Eye Shadows: What Your Symptoms Might Indicate - Ophthalmology

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Eye floaters


Hello, doctor.
I would like to ask you: I have high myopia and floaters, and recently I have noticed an increase in the floaters.
I often cover one eye to compare the vision between both eyes, and I accidentally discovered that after covering one eye and looking at a fixed point for a few seconds, my vision gradually darkens for 2-3 seconds.
This happens in both eyes (when covering the left eye, the vision darkens from left to right; when covering the right eye, it darkens from right to left).
Could this indicate that there are other issues with my eyes? Thank you.

sukie, 40~49 year old female. Ask Date: 2023/09/28

Dr. Cai Wenyuan reply Ophthalmology


Observe the symptoms, and if they persist, seek medical evaluation.

Reply Date: 2023/09/28

More Info


Hello! Thank you for reaching out with your concerns regarding your vision and the symptoms you are experiencing. Based on your description, it seems you are dealing with a combination of high myopia (nearsightedness) and an increase in the perception of floaters (also known as "muscae volitantes"). Let's break down your symptoms and what they might indicate.

1. Increased Floaters: Floaters are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age or in cases of high myopia, the vitreous can become more liquefied and may pull away from the retina, leading to the perception of floaters. While floaters are usually benign, a sudden increase in their number, especially if accompanied by flashes of light or a shadow in your peripheral vision, could indicate a more serious condition, such as a retinal tear or detachment. Given your history of high myopia, you are at a higher risk for these complications, so it is crucial to have a thorough eye examination by an ophthalmologist.

2. Darkening of Vision When Covering One Eye: The phenomenon you describe, where your vision gradually darkens for a few seconds after covering one eye, could be related to several factors. One possibility is that it may be a temporary adaptation of your visual system. When you cover one eye, your brain may take a moment to adjust to the lack of input from that eye, leading to a brief period of darkness or dimming. This is generally not a cause for concern if it resolves quickly and does not occur frequently.

However, if you notice that this darkening persists or is accompanied by other symptoms such as flashes of light, a significant increase in floaters, or any changes in your peripheral vision, it is essential to seek immediate medical attention. These could be signs of retinal issues, which require prompt evaluation and treatment.

3. High Myopia Considerations: Individuals with high myopia are at an increased risk for various eye conditions, including retinal detachment, glaucoma, and cataracts. Regular eye examinations are crucial for monitoring the health of your eyes and detecting any changes early. If you have not had a comprehensive eye exam recently, I recommend scheduling one as soon as possible.

4. Importance of Monitoring Symptoms: Keep a close eye on any changes in your vision. If you experience new symptoms, such as a sudden increase in floaters, flashes of light, or a shadow over your vision, do not hesitate to seek immediate medical attention. Early detection and treatment of retinal issues can significantly improve outcomes and preserve your vision.

In summary, while your symptoms may be related to the natural aging process of the vitreous and the effects of high myopia, it is essential to remain vigilant. Regular eye check-ups and prompt attention to any new or worsening symptoms are key to maintaining your eye health. Please consult with an eye care professional for a thorough evaluation and personalized advice based on your specific situation. Take care!

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