Seeing a web-like pattern when opening your eyes?
Hello Doctor, I would like to ask you about something.
Recently, when I wake up in the middle of the night to go to the bathroom and open my eyes, I occasionally see something like a net in front of me, but it only lasts for a moment before disappearing.
I already have floaters, and I want to know if this is a form of floaters.
Since this is a new symptom that has appeared recently, do I need to have a dilated eye exam? (I had a regular check-up a few months ago.) Thank you, Doctor.
Wendy, 20~29 year old female. Ask Date: 2022/09/07
Dr. Gao Pilin reply Ophthalmology
Hello Wendy: This is likely also a case of floaters.
If there are no other symptoms, you can continue to observe.
Reply Date: 2022/09/07
More Info
Seeing web-like patterns at night, especially when you have a history of floaters (known as "myodesopsia"), can indeed be concerning. Floaters are typically caused by changes in the vitreous gel inside the eye, which can lead to the perception of small spots, strands, or cobweb-like shapes drifting in your field of vision. These are generally harmless, but they can be bothersome, particularly in low-light conditions.
The phenomenon you describe—seeing web-like patterns when you wake up at night—could be related to your existing floaters. When you are in a dark environment, your pupils dilate to allow more light in, which can make floaters more noticeable. The contrast between the dark background and the floaters can enhance their visibility, leading to the perception of these web-like patterns. Additionally, the transient nature of these patterns, where they appear and then quickly disappear, aligns with the behavior of floaters, which can shift position as the eye moves.
However, it is essential to consider that any new or changing visual symptoms warrant careful evaluation. While your recent eye examination showed no issues with your retina, the emergence of new symptoms could indicate changes that may need further investigation. Conditions such as retinal tears or detachments can also present with similar visual disturbances, although they are typically accompanied by other symptoms such as flashes of light or a sudden increase in floaters.
Given your history of floaters and the recent changes in your visual experience, it would be prudent to consult with an eye care professional. A dilated eye exam (scatter examination) can help assess the health of your retina and vitreous more thoroughly. This examination allows the doctor to look for any signs of retinal tears, detachments, or other abnormalities that may not have been present during your last check-up.
In addition to the above, it’s worth noting that certain factors can exacerbate the perception of floaters. Stress, fatigue, and even dehydration can influence your visual perception. Maintaining good hydration, managing stress levels, and ensuring you get adequate rest may help reduce the frequency or intensity of these visual disturbances.
In summary, while the web-like patterns you are experiencing could be related to your existing floaters, it is essential to monitor these symptoms closely. If they persist or worsen, or if you experience any additional symptoms such as flashes of light or a sudden increase in floaters, seek immediate medical attention. Regular eye examinations are crucial, especially for individuals with a history of floaters, to ensure that any potential complications are addressed promptly.
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