Sudden Eye Darkness: Brief Vision Loss After Exercise - Ophthalmology

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Blackout of vision for 0.1 seconds?


About five days ago, after jogging for an hour, my vision suddenly went black for about 0.1 seconds, or rather, it seemed to darken.
This happened three times within five minutes, but each time lasted only about 0.1 seconds.
I'm not sure if it was a visual disturbance.
I later went to an ophthalmologist for a fundus examination and OCT scan, and I also had a brain CT scan done.
Three months ago, I had an ECG and blood tests, all of which were normal.
However, I am still very anxious about why this is happening.

Xuan, 20~29 year old female. Ask Date: 2024/03/10

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, you experienced a sudden blackout in your vision after jogging, accompanied by three brief episodes of darkness lasting about 0.1 seconds each.
You have undergone examinations, including fundus examination and OCT scans.
Additionally, you had a CT scan of the brain, an electrocardiogram (ECG), and blood tests, all of which showed no abnormalities.
This rules out some potential serious issues.
Temporary visual disturbances can have various causes, including eye strain, changes in blood pressure, neck posture, or other physiological factors.
In your case, since relevant tests have been conducted and results are normal, there may be no need for excessive concern.
However, I recommend discussing the test results further with your ophthalmologist.
Additionally, please be aware of any other symptoms such as headaches, neck discomfort, or dizziness, and consider consulting a cardiologist to determine if a neck ultrasound is necessary to investigate any vascular issues.

Reply Date: 2024/03/10

More Info


Experiencing sudden brief episodes of vision loss or darkness, especially after physical exertion like running, can be concerning and warrants careful consideration. Based on your description, it seems that you experienced transient visual disturbances characterized by brief episodes of darkness lasting about 0.1 seconds, occurring multiple times within a short period after jogging. While you have already undergone several diagnostic tests, including eye examinations and brain imaging, it's understandable that you still feel anxious about these symptoms.

There are several potential explanations for the phenomenon you described:
1. Vasovagal Response: During intense physical activity, some individuals may experience a vasovagal response, which can lead to a temporary drop in blood pressure and reduced blood flow to the brain. This can result in brief episodes of visual disturbances or even fainting. If you were exerting yourself significantly during your run, this could be a contributing factor.

2. Ocular Fatigue: Prolonged or intense visual focus, especially in varying light conditions, can lead to ocular fatigue. This fatigue can manifest as temporary visual disturbances, including brief episodes of darkness or blurriness. If you were running in low-light conditions, your eyes might have been straining to adjust, leading to these symptoms.

3. Retinal Issues: Although you have had thorough eye examinations, it is essential to consider that certain retinal conditions, such as retinal detachment or tears, can cause transient visual disturbances. These conditions may not always be immediately apparent during routine examinations, so if symptoms persist or worsen, further evaluation by a specialist may be warranted.

4. Neurological Factors: Brief episodes of visual loss can also be related to neurological issues, such as migraines or transient ischemic attacks (TIAs). Migraines can cause visual auras, which may include temporary darkness or flickering lights. TIAs, often referred to as "mini-strokes," can lead to transient visual disturbances due to temporary disruptions in blood flow to the brain.

5. Environmental Factors: Changes in lighting conditions, such as transitioning from a well-lit area to a darker one, can also affect your vision. If you were running in an area with fluctuating light levels, your eyes might have struggled to adapt quickly, resulting in brief episodes of darkness.

Given that you have already undergone several tests without any significant findings, it is crucial to maintain open communication with your healthcare provider. If these episodes continue or if you experience additional symptoms such as headaches, dizziness, or changes in your overall health, it is advisable to seek further evaluation. Keeping a detailed log of when these episodes occur, their duration, and any associated activities or symptoms can provide valuable information for your healthcare team.

In the meantime, consider taking precautions during your runs, such as ensuring you are well-hydrated, avoiding overly strenuous exertion, and being mindful of your surroundings, especially in low-light conditions. If you have any underlying health conditions or are taking medications, discuss these with your doctor, as they may also play a role in your symptoms.

In summary, while transient visual disturbances can be alarming, they may have various benign explanations. Continuous monitoring of your symptoms and maintaining a proactive approach to your health will help you manage your concerns effectively.

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