Visual Afterimages: When to Seek Eye Care - Ophthalmology

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Seeing visual afterimages or bright spots?


When I close my eyes, I can see some small bright spots and dark dots that appear and disappear.
Some of them can also be seen when my eyes are open, resembling visual afterimages.
They are most noticeable when I blink, and some change from black to white or vice versa.
I'm unclear if this is part of normal eye physiology.
Generally, they disappear after a few minutes, but they can become more pronounced suddenly, especially when I stand up.
Recently, I've experienced fever and headaches, and I've noticed these spots more frequently.
Sometimes resting helps a bit, but if I focus on them, it can cause anxiety.
Should I learn to coexist with these symptoms, or do I need to get an examination immediately? Thank you.

Ms. Chen, 20~29 year old female. Ask Date: 2024/06/27

Dr. Gao Pilin reply Ophthalmology


Hello: The symptoms you mentioned, including seeing small bright spots and dark spots when your eyes are closed, as well as experiencing fleeting shadows upon opening your eyes, may be related to issues with the retina or vitreous body.
These phenomena can sometimes be considered normal physiological responses, such as the reaction of retinal photoreceptors to changes in light or small floaters in the vitreous.
However, when these symptoms are accompanied by headaches and fever, it is particularly concerning, as this may indicate other underlying health issues.
The improvement of your symptoms after resting may suggest a connection to fatigue or stress.
Nevertheless, visual changes that occur upon suddenly standing up may be related to fluctuations in blood pressure.
Typically, these transient visual changes do not have lasting effects on vision, but if the symptoms persist or worsen, it is advisable not to ignore them.
It is recommended that you see an ophthalmologist for an examination to rule out any serious underlying problems.
For instance, an eye doctor can determine if there are abnormalities in the retina or vitreous through a detailed retinal examination, intraocular pressure measurement, and other ophthalmic tests.
Additionally, if headaches and fever persist, a comprehensive evaluation is recommended to exclude the possibility of infections or other systemic diseases.
Lastly, maintaining good rest and avoiding excessive fatigue is very important, but if the symptoms impact your daily life or cause you anxiety, please be sure to seek professional medical advice.

Reply Date: 2024/06/27

More Info


Experiencing visual afterimages, such as seeing small bright spots or black dots when your eyes are closed, can be a common phenomenon and is often related to the physiological functioning of the eyes and brain. These afterimages can occur due to the way our visual system processes light and images. When you look at a bright light or a specific pattern and then close your eyes, the photoreceptors in your retina may continue to send signals to your brain, creating a lingering visual impression. This can manifest as spots or shadows that may change in intensity or color, such as shifting from black to white.

The fact that these afterimages disappear after a few minutes or become more pronounced when you stand up suggests that they might be related to changes in blood flow or pressure in your eyes or brain. Additionally, your recent fever and headache could indicate an underlying issue that may be contributing to these visual disturbances. Fever can sometimes lead to increased sensitivity in the visual system, and headaches can also affect how you perceive visual stimuli.

While occasional afterimages are generally not a cause for concern, there are certain situations where you should seek professional eye care. If you notice a significant increase in the frequency or intensity of these afterimages, especially if they are accompanied by other symptoms such as persistent headaches, changes in vision, or if they interfere with your daily activities, it is advisable to consult an eye care professional. They can perform a comprehensive eye examination to rule out any potential underlying conditions, such as retinal issues or neurological concerns.

In the meantime, managing anxiety related to these visual phenomena is important. Here are some strategies you can consider:
1. Awareness and Acceptance: Recognize that afterimages can be a normal part of visual perception. Understanding that they are often benign can help reduce anxiety.

2. Rest Your Eyes: If you find that focusing on these afterimages increases your anxiety, take breaks from activities that require intense visual concentration. The 20-20-20 rule can be helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Stay Hydrated and Rested: Ensure you are drinking enough water and getting adequate rest, especially if you have been feeling unwell. Dehydration and fatigue can exacerbate visual disturbances.

4. Limit Stress: Engage in relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress and anxiety.

5. Monitor Symptoms: Keep track of when these afterimages occur and any associated symptoms. This information can be valuable for your eye care provider.

6. Consult a Professional: If symptoms persist or worsen, or if you experience new symptoms such as flashes of light, sudden vision loss, or significant changes in your vision, seek medical attention promptly.

In conclusion, while visual afterimages can be a normal physiological response, it is essential to remain vigilant about any changes in your vision or accompanying symptoms. Regular eye examinations and open communication with your eye care provider will help ensure that your visual health is monitored and maintained.

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