Two Eye Concerns: Pulsating Vision After Stairs and Sleep Eye Movement - Ophthalmology

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It sounds like you are experiencing two distinct eye-related concerns: pulsating vision after climbing stairs and involuntary eye movement during sleep. Let's address each of these issues in detail.


Pulsating Vision After Climbing Stairs
The sensation of your vision pulsating in sync with your heartbeat after climbing stairs can be attributed to a few physiological factors. When you engage in physical activity, such as climbing stairs, your heart rate increases, which can lead to temporary changes in blood flow and pressure. This increased blood flow can cause the small blood vessels in your eyes to react, potentially leading to a sensation of pulsating vision.
In individuals with high myopia (nearsightedness), such as yourself with a prescription of 700-800 degrees, there is an increased risk of retinal issues, including retinal detachment. While the pulsating vision itself may not be alarming, it is essential to monitor any accompanying symptoms, such as flashes of light, sudden increases in floaters, or a shadow in your peripheral vision, as these could indicate more serious conditions. Regular eye examinations, especially for those with high myopia, are crucial to ensure the health of your retina and to catch any potential issues early.


Eye Movement During Sleep
Regarding the involuntary eye movement you experience while sleeping, this is generally a normal phenomenon. During sleep, particularly during the REM (Rapid Eye Movement) phase, it is common for the eyes to move rapidly under the eyelids. This is a natural part of the sleep cycle and is associated with dreaming. If your roommate observes that your eyes are moving as you fall asleep, it is likely just a manifestation of this REM sleep phase.
However, if you find that the movements are excessive or if you experience any unusual behaviors during sleep, it may be worth discussing with a healthcare professional. Conditions such as REM Sleep Behavior Disorder (RBD) can cause individuals to act out their dreams, which can be concerning. Stress and caffeine consumption can indeed influence sleep quality and may exacerbate sleep disturbances, so it might be beneficial to monitor your intake of these substances and see if it has any effect on your sleep patterns.


Recommendations
1. Regular Eye Check-ups: Given your high myopia and the symptoms you are experiencing, it is advisable to have regular eye examinations, including retinal assessments, to monitor for any changes or potential complications.

2. Monitor Symptoms: Keep track of any additional symptoms that may arise, particularly with your vision. If you notice any sudden changes, such as flashes of light or a significant increase in floaters, seek immediate medical attention.

3. Sleep Hygiene: To improve your sleep quality, consider establishing a regular sleep routine, reducing caffeine intake, and managing stress through relaxation techniques or mindfulness practices.

4. Consult a Specialist: If your symptoms persist or worsen, consider consulting an ophthalmologist or a sleep specialist for a more comprehensive evaluation.

In summary, while the pulsating vision after physical exertion and the eye movements during sleep can be normal, they warrant careful observation, especially given your history of high myopia. Regular check-ups and attention to your overall health will be key in managing these concerns effectively.