Eye Symptoms: White Fog and Vision Distortion Explained - Ophthalmology

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When moving the eyeball, there is a large white haze that appears?


Hello, Doctor Gao.
Over the past year, I feel that my eye condition has been deteriorating.
I have visited several ophthalmologists during this time, but most of them seemed to be rather dismissive, so I decided to seek advice online.

My issue: When I move my eyes, I see "a large area of white fog passing by," and this has been ongoing for nearly a year.

Symptoms:
- This is most noticeable when moving from indoors or shaded areas to bright sunlight, and it also occurs on cloudy days.
- It is present when looking at fluorescent lights, but relatively less noticeable.
- When viewing night scenes, if I move my eyes, the lights from distant street lamps appear distorted.
Although I don't see the white fog at that moment, it might be caused by the same issue.
Possible causes I have considered:
- I recall having a severe outburst due to certain reasons; could it be possible that an acute vascular event occurred at that time? (I have high cholesterol, which was measured at 230 last year; I was diagnosed with high cholesterol about 10 years ago.)
- Vitreous hemorrhage.
- There was a period when I had a lot of white eye discharge, so I bought eye wash solution to clean my eyes.
During that time, I would wash my eyes about 3 to 6 times a day and would shake my head vigorously each time to try to clean my eyes thoroughly.
Could it be that I washed the white discharge into my eyes?
When I visited the ophthalmologist, the diagnoses provided were:
- Floaters
- Cataracts
- Retinal photophobia
- Neurological issues (Several doctors performed dilation exams and optical coherence tomography, but no problems were detected.)
Thank you, Doctor Gao, for taking the time to read my concerns and provide a response.
Thank you!

Niming, 20~29 year old female. Ask Date: 2023/07/28

Dr. Gao Pilin reply Ophthalmology


Hello: Here are some explanations regarding the possible causes you mentioned: 1.
Acute vascular disease: If you have previously experienced acute vascular disease, it may not be related to your current symptoms, as the issues you are describing seem to pertain to the eyes themselves.
2.
Vitreous hemorrhage: Vitreous hemorrhage is a condition that can lead to changes in vision, typically caused by the rupture of blood vessels within the eye.
This may result in black or red floaters rather than a white haze.
3.
Eye wash solution: If you are using an eye wash solution that is appropriate for the eyes, it is generally unlikely to cause serious problems.
However, if you vigorously shake your entire head while washing your eyes, it could potentially lead to changes in intraocular pressure, but it is still unlikely to cause a long-term white haze.
Based on your description, the most probable cause should be vitreous floaters.

Reply Date: 2023/07/28

More Info


Hello! Thank you for reaching out with your concerns about your eye symptoms. Based on your description, it seems you are experiencing a persistent visual disturbance characterized by a "white fog" that appears when you move your eyes, particularly noticeable in bright light conditions. This symptom can be quite distressing, especially when it affects your daily activities and overall quality of life.


Possible Causes of Your Symptoms
1. Vitreous Floaters: Given your history of myopia (nearsightedness), it is possible that you are experiencing vitreous floaters. These are small clumps of gel or cells that form in the vitreous humor, the clear gel that fills the eye. When you move your eyes, these floaters can cast shadows on the retina, which may appear as a fog or haze.

2. Visual Snow Syndrome: The phenomenon you describe, particularly the "white fog" and distortion of lights at night, could be related to a condition known as visual snow syndrome. This condition is characterized by seeing static or "snow" in the visual field, which can be more pronounced in low-light conditions.

3. Cataracts: Another possibility is the development of cataracts, which can cause clouding of the lens in the eye. This could lead to symptoms such as blurred vision, glare from lights, and seeing halos around lights, especially at night.

4. Retinal Issues: Although your previous examinations did not reveal any significant issues, conditions such as retinal detachment or macular degeneration can sometimes present with visual disturbances. It’s essential to ensure that these conditions are thoroughly ruled out.

5. Neurological Factors: Given your mention of high cholesterol and previous episodes of intense stress, it’s worth considering that there could be neurological factors at play. Stress can lead to various visual disturbances, and vascular issues could potentially affect the blood supply to the eyes or brain.


Recommendations for Management
1. Regular Eye Exams: Continue to have regular eye examinations with a qualified ophthalmologist. If you feel that your concerns are not being adequately addressed, consider seeking a second opinion or visiting a specialized eye clinic.

2. Visual Acuity Tests: Ensure that your visual acuity is being tested regularly, and discuss any changes in your vision with your eye care provider.

3. Monitor Symptoms: Keep a detailed log of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing the issue.

4. Lifestyle Modifications: Since you mentioned high cholesterol, it may be beneficial to adopt a heart-healthy diet, engage in regular physical activity, and manage stress levels. These changes can improve overall vascular health, which may positively impact your eye health.

5. Consider Neurological Evaluation: If your symptoms persist or worsen, it may be prudent to consult a neurologist to rule out any underlying neurological conditions that could be contributing to your visual disturbances.

6. Avoid Eye Strain: If you are spending long hours in front of screens, ensure you take regular breaks to reduce eye strain. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.


Conclusion
While your symptoms are concerning, it is essential to approach them systematically. The fact that multiple eye specialists have not found significant issues is reassuring, but it does not mean that your symptoms should be ignored. Continue to advocate for your health, and don’t hesitate to seek further evaluations if necessary. Your vision is crucial, and understanding the underlying causes of your symptoms will help you find the appropriate management strategies. Wishing you the best in your journey toward clearer vision and better eye health!

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