Seeing Yellow Web-Like Patterns: Eye Health Concerns Explained - Ophthalmology

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The eyes can faintly see a yellowish web-like structure?


Hello, Doctor Gao.
I am currently facing the following situation and would appreciate your advice or answers.
I recently noticed that when I stare at a white background (such as a wall or a blank computer screen) for about five to ten seconds, I can vaguely see a yellowish web-like pattern, somewhat resembling a spider web or blood vessels, and this occurs in both eyes.
However, after having my eyes examined, my prescription (left eye -500, right eye -400) and astigmatism (250/100) were found to be normal.
Additionally, I underwent tests for intraocular pressure, fundus examination, fundus photography, and ocular OCT, all of which did not reveal any issues.
I previously had two laser treatments for a retinal tear in my left eye and have a history of visual snow syndrome; I wonder if there is any connection.
Despite searching online, I couldn't find relevant information.
I would like to ask if this could be related to neurological or brain issues.
Although it does not significantly affect my daily life, seeing it every day makes me feel uncomfortable.
Therefore, I hope you can provide some suggestions on whether I should seek further evaluation at a larger hospital or consult other specialties.
Thank you!

Dà Pèi, 20~29 year old female. Ask Date: 2022/08/11

Dr. Gao Pilin reply Ophthalmology


Hello, Da Pei: Essentially, this should not be a neurological or brain issue; it is likely due to vitreous degeneration, commonly known as floaters.
Vitreous degeneration can lead to fibrosis, resulting in the perception of thread-like or web-like structures.
All necessary examinations have been conducted, and if the results are normal, you can be reassured.

Reply Date: 2022/08/11

More Info


Seeing yellow web-like patterns in your vision can be concerning, especially when it occurs consistently against a white background. Based on your description, it seems you are experiencing a phenomenon that is often associated with the vitreous humor in the eye. This condition is commonly referred to as "floaters" or "visual snow," and it can manifest as various shapes, including webs or strands that may resemble spider webs or blood vessels.

Given that you have already undergone a comprehensive eye examination—including tests for visual acuity, intraocular pressure, fundus examination, fundus photography, and optical coherence tomography (OCT)—and that these tests returned normal results, it is reassuring that there are no immediate signs of serious eye conditions such as retinal detachment or significant vitreous hemorrhage. The fact that you have a history of retinal issues, such as a retinal tear treated with laser therapy, does warrant some caution, but it does not necessarily indicate that your current symptoms are related to those past issues.

The yellow web-like patterns you are seeing could be attributed to a few potential causes:
1. Vitreous Degeneration: As we age, the vitreous gel that fills the eye can undergo changes, leading to the formation of floaters. These floaters can cast shadows on the retina, which may appear as web-like patterns, especially when looking at a bright background.

2. Visual Snow Syndrome: This is a neurological condition where individuals perceive visual disturbances, including persistent flickering or static-like patterns, even in well-lit environments. While it is less common, it could be a consideration if your symptoms persist.

3. Eye Fatigue: Prolonged screen time or focusing on bright backgrounds can lead to eye strain, which may exacerbate the perception of floaters or other visual disturbances. Ensuring that you take regular breaks and practice the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help alleviate some of this strain.

4. Psychological Factors: Anxiety or stress can sometimes heighten awareness of visual disturbances, leading to increased discomfort or concern about what you are seeing. It may be beneficial to address any underlying stressors in your life.

Since your symptoms are not currently affecting your daily life significantly, it may not be necessary to seek immediate further evaluation. However, if the symptoms worsen, become more frequent, or if you experience any additional symptoms such as flashes of light, significant vision loss, or changes in your peripheral vision, it would be prudent to return to an eye care professional for further assessment.

In conclusion, while the yellow web-like patterns you are experiencing are likely benign and related to vitreous changes or eye strain, it is essential to remain vigilant. Regular eye examinations and open communication with your eye care provider about any changes in your vision will help ensure your ocular health remains a priority. If you continue to feel uneasy about your symptoms, seeking a second opinion from a retinal specialist or a neuro-ophthalmologist could provide additional peace of mind.

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