Wavy Vision Distortion in High Myopia Patients - Ophthalmology

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Wavy vision distortion, particularly in individuals with high myopia, can be a perplexing symptom that warrants careful consideration. Given your description of experiencing visual distortions, especially in bright light and when moving your head, it is essential to explore the underlying mechanisms that could contribute to these sensations.

High myopia, or severe nearsightedness, is associated with various structural changes in the eye, particularly in the retina and vitreous body. The vitreous is a gel-like substance that fills the eye and is attached to the retina. In high myopia, the vitreous can undergo changes such as liquefaction and posterior vitreous detachment (PVD). These changes can lead to visual disturbances, including the perception of wavy or distorted vision. The phenomenon you describe, where the distortion is more pronounced in bright light and specific environments, could be related to how light interacts with the altered vitreous and retinal structures.

The presence of wavy vision, especially near the blind spot, may also indicate that the visual processing in your brain is being affected by the structural changes in your eye. When you move your head, the relative motion between the vitreous and the retina can create a sensation of distortion, akin to the ripples on the surface of water. This effect can be exacerbated in well-lit environments where contrasts are more pronounced, making the distortions more noticeable.

It is also worth noting that the perception of visual distortions can be influenced by the surrounding environment. For instance, in indoor settings with walls and defined edges, the brain may interpret the visual input differently compared to an open outdoor space, where the visual field is less cluttered. The brain's visual processing centers may struggle to reconcile the input from your eyes, especially if there are discrepancies caused by the structural changes in your eye.

While your examinations have ruled out significant retinal issues, such as tears or detachments, and glaucoma, it is still crucial to monitor your symptoms closely. If the visual distortions persist or worsen, further evaluation by a specialist in retinal diseases or a neuro-ophthalmologist may be warranted. They can provide a more comprehensive assessment of your visual system and determine if additional imaging or tests are necessary.

In summary, the wavy vision distortion you are experiencing is likely related to the structural changes associated with high myopia, particularly involving the vitreous and its interaction with the retina. The symptoms may be more pronounced in certain lighting conditions and environments due to the way your brain processes visual information. Continued monitoring and consultation with an eye care professional are essential to ensure that any potential underlying issues are addressed promptly.