Temporary Black Shadows in Vision: Sunlight Effects or Eye Issues? - Ophthalmology

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A dark shadow may appear in areas with strong sunlight?


I have many floaters in my left eye, but I was examined by a doctor last week who confirmed that my retina is fine.
However, recently, while at the beach and in the park, I noticed a shadow that suddenly appears in the center of my left eye's visual field, gathering continuously and not moving with my eye.
If I close my eyes and rest for a moment, it disappears, but it reappears after a while.
If I leave the area, the shadow in the center of my visual field disappears.
I would like to know if this is a temporary phenomenon caused by the strong sunlight, or if there is a real issue with my eye that requires urgent examination at the hospital.
Thank you.

Xiao Miao, 30~39 year old female. Ask Date: 2023/04/06

Dr. He Jianxian reply Ophthalmology


Hello, Xiaomiao: The strong light at the beach may have caused a visual afterimage, as subsequent images tend to disappear.
Therefore, it is likely not a pathological issue.
However, if you still have concerns, it is advisable to have another examination by an ophthalmologist.
Dr.
He Jianxian, Department of Ophthalmology, Nantou Hospital.

Reply Date: 2023/04/06

More Info


The symptoms you are experiencing, particularly the temporary black shadows in your vision, can be concerning and warrant careful consideration. Given your history of floaters and a recent eye examination that indicated no issues with your retina, it is crucial to analyze the situation further.

Firstly, the phenomenon of seeing black shadows or spots, especially in bright sunlight, can often be attributed to a few factors. One common explanation is related to "visual floaters," which are tiny clumps of gel or cells that form in the vitreous humor of the eye. These floaters can cast shadows on the retina, leading to the perception of black spots or shadows in your field of vision. They are typically more noticeable against bright backgrounds, such as sunlight or a clear sky, which may explain why you are experiencing this at the beach or in the park.

However, the fact that these shadows do not move with your eye and disappear when you close your eyes or leave the area could suggest a different issue. This could potentially be a form of "visual persistence" or "afterimage," where the eye's photoreceptors continue to send signals to the brain even after the stimulus has been removed. This is often exacerbated by bright light conditions, leading to temporary visual disturbances.

Additionally, your increased sensitivity to light (photophobia) and the presence of floaters could indicate that your eyes are reacting to the bright sunlight. Conditions such as dry eyes or fatigue can also heighten sensitivity to light and visual disturbances. If you have been spending extended periods in bright sunlight without adequate eye protection, this could contribute to the symptoms you are experiencing.

It's also important to consider that while your recent eye exam showed no retinal issues, the appearance of new symptoms warrants further investigation. Even if the retina appears healthy, other conditions such as migraines with aura, vitreous detachment, or even transient ischemic attacks (though less common) could present with similar visual disturbances.
In conclusion, while it is possible that the bright sunlight is contributing to your temporary visual disturbances, it is essential to remain vigilant. If these symptoms persist, worsen, or are accompanied by other symptoms such as headaches, changes in vision, or eye pain, it is advisable to seek a follow-up examination with an eye care professional. They may conduct a more comprehensive evaluation, including tests for retinal health, intraocular pressure, and possibly imaging studies to rule out any underlying conditions.
In the meantime, consider wearing sunglasses with UV protection when outdoors to help mitigate the effects of bright sunlight on your eyes. Staying hydrated and taking regular breaks from visual tasks can also help reduce eye strain. Remember, your vision is precious, and it is always better to err on the side of caution when it comes to eye health.

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