Seeing Grid Patterns Upon Waking: What Could It Mean? - Ophthalmology

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Seeing grids upon waking up with eyes open?


Hello, doctor.
For the past two days, when I wake up and open my eyes, I see a small image resembling a grid (like a tic-tac-toe board) on the ceiling, which disappears after a while.
What could be the reason for this?

Māomī, 20~29 year old female. Ask Date: 2022/12/31

Dr. Gao Pilin reply Ophthalmology


Hello: It's difficult to determine the cause.
It could be an afterimage from the eyes; pay attention to see if there are objects in your home with similar shapes.
It may also be a phenomenon known as floaters.
If it continues to occur, it would be advisable to get it checked.

Reply Date: 2022/12/31

More Info


Seeing grid patterns or visual disturbances upon waking can be concerning and may indicate several underlying conditions. The phenomenon you are describing, where you see a grid-like pattern that resembles a graph paper or a tic-tac-toe board, is known as a visual aura. This can occur for various reasons, and understanding the potential causes is essential for determining the appropriate course of action.

One common cause of seeing grid patterns is related to migraine aura. Migraines can present with visual disturbances that may include zigzag lines, flashing lights, or patterns like the one you described. These visual symptoms typically precede a migraine headache but can also occur without a headache. If you have a history of migraines, this could be a likely explanation.

Another possibility is related to a condition known as visual snow syndrome, where individuals perceive a persistent visual disturbance that can include patterns, static, or grid-like visuals. This condition is still being researched, and its exact cause is not fully understood, but it can be quite distressing for those who experience it.

Additionally, transient visual disturbances can occur due to changes in blood flow to the eyes or brain upon waking. This can happen if you change positions quickly or if there is a temporary drop in blood pressure. In some cases, these disturbances may be benign and resolve quickly, but they can also be indicative of more serious conditions, such as retinal issues or neurological disorders.

Given that you mentioned this has occurred for the past two days upon waking, it is advisable to consult with a healthcare professional, preferably an ophthalmologist or a neurologist. They can perform a thorough examination, including a visual field test and possibly imaging studies, to rule out any serious underlying conditions.

In the meantime, it may be helpful to keep a diary of your symptoms, noting when they occur, how long they last, and any associated symptoms (such as headaches, dizziness, or changes in vision). This information can be valuable for your healthcare provider in making an accurate diagnosis.

In summary, while seeing grid patterns upon waking can be benign, it is essential to take these symptoms seriously, especially if they persist or worsen. Consulting with a medical professional will help ensure that any potential underlying issues are addressed promptly and appropriately. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek medical advice.

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