Blurry Vision: Causes and Concerns for Eye Health - Ophthalmology

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Blurred vision


Hello, I have myopia of -3.50 diopters and astigmatism ranging from -2.75 to over -3.00 diopters (I’m not sure why the astigmatism measurements sometimes vary; isn’t the degree of astigmatism supposed to remain relatively stable?).
I have had floaters since childhood, but about two years ago, one morning I suddenly noticed a significant increase in the number of floaters.
When looking at the sky, the small black dots seemed to almost cover the entire view.
Within a few hours, I gradually lost the ability to see lighter-colored objects, and I could not see writing done with a pencil at all.
The black printed text appeared faded and blurry, and even entire lines of text seemed to disappear, leaving only the background visible.
Other objects appeared as if there was a layer of white mist obstructing my entire field of vision, with colors looking very pale and outlines blurred, as if a strong beauty filter had been applied.
The lighting also appeared foggy and unclear.
However, aside from the inability to see clearly, I did not experience any other discomfort.
I wondered if it could be retinal detachment (I heard from adults that I had laser treatment on my retina as a child).
I was very afraid of going completely blind but did not dare to tell anyone.
Initially, I thought it might be due to disinfectants used nearby that day, but other disinfection events did not have the same effect, and I have no other underlying health issues.
Closing my eyes to rest and crying did not help at all.
I had not been using screens much at that time.
This foggy vision lasted for about two days but then gradually returned to normal.
During my subsequent routine eye examination, no abnormalities were found, and it has not happened again since then, but I still feel a bit anxious.
Could you please advise what might have caused this situation?

Pingguo, 10~19 year old female. Ask Date: 2022/04/13

Dr. Gao Pilin reply Ophthalmology


Hello, Apple: This could be a phenomenon caused by vitreous degeneration.
When the posterior vitreous detaches, fluid can enter the cavity, leading to temporary blurriness.
It should return to normal afterward.

Reply Date: 2022/04/13

More Info


Hello! Thank you for your detailed question regarding your eye health concerns, particularly about blurry vision, myopia, astigmatism, and the experiences you've had with floaters and visual disturbances. Let's break down your concerns and provide some insights based on current medical knowledge.


Understanding Blurry Vision and Its Causes
Blurry vision can arise from various factors, and in your case, it seems to be associated with your existing myopia (nearsightedness) and astigmatism. Myopia and astigmatism are common refractive errors that can lead to blurred vision. Myopia occurs when the eye is too long relative to its focusing power, causing distant objects to appear blurry. Astigmatism, on the other hand, is caused by an irregular curvature of the cornea or lens, leading to distorted or blurred vision at all distances.


Fluctuating Astigmatism Measurements
You mentioned that the measurements for your astigmatism sometimes vary. This can happen for several reasons:
1. Measurement Technique: Different instruments or techniques used during eye exams can yield slightly different results. For instance, subjective refraction (where you provide feedback on lens clarity) can lead to variability.

2. Eye Fatigue: If your eyes are tired or strained, it may affect how you perceive the clarity of vision during the exam.

3. Changes in Eye Shape: While astigmatism is generally stable, it can change due to factors like eye health, age, or even temporary conditions like dry eyes.


Floaters and Visual Disturbances
You described experiencing a significant increase in floaters and a temporary loss of vision clarity, which can be alarming. Floaters are typically caused by changes in the vitreous gel inside the eye, which can become more liquid with age or due to other factors. A sudden increase in floaters, especially if accompanied by flashes of light or a curtain-like shadow in your vision, could indicate a more serious condition like retinal detachment. However, since you mentioned that this episode resolved itself and subsequent eye exams showed no abnormalities, it may have been a temporary change in the vitreous or a benign condition.


Potential Causes of Your Symptoms
The symptoms you experienced—such as a foggy vision and difficulty seeing colors—could have been due to several factors:
- Vitreous Changes: Sudden changes in the vitreous can lead to temporary visual disturbances.

- Eye Fatigue: Extended periods of focusing, especially on screens, can lead to visual fatigue, resulting in temporary blurriness.

- Environmental Factors: Exposure to irritants or allergens, such as disinfectants, could also cause temporary discomfort or visual changes.


Recommendations for Eye Health
1. Regular Eye Exams: Continue to have regular check-ups with your eye care professional to monitor your vision and eye health, especially given your history of myopia and floaters.

2. Manage Screen Time: If you spend long hours on screens, consider the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

3. Hydration and Eye Drops: Keeping your eyes hydrated can help alleviate dryness, which may contribute to visual disturbances.

4. Healthy Diet: Incorporating foods rich in antioxidants, such as leafy greens and fish, can support overall eye health.


Conclusion
While your experiences with blurry vision and floaters can be concerning, they are often manageable with proper care and regular monitoring. If you ever experience sudden changes in your vision, such as a significant increase in floaters, flashes of light, or a curtain-like shadow, seek immediate medical attention. Your eye health is paramount, and staying informed about your condition will help you maintain good vision for years to come.

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