Macular Checks: Is Blurriness and Double Vision Normal? - Ophthalmology

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Examination of the macula?


I noticed that about 20 seconds after looking at the macular test images, I experienced a sensation of shaking and double vision, but it resolved after blinking.
The lines appeared straight.
Is this normal, doctor?

Long, 10~19 year old female. Ask Date: 2023/07/30

Dr. He Jianxian reply Ophthalmology


Hello Mr.
Long: Generally, you don't need to spend so much time looking at the test charts; you should be able to sense any abnormalities at a glance.
Additionally, blinking will improve the situation, indicating that there shouldn't be any major issues.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2023/07/30

More Info


Experiencing blurriness and double vision, especially after undergoing a macular check, can be concerning. However, it is essential to understand the context of these symptoms and their potential causes.
Firstly, during a macular check, various tests are performed to assess the health of the macula, which is the central part of the retina responsible for sharp, detailed vision. These tests often involve the use of bright lights and specialized imaging techniques that can temporarily affect your vision. The sensation of blurriness or double vision (diplopia) you experienced after looking at the macular check images could be attributed to several factors.

1. Visual Fatigue: Staring at a screen or images for an extended period can lead to visual fatigue. This fatigue can cause temporary blurriness or double vision, particularly if your eyes are not adequately relaxed or if you are straining to focus.

2. Dry Eyes: During eye examinations, especially if you are not blinking frequently, your eyes can become dry. Dryness can lead to a temporary decrease in visual clarity and may cause symptoms like blurriness or the sensation of seeing double. Blinking helps to refresh the tear film on the surface of your eyes, so if you noticed improvement after blinking, this could be a contributing factor.

3. Refractive Errors: If you have existing refractive errors (like myopia, hyperopia, or astigmatism), these can sometimes become more noticeable during visual tasks, especially if your eyes are fatigued. If your prescription glasses or contact lenses are not up to date, this could exacerbate the issue.

4. Temporary Visual Disturbances: After certain eye tests, it is not uncommon for individuals to experience temporary visual disturbances. This can include seeing halos, blurriness, or even slight double vision. These symptoms typically resolve quickly, as you noted that blinking helped alleviate the issue.

5. Macular Health: While the symptoms you described may be benign, it is essential to consider the health of your macula. If you have any underlying conditions, such as age-related macular degeneration or diabetic retinopathy, these could also contribute to visual disturbances. However, if your macular check results were normal, this is a reassuring sign.

In conclusion, while experiencing blurriness and double vision during or after a macular check can be unsettling, it is often a temporary condition related to visual fatigue, dry eyes, or the nature of the examination itself. If these symptoms persist or worsen, it is crucial to follow up with your eye care professional for further evaluation. They may recommend additional tests or adjustments to your vision correction to ensure optimal visual health. Regular eye examinations are essential for monitoring your eye health, especially if you have pre-existing conditions or are experiencing new symptoms. Always trust your instincts; if something feels off, seeking professional advice is the best course of action.

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