Eye Shadows: Symptoms and Concerns After Macular Hemorrhage

Q: Eye Shadows: Symptoms and Concerns After Macular Hemorrhage

Hello Mr. <br>Ah Wei： The phenomena you mentioned are not quite normal. <br>I recommend that you regularly visit an ophthalmologist for retinal monitoring and examination. <br>Director He Jianxian, Ophthalmology, Nantou Hospital.

Eye floaters?

Hello Doctor, I experienced a macular hemorrhage in my left eye on June 17, 2023.
However, in mid-August, I encountered three situations:
1.
In dark environments, before my eyes adapt to the darkness, when I close my eyes for a second and then open them, I notice a black shadow or spot appearing slightly to the right of my central vision in the left eye, which lasts for about 3 seconds before fading away.
Once my eyes adapt to the darkness, this does not occur, but if I cover my eye with my hand and then uncover it, I can still see the black shadow for about 3 seconds.
Recently, I feel like the shape of that shadow seems to have elongated...
I am concerned if there is another issue with my eye.
2.
On August 17 in the afternoon, when I turned on the light in my room, I saw a white light spot in the center of my left eye, which had a rainbow-colored swirl inside it.
This lasted for a few seconds before returning to normal.
So far, this has only happened once, and the location of the light spot is similar to where I had visual disturbances during the macular hemorrhage.
Is this considered a normal phenomenon?
3.
When my eyes are closed or open, sometimes I see 1 to 4 white light spots, circles, or blobs appearing around my eye sockets.
Is this considered a normal phenomenon?
Thank you, Doctor, for taking the time to respond.
I greatly appreciate it!

Awei, 40~49 year old female. Ask Date: 2023/09/10

Dr. He Jianxian reply Ophthalmology

Hello Mr.
Ah Wei: The phenomena you mentioned are not quite normal.
I recommend that you regularly visit an ophthalmologist for retinal monitoring and examination.
Director He Jianxian, Ophthalmology, Nantou Hospital.

Reply Date: 2023/09/10

More Info

Understanding the symptoms you are experiencing after a macular hemorrhage is crucial for your eye health. Macular hemorrhage, which involves bleeding in the macula (the central part of the retina responsible for sharp vision), can lead to various visual disturbances. Your symptoms, including the appearance of shadows, light spots, and visual anomalies, warrant careful consideration.

1. Black Shadows in Vision: The black shadow or spot you see in your left eye, particularly after closing and reopening your eyes, could be related to several factors. After a macular hemorrhage, the retina may still be healing, and the presence of shadows can indicate that there is residual blood or fluid in the macular area. This phenomenon may also be linked to the vitreous gel pulling away from the retina, which can create the perception of shadows or floaters. The fact that the shadow seems to change in size could suggest ongoing changes in the vitreous or retinal structure. It’s essential to monitor this symptom closely and report any significant changes to your eye care professional.

2. White Light Spots: The occurrence of a white light spot with rainbow-like swirls in your vision is known as a photopsia. This can be caused by various factors, including retinal irritation or the presence of blood in the vitreous cavity. Since this event coincided with the area where you previously experienced hemorrhage, it may indicate that the retina is still sensitive or that there is ongoing irritation. While experiencing this once may not be alarming, if it recurs or is accompanied by other symptoms, such as increased floaters or flashes of light, it is crucial to seek further evaluation.

3. White Light Points Around the Eyes: The appearance of white light points or halos around your eyes, especially when your eyes are closed or opened, can be a normal phenomenon known as entoptic phenomena. These are visual effects that occur due to the interaction of light with the structures within the eye, such as the lens or vitreous. However, if these light spots are new or have changed in nature, it is worth discussing with your eye doctor, as they could also indicate changes in the vitreous or retina.

Given your history of macular hemorrhage, it is essential to maintain regular follow-ups with your ophthalmologist. They may recommend imaging studies, such as optical coherence tomography (OCT) or fluorescein angiography, to assess the condition of your retina and monitor for any complications.
In summary, while some of the symptoms you describe may be related to normal changes in the eye, they could also indicate ongoing issues stemming from your previous hemorrhage. It is vital to keep a close watch on these symptoms and communicate any changes to your healthcare provider. Early detection and intervention can significantly impact the management of potential complications, ensuring the best possible outcome for your vision.

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