Am I Experiencing Retinal Detachment? Symptoms and Recovery

Am I suffering from night blindness? Can night blindness be cured?

Hello, I was previously diagnosed with floaters.
However, this morning while I was taking an exam, I suddenly experienced a dark shadow in front of my eyes, like a curtain closing down, which lasted about two to three seconds.
It felt like my eyelids were closing (but I didn't actually close my eyes).
I was writing at the time and quickly looked up; although I could see again, I initially thought it was the lighting, but it turned out to be an issue with my eyes.
I have exams this week and have been very busy; today, I stayed up late and woke up early, getting very little sleep.
This morning, I did feel a slight dizziness (which could also be due to fatigue).
I'm worried that it might be a symptom of retinal detachment.
If it is retinal detachment, can it heal or be managed? Am I at risk of having a stroke? I'm only 19 and very concerned!

Xiao Jin, 10~19 year old female. Ask Date: 2023/04/15

Dr. Liang Ce reply Ophthalmology

It is advisable to discuss the above situation further with your attending physician.
Thank you, and wishing you good health!

Reply Date: 2023/04/15

More Info

It sounds like you're experiencing some concerning symptoms with your vision, particularly the sudden appearance of a black shadow or curtain effect in your field of vision. This can indeed be alarming, especially for someone your age. Let's break down your symptoms and what they could mean.

Firstly, the phenomenon you described, where you saw a black shadow or curtain-like effect, could potentially be related to a retinal issue, such as retinal detachment or a retinal tear. These conditions can occur when the retina, the light-sensitive layer at the back of the eye, becomes separated from its underlying supportive tissue. Symptoms of retinal detachment can include sudden flashes of light, an increase in floaters (which you mentioned you have), and a shadow or curtain effect in your peripheral vision. Given that you have a history of floaters, it is essential to take these new symptoms seriously.

However, it's also important to consider other factors that could contribute to your symptoms. For instance, you mentioned that you were sleep-deprived and experienced mild dizziness. Fatigue and lack of sleep can lead to temporary visual disturbances, including blurred vision or transient visual obscurations, which might feel like a curtain coming down over your vision. Stress and anxiety, particularly during exam periods, can also exacerbate these sensations.

Regarding your concern about "blackout" symptoms, this term can refer to a variety of conditions, including transient vision loss or even neurological issues. However, given your age and the absence of other neurological symptoms (like weakness, speech difficulties, or severe headaches), a stroke is less likely. That said, it’s crucial to consult with a healthcare professional who can perform a thorough examination, including a dilated eye exam, to rule out any serious conditions.

As for recovery, if the issue is indeed related to retinal detachment or a tear, timely intervention is critical. Surgical options are available, and many patients experience significant improvement in their vision if treated promptly. On the other hand, if your symptoms are related to fatigue or stress, ensuring adequate rest, managing stress levels, and maintaining a healthy lifestyle can help alleviate your symptoms.

In summary, while your symptoms could indicate a serious condition like retinal detachment, they could also be related to fatigue or stress. It is vital to seek immediate medical attention from an eye care professional, especially since you have a history of floaters and are experiencing new visual disturbances. They can provide a definitive diagnosis and appropriate treatment options. Remember, early intervention is key in preserving your vision and addressing any underlying issues effectively.

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