Temporary Vision Blackouts: Causes and Solutions - Ophthalmology

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Blackout of vision for a second?


Hello Doctor, my eyes occasionally experience a sudden blackout, similar to a light bulb flickering, lasting less than a second.
This occurs in both eyes simultaneously and the frequency varies (from once every few days to infrequently).
This has been happening for almost a year, and I am certain it is not due to a light bulb issue or my own blinking.
I have myopia of about 200 degrees and astigmatism of about 150 degrees.
Could this be temporary vision loss? Is it related to ocular blood vessels, or could it be another issue? How can I improve this condition? Thank you.

YY, 20~29 year old female. Ask Date: 2024/04/15

Dr. Gao Pilin reply Ophthalmology


Hello: This condition is medically referred to as "transient visual obscuration," also known as "temporary vision loss." It is a common ocular symptom that can be caused by various factors, including:
1.
Ocular blood supply issues: This is one of the most common causes.
A sudden decrease or interruption in blood flow to the eye can lead to transient visual obscuration.
This may be caused by the following factors:
- Retinal vein occlusion: The retinal vein is the blood vessel that carries blood away from the eye back to the heart.
If there is a blockage in the retinal vein, it can lead to retinal ischemia, resulting in transient visual obscuration.
- Retinal artery occlusion: The retinal artery is the blood vessel that supplies blood to the eye.
If there is a blockage in the retinal artery, it can also lead to retinal ischemia, causing transient visual obscuration.
- Hypotension: Low blood pressure can reduce blood flow to all organs, including the eyes.
This may result in transient visual obscuration.
2.
Retinal stimulation: The retina is the light-sensitive tissue at the back of the eye.
When the retina is stimulated, it can lead to transient visual obscuration.
This may be caused by:
- Bright light: Looking directly at a bright light source (such as the sun or a flash) can stimulate the retina, leading to transient visual obscuration.
- Rubbing the eyes: Forcefully rubbing the eyes can stimulate the retina, resulting in transient visual obscuration.
3.
Other causes: Other potential causes of transient visual obscuration include:
- Migraine: Migraine is a condition that can cause severe headaches.
It may also lead to blurred vision or transient visual obscuration.
- Epilepsy: Epilepsy is a neurological disorder that can cause seizures.
Seizures may lead to blurred vision or transient visual obscuration.
- Transient ischemic attack (TIA): A TIA is a temporary interruption of blood flow to the brain.
It may cause blurred vision or transient visual obscuration.
If you experience transient visual obscuration, it is essential to consult a physician to determine the underlying cause.
The physician may perform an eye examination and inquire about your medical history.
Treatment for transient visual obscuration depends on its underlying cause.
If it is caused by ocular blood supply issues, the physician may prescribe medication or recommend surgery to improve blood flow to the eye.
If it is due to retinal stimulation, the physician may advise you to avoid activities that could irritate the retina.

Reply Date: 2024/04/15

More Info


Experiencing sudden temporary vision blackouts, often described as a momentary loss of sight akin to a light bulb flickering, can be concerning. This phenomenon, medically known as "transient vision loss" or "temporary visual blackout," can occur for various reasons, and understanding these causes is crucial for determining the appropriate course of action.


Possible Causes of Temporary Vision Blackouts
1. Vascular Issues: One of the most common causes of transient vision loss is related to blood flow to the eye. Conditions such as retinal artery or vein occlusion can lead to a sudden decrease in blood supply, resulting in temporary vision loss. Low blood pressure or vasospasm (temporary narrowing of blood vessels) can also contribute to this issue.

2. Retinal Problems: The retina is the light-sensitive layer at the back of the eye. Conditions affecting the retina, such as retinal detachment or macular degeneration, can lead to sudden visual disturbances. Although these conditions often present with more persistent symptoms, transient episodes can occur.

3. Neurological Factors: Transient ischemic attacks (TIAs), often referred to as "mini-strokes," can cause temporary vision loss. These occur when there is a brief interruption of blood flow to the brain, which can affect the visual pathways. Other neurological conditions, such as migraines, can also lead to visual disturbances, including temporary blackouts.

4. Visual Overstimulation: Sometimes, exposure to bright lights or sudden changes in lighting can cause temporary visual disturbances. This is often due to the photoreceptors in the retina being overstimulated, leading to a brief blackout.

5. Other Factors: Eye strain, fatigue, or even certain medications can lead to temporary visual disturbances. Additionally, conditions like anxiety or panic attacks can manifest with visual symptoms, including blackouts.


Recommendations for Management
Given that you have experienced these episodes for nearly a year, it is essential to consult with an eye care professional. A thorough examination, including a detailed medical history and possibly imaging studies, can help identify the underlying cause of your symptoms. Here are some steps you can take:
1. Eye Examination: Schedule a comprehensive eye exam with an ophthalmologist. They will assess your eye health, check for any vascular issues, and evaluate the retina for any abnormalities.

2. Monitor Symptoms: Keep a diary of your episodes, noting the frequency, duration, and any associated symptoms (such as headaches or dizziness). This information can be invaluable for your healthcare provider.

3. Manage Underlying Conditions: If you have any pre-existing conditions, such as hypertension or diabetes, ensure they are well-managed, as these can contribute to eye health issues.

4. Lifestyle Modifications: Consider making lifestyle changes that promote overall vascular health, such as regular exercise, a balanced diet, and staying hydrated. Reducing stress and ensuring adequate sleep can also be beneficial.

5. Avoid Eye Strain: If your work involves prolonged screen time, take regular breaks to reduce eye strain. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

6. Follow-Up: If your symptoms persist or worsen, ensure you follow up with your healthcare provider. They may recommend further testing or referrals to specialists, such as a neurologist, if necessary.


Conclusion
Temporary vision blackouts can arise from various causes, ranging from benign to more serious conditions. While your symptoms may not indicate an immediate threat, they warrant a professional evaluation to rule out any underlying issues. By taking proactive steps and seeking medical advice, you can better understand your condition and explore potential solutions to improve your eye health and overall well-being.

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