Temporary Vision Dimming: Is It a Sign of Retinal Issues? - Ophthalmology

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The vision momentarily darkened?


Four days ago, I was diagnosed with chronic conjunctivitis.
This afternoon, I experienced a brief moment where the lights seemed to dim for less than a second, but then it returned to normal.
Later, I realized there was no issue with the lights.
About three hours later, I experienced the same dimming sensation again.
Could these symptoms indicate a problem with my retina?

zyx, 10~19 year old female. Ask Date: 2023/02/24

Dr. Gao Pilin reply Ophthalmology


Hello: If you notice a momentary dimming of the lights, this phenomenon may be caused by transient power fluctuations or unstable electricity supply.
If this occurs frequently, you may need to contact your local power company to check the stability of the power supply.
However, if this phenomenon occurs only occasionally and is not accompanied by other symptoms, there is usually no need to worry about visual health issues.
However, if you frequently experience symptoms such as blurred vision, headaches, eye pain, dry eyes, or redness and swelling, it is advisable to seek medical attention promptly to determine if there are any visual health concerns.

Reply Date: 2023/02/24

More Info


Temporary vision dimming can be concerning, especially when it occurs suddenly and is accompanied by other symptoms. Based on your description, it seems you experienced brief episodes of dimming in your vision, lasting less than a second, which then resolved quickly. This phenomenon can be alarming, but it does not necessarily indicate a serious retinal issue. However, it is essential to understand the potential causes and when to seek further evaluation.

Firstly, the fact that you have been diagnosed with chronic conjunctivitis (inflammation of the conjunctiva) may play a role in your visual symptoms. Chronic conjunctivitis can lead to discomfort, dryness, and visual disturbances, but it typically does not cause significant changes in vision like dimming. However, if the inflammation is severe, it could potentially affect your overall visual clarity temporarily.

The temporary dimming of vision you experienced could be attributed to several factors:
1. Transient Visual Obscurations (TVOs): These are brief episodes of vision loss or dimming that can occur due to changes in blood flow to the optic nerve or retina. They are often associated with conditions like migraines or increased intracranial pressure. If these episodes are recurrent or accompanied by other neurological symptoms (like headaches or visual disturbances), it would be prudent to consult a healthcare professional.

2. Retinal Issues: While your symptoms do not strongly suggest a retinal problem, it is still important to consider. Retinal detachment or tears can cause sudden changes in vision, including flashes of light or a shadow over the visual field. However, these conditions are usually accompanied by other symptoms, such as floaters or a curtain-like shadow in the peripheral vision.

3. Ocular Migraine: Some individuals experience visual disturbances as part of a migraine aura, which can include temporary dimming or flickering of vision. This typically resolves quickly and is not associated with any lasting vision loss.

4. Vascular Issues: Conditions affecting blood flow, such as transient ischemic attacks (TIAs), can lead to temporary vision changes. If you have risk factors for vascular disease (like hypertension, diabetes, or a history of cardiovascular issues), this could be a consideration.

5. Eye Fatigue or Strain: Prolonged screen time or focusing on tasks without adequate breaks can lead to eye strain, which may manifest as temporary dimming or discomfort. Ensuring 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 these symptoms.

Given your recent diagnosis of chronic conjunctivitis, it is advisable to manage that condition effectively, as it may contribute to your visual discomfort. However, since you are experiencing episodes of vision dimming, it is essential to monitor the frequency and duration of these episodes. If they become more frequent, last longer, or are accompanied by other concerning symptoms (such as persistent headaches, visual field loss, or neurological symptoms), it would be wise to seek further evaluation from an eye care professional or a neurologist.

In summary, while temporary vision dimming can be benign, it is crucial to remain vigilant and consult a healthcare provider if you have any concerns. Regular eye examinations and open communication with your healthcare team can help ensure your eye health is monitored and managed appropriately.

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