When looking at things with only the right eye for an extended period, shadows may appear, but blinking will immediately restore normal vision?
Hello, Doctor.
I have a myopia of -1.75 diopters in both eyes, with astigmatism of -0.75 diopters in the left eye and -1.00 diopters in the right eye.
Recently, I've noticed that when I look at things with my right eye alone, a shadow gradually appears, but it disappears after I blink.
I visited an ophthalmology clinic and had my pupils dilated for an examination.
The doctor said there were no issues with my retina, but did not comment on the macula.
However, when I used the Amsler grid for testing, there was no distortion, although sometimes I notice that straight lines appear slightly curved.
What could this issue be? Thank you for your response, Doctor.
Niming, 10~19 year old female. Ask Date: 2022/06/09
Dr. Gao Pilin reply Ophthalmology
Hello: If blinking helps restore vision, it is likely not a macular issue.
It may be due to uneven distribution of tears, which can worsen astigmatism over time, leading to seeing double images.
When you blink, the moisture on the corneal surface becomes more even, restoring vision.
Reply Date: 2022/06/09
More Info
When it comes to visual disturbances such as shadows or slight distortions in vision, especially when using one eye, there are several potential explanations that can be considered. Based on your description, it seems that you are experiencing a phenomenon that could be related to a few different factors, including the effects of refractive errors, eye fatigue, or even the physiological responses of the eye itself.
Firstly, it's important to understand that the human visual system is quite complex. When you are using one eye, the brain relies solely on the input from that eye, which can sometimes lead to a different perception of visual stimuli compared to using both eyes. The presence of shadows or distortions, especially if they disappear upon blinking, may suggest that there is a temporary issue with the way light is being processed by the retina or how the brain interprets that information.
Given your history of myopia (nearsightedness) and astigmatism, these refractive errors can contribute to visual disturbances. Myopia can cause light to focus in front of the retina, while astigmatism can lead to blurred or distorted vision due to an irregular curvature of the cornea or lens. These conditions can sometimes cause visual artifacts, especially when the eye is tired or strained, which is common with prolonged screen time or close-up work.
Additionally, the phenomenon you describe—seeing shadows that disappear with blinking—could be related to the tear film on the surface of your eye. When you blink, you refresh the tear film, which can temporarily improve clarity and reduce any visual disturbances caused by dryness or irregularities on the corneal surface. This is particularly relevant if you have been spending a lot of time in front of screens, as this can lead to dry eyes and visual discomfort.
Another possibility is that you may be experiencing a form of visual fatigue or strain, often referred to as asthenopia. This condition can manifest as blurred vision, shadows, or distortions, particularly after extended periods of focusing on near objects. It is essential to take regular breaks when using digital devices to reduce eye strain and allow your eyes to rest.
Regarding the examination you underwent, it is reassuring that the doctor found no issues with your retina. However, if there are concerns about the macula (the central part of the retina responsible for sharp vision), it may be worth discussing further tests or evaluations to ensure that there are no underlying conditions affecting your central vision. The fact that you did not notice any distortion on the Amsler grid test is a positive sign, as this test is specifically designed to detect issues with the macula.
In conclusion, while the symptoms you are experiencing may not indicate a serious problem, it is crucial to monitor them closely. If the shadows or distortions persist or worsen, or if you experience any new symptoms such as flashes of light or significant changes in vision, it would be advisable to seek a follow-up appointment with your eye care professional. They may recommend additional tests, such as optical coherence tomography (OCT), to get a clearer picture of the health of your macula and overall retinal structure. In the meantime, ensure you are practicing good eye hygiene, taking breaks from screens, and considering the use of lubricating eye drops if dryness is an issue.
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