the Eye Opening in Darkness Phenomenon: Insights from an Eye Specialist - Ophthalmology

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Regarding the phenomenon of opening eyes in the dark?


Hello, Dr.
Gao.
I'm glad that you are still providing consultation services to patients during the New Year.
Thank you.
Last night, while I was sleeping, I suddenly opened my eyes and saw a phenomenon resembling spider webs.
I immediately put on my glasses to check the ceiling and assess whether there were more floaters.
[The result was no increase in floaters.] [My vision is normal in both eyes.] [My left eye has undergone laser treatment, and the scarring is stable.] There were also no frequent flashes or lightning-like phenomena.
[I had a retinal examination last November and December, which was normal.] I just wanted to ask, what could this phenomenon be? Therefore, I came here to seek your advice.

Wanfu, 30~39 year old female. Ask Date: 2023/01/26

Dr. Gao Pilin reply Ophthalmology


Hello: This phenomenon of spider webs is most commonly caused by vitreous degeneration, similar to floaters, but with different shapes.
You can observe it yourself; if there are no other issues, it should not be a concern.

Reply Date: 2023/01/26

More Info


Hello! Thank you for your question regarding the phenomenon of seeing spider web-like patterns or floaters when you suddenly open your eyes in the dark. This experience can be quite concerning, especially for individuals with a history of eye issues, such as myopia or previous laser treatments.

The phenomenon you described is often related to the presence of floaters in the vitreous humor of the eye. Floaters are tiny clumps of gel or cells that drift in the vitreous, the clear gel-like substance that fills the eye. When light enters the eye, these floaters cast shadows on the retina, which can appear as spots, threads, or spider webs. This is particularly noticeable in low-light conditions or when transitioning from darkness to light, as the contrast makes these floaters more apparent.

In your case, since you mentioned that your vision is otherwise normal and that you have had recent eye examinations that showed no significant issues, it is likely that what you are experiencing is benign. The fact that you do not have frequent flashes of light or other concerning symptoms is reassuring. However, it is essential to remain vigilant, especially given your history of laser treatment and high myopia.

When you suddenly open your eyes after being in the dark, your eyes may also be adjusting to the light. This adjustment can cause temporary visual disturbances, including the perception of floaters or other visual artifacts. The retina and the brain need time to adapt to the new lighting conditions, and during this transition, you might notice these phenomena more acutely.

If you are experiencing an increase in the number of floaters or if you notice flashes of light, it is crucial to seek an eye examination promptly. These symptoms can sometimes indicate more serious conditions, such as retinal detachment or vitreous hemorrhage, particularly in individuals with high myopia. Regular check-ups with an eye care professional are essential for monitoring any changes in your vision, especially if you have a history of eye problems.

In summary, the spider web-like phenomenon you are experiencing when opening your eyes in the dark is likely related to benign floaters in your vitreous humor. While this is generally not a cause for concern, it is always wise to stay informed about your eye health and consult with an eye specialist if you notice any significant changes in your vision. Regular eye exams are crucial for maintaining good eye health, especially for individuals with pre-existing conditions. If you have any further questions or concerns, please do not hesitate to reach out to your eye care provider.

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