounced.

Another potential cause could be related to the health of your retina. Conditions such as retinal detachment, macular degeneration, or other retinal disorders can lead to visual disturbances, including afterimages. If you have a history of eye problems or if you experience other symptoms such as flashes of light, sudden vision changes, or a curtain-like shadow in your vision, it is essential to seek immediate medical attention from an eye care professional.

Additionally, visual persistence can sometimes be linked to neurological factors. The brain processes visual information, and if there is a disruption in this processing—whether due to fatigue, stress, or other neurological conditions—it can lead to unusual visual experiences. For instance, if you are experiencing significant eye strain from prolonged screen time or inadequate lighting while reading, this could contribute to visual fatigue and the sensation of afterimages.

In your case, since you mentioned that this phenomenon has become more severe recently, it would be prudent to consult with an eye care specialist. They can perform a comprehensive eye examination, including tests for visual acuity, retinal health, and overall eye function. This will help rule out any underlying conditions that may be contributing to your symptoms.

In the meantime, consider implementing some eye care practices to alleviate potential strain. The 20-20-20 rule is a helpful guideline: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce eye fatigue and improve overall comfort. Additionally, ensure that your workspace is well-lit and that you are using appropriate eyewear, especially if you have a prescription for glasses or contact lenses.

If your symptoms persist or worsen, or if you notice any additional concerning signs, such as changes in your peripheral vision or difficulty seeing in low light, do not hesitate to seek further evaluation. Early detection and intervention are key to maintaining optimal eye health and preventing potential complications.

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