Eye problem consultation?
Hello, Doctor.
I have floaters and I usually go for an eye exam every six months to a year.
Today, while using the Amsler grid, I have two questions to ask.
First: Initially, I saw straight lines without any blurriness or distortion, but later, I noticed that when I alternately looked with each eye, my left eye seemed to have some lines that were slightly blurred at times, but then it would clear up.
Sometimes, the squares that appeared small seemed to cluster together and become larger, but they still looked like straight lines.
Does this count as distortion? However, after resting for a few minutes or changing rooms, everything appears straight again.
Second: When I cover my left eye and then quickly switch to covering my right eye, I experience a momentary sensation of partial blurriness, but it clears up quickly and appears as straight lines.
I would like to ask if this indicates a problem with the macula.
My family says that I might be experiencing this because I check too frequently.
Since I have an eye exam scheduled next week, will these issues be detectable if they perform dilation? I hope you can help clarify this for me.
Thank you.
Koko, 20~29 year old female. Ask Date: 2023/12/10
Dr. Gao Pilin reply Ophthalmology
Hello: 1.
The distortion or blurriness that appears suddenly and improves with rest is usually unlikely to be a macular issue.
Macular degeneration is characterized by persistent blurriness and distortion.
2.
The situation you described is more likely due to prolonged staring, which can cause significant eye fatigue.
Eye fatigue can lead to temporary vision impairment or distortion, which will resolve with rest.
3.
It is advisable to inform your ophthalmologist about these symptoms during your eye examination.
Typically, a fundus examination will be performed to assess the condition of the macula and retina.
4.
A dilated eye exam can provide a clearer view of the retina and macula, so if the doctor deems it necessary, this examination will be conducted.
5.
If the examination results are normal, it indicates that the issue is likely just eye fatigue or due to other reasons.
You can achieve better rest for your eyes by moderately reducing eye strain.
Reply Date: 2023/12/10
More Info
When it comes to understanding floaters and visual distortions, particularly in the context of eye health, it's essential to consider several factors that can contribute to these symptoms. Floaters, which are small specks or strands that drift through your field of vision, are often a result of changes in the vitreous gel that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters.
Your experience with visual distortions, such as lines appearing blurred or changing size when viewing the Amsler grid, can be concerning. These symptoms may indicate changes in the retina or the macula, the central part of the retina responsible for sharp vision. While the lines may appear straight, any perception of distortion or blurriness could suggest a potential issue with the macula, such as macular degeneration or other retinal conditions. However, it’s also possible that fatigue or eye strain could be contributing to these transient visual changes, especially if they resolve after resting or changing your environment.
Regarding your second question about the momentary blurriness when switching from one eye to the other, this could be related to a few factors. It might be a result of differences in refractive error between your eyes, or it could be due to the way your brain processes visual information from each eye. If one eye is slightly more nearsighted or farsighted than the other, this could lead to temporary blurriness when you switch focus.
As for your concerns about whether these symptoms indicate a problem with the macula, it’s crucial to have a thorough examination by an eye care professional. The upcoming eye exam will likely include tests such as dilated fundus examination, which can provide a clearer view of the retina and macula. During this examination, your doctor can assess for any signs of retinal detachment, macular degeneration, or other conditions that could be causing your symptoms.
In terms of whether these issues can be detected through dilation, yes, dilating drops allow the doctor to see the back of the eye more clearly, which is essential for diagnosing conditions that affect the retina and macula. If there are any abnormalities, such as swelling, tears, or changes in the retinal structure, these can often be identified during a dilated exam.
It’s also worth noting that while your family may suggest that frequent checking of your vision could be causing these sensations, it’s important to listen to your body. If you are experiencing persistent changes in your vision, it’s always best to consult with an eye care professional rather than dismissing your concerns.
In summary, while floaters and visual distortions can be common, especially in individuals with a history of eye issues, it’s essential to monitor these symptoms closely. Regular eye exams are crucial for maintaining eye health, particularly if you have a history of floaters or other visual disturbances. Your upcoming appointment will be an excellent opportunity to address these concerns and ensure that your eyes are healthy. Remember, early detection and treatment of any potential issues can significantly impact your long-term vision health.
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