Temporary Vision Loss in One Eye: Causes and Recovery - Ophthalmology

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Transient monocular vision loss?


Suddenly, my left eye went completely blank, as if shrouded in thick fog.
There was no headache, dizziness, or any other bodily abnormalities; I just couldn't see out of my left eye.
After about 10 minutes, I began to see a small dot in my field of vision, while the surrounding area remained white.
After another 10 minutes, it gradually cleared up, as if the fog was dissipating, and the white area faded away slowly.
My vision began to recover, but during this process, there were irregular dark gray patches that resembled mercury droplets falling from a mirror, obscuring my vision.
This entire episode lasted about 20 minutes, and finally, I was able to see again, with the total duration of the experience being approximately one hour.

QQQ@, 50~59 year old female. Ask Date: 2024/05/02

Dr. He Jianxian reply Ophthalmology


Hello QQQ: Based on your description, your condition may be a precursor symptom of a migraine.
This type of visual disturbance typically lasts for about ten minutes; some individuals may experience a headache afterward, while others may not.
Usually, examinations do not reveal any significant abnormalities.
You may want to monitor the situation, but if it occurs too frequently, it is advisable to visit a hospital for further evaluation.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2024/05/02

More Info


Temporary vision loss, especially when it occurs suddenly in one eye, can be alarming and may have various underlying causes. The symptoms you described—such as a sudden loss of vision resembling a foggy or cloudy appearance, followed by a gradual recovery—are indicative of several potential conditions. Understanding these causes and the likelihood of recovery is crucial for managing your health.

One possible explanation for your symptoms is a transient ischemic attack (TIA) affecting the eye, which can lead to temporary vision loss due to reduced blood flow to the retina. This condition is often characterized by a sudden onset of visual disturbances, which can include blurriness, fogginess, or even complete loss of vision in one eye. The fact that your vision returned to normal after about an hour suggests that this may have been a temporary event rather than a permanent issue.

Another potential cause could be a retinal migraine, which can cause temporary visual disturbances, including blind spots or flashes of light, often without accompanying headache symptoms. The visual symptoms you experienced, such as the irregular grayish areas and the gradual clearing of vision, align with this possibility. Retinal migraines can occur in individuals with a history of migraines or even in those without prior migraine episodes.

Additionally, your symptoms may be related to a condition known as vitreous detachment, where the gel-like substance in the eye (the vitreous) pulls away from the retina. This can lead to visual disturbances, including flashes of light or dark spots, and is more common as people age. While this condition can be alarming, it often resolves on its own without significant long-term effects on vision.

Dry eye syndrome is another factor that could contribute to temporary vision loss. If your eyes are not adequately lubricated, you may experience blurred vision or a sensation of fogginess. This is particularly relevant if you have been in environments that exacerbate dryness, such as air-conditioned spaces.

Recovery from temporary vision loss largely depends on the underlying cause. In many cases, such as with retinal migraines or transient ischemic attacks, vision can return to normal without any specific treatment. However, it is essential to monitor your symptoms closely. If you experience recurrent episodes of vision loss, it is crucial to seek medical attention promptly. An eye care professional can conduct a thorough examination, including visual field tests and imaging studies, to determine the underlying cause and recommend appropriate management.

In summary, while temporary vision loss can be concerning, many cases resolve without lasting effects. However, it is vital to remain vigilant and consult with an eye specialist if you experience similar symptoms again or if your vision does not return to normal promptly. Early intervention can help prevent potential complications and ensure your eye health is maintained.

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