Color Spots in Vision: Causes and Concerns - Ophthalmology

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Appearance of colored spots in the eyes?


Hello, doctor.
About twenty minutes after I woke up, I noticed a colorful spot in my vision towards the lower right side.
The size is approximately that of the fingertip of my last phalanx when holding a book, and its brightness is slightly dimmer than that of a computer screen indoors.
It does not disappear when I close my eyes, but when I exert pressure on my eye muscles, it becomes dimmer.
I initially thought it was an afterimage, but after fifteen minutes, the brightness did not decrease at all.
Just now (fifteen minutes later), it suddenly disappeared, but I didn't notice how it vanished.
What could this be?

Niming, 10~19 year old female. Ask Date: 2024/02/03

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the symptoms you described, this may be a temporary visual phenomenon related to various factors.
Since I cannot directly examine your eyes, the following is for reference only, and I recommend that you see an ophthalmologist for a detailed evaluation as soon as possible.

1.
Possible retinal stimulation: The colored spots you described may be due to temporary changes caused by pressure or stimulation of the retina upon waking.
This condition sometimes resolves on its own within a short period.
2.
Possible eye fatigue: Prolonged sleep deprivation, eye strain, or excessive use of electronic devices may lead to such symptoms.
Given that the eyes are a complex organ, the exact cause of these symptoms requires a thorough evaluation through an ophthalmic examination.
Please seek an eye examination promptly to ensure the health of your eyes, especially if these symptoms recur or persist.

Reply Date: 2024/02/03

More Info


The phenomenon you are describing, where you noticed a colorful spot in your vision upon waking, can be concerning, but it is not uncommon. This type of visual disturbance can be attributed to several potential causes, and understanding them can help alleviate your concerns.

One possible explanation for the colorful spot you observed is related to a phenomenon known as "visual snow" or "phosphene." Phosphenes are the perception of light without light actually entering the eye, often caused by pressure on the retina or stimulation of the optic nerve. This can happen when you wake up and your eyes are adjusting to the light conditions. The fact that the spot did not disappear when you closed your eyes suggests that it might not be a typical afterimage but rather a transient visual disturbance.

Another possibility is that you experienced a "migraine aura." Even if you did not have a headache, some individuals experience visual auras that can manifest as colorful spots, zigzag lines, or other visual distortions. These auras can last from a few minutes to an hour and may occur without any accompanying headache. Migraines can also be triggered by various factors, including stress, lack of sleep, or dietary changes.

Additionally, the transient nature of the spot you described—appearing and then disappearing after about fifteen minutes—could indicate a benign condition known as "floaters." Floaters are tiny clumps of gel or cells that drift in the vitreous humor of the eye and can cast shadows on the retina, leading to the perception of spots or flashes of light. However, floaters typically do not present as colorful spots and are more commonly gray or black.

In some cases, visual disturbances can be a sign of more serious conditions, such as retinal detachment or other retinal issues. If you experience any additional symptoms, such as flashes of light, a sudden increase in floaters, or a curtain-like shadow over your vision, it is crucial to seek immediate medical attention from an eye care professional.

Given that your colorful spot disappeared after a short duration and did not seem to be associated with other alarming symptoms, it is likely a benign occurrence. However, it is always best to err on the side of caution. If you continue to experience similar visual disturbances or if they become more frequent or severe, I strongly recommend scheduling an appointment with an ophthalmologist. They can perform a comprehensive eye examination, including a dilated fundus exam, to rule out any underlying conditions and provide you with peace of mind.

In summary, while the colorful spot you experienced may be benign, it is essential to monitor your symptoms and consult with a healthcare professional if you have any concerns. Early detection and intervention are key to maintaining eye health and addressing any potential issues before they become more serious.

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