Black Spots When Rolling Eyes: Is It Eye Pressure? - Ophthalmology

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When experiencing black spots or shadows in your vision, particularly when rolling your eyes or moving them to extreme angles, it can be concerning. Based on your description, it seems that this phenomenon occurs only when your eyes are closed and you are turning them to the extreme corners. This could indeed be related to the pressure exerted on the eye structures, but it is essential to consider several factors to understand the situation better.

Firstly, the black spots you see when your eyes are closed and turned to the side may be due to the way light interacts with the structures of your eye, particularly the retina and the optic nerve. When you move your eyes to the extreme, the pressure on the eye can cause temporary changes in how the retina perceives light. This is often a benign phenomenon and can be attributed to the normal functioning of the eye. However, it is crucial to differentiate between benign occurrences and those that may indicate a more serious underlying condition.

Given your history of myopia (nearsightedness) and the absence of symptoms like floaters or flashes, it is less likely that you are experiencing a significant retinal issue. However, it is essential to keep in mind that individuals with myopia are at a higher risk for certain eye conditions, including retinal detachment or degeneration. Regular eye examinations are crucial to monitor the health of your eyes, especially if you notice any changes in your vision.

The fact that you do not experience these black spots when your eyes are open is also a reassuring sign. It suggests that the phenomenon is likely related to the pressure or positioning of the eye rather than a problem with the retina itself. When your eyes are closed, the lack of light entering the eye can create a different visual experience, and the pressure from moving your eyes can lead to temporary visual disturbances.

In terms of eye pressure, it is important to note that while elevated intraocular pressure (IOP) can lead to conditions such as glaucoma, it is not typically associated with transient visual phenomena like the one you are describing. Eye pressure can fluctuate based on various factors, including body position, time of day, and even stress levels. Therefore, while it is good to be aware of your eye pressure, the specific black spots you are experiencing are likely not directly related to high eye pressure.

If you are concerned about these symptoms or if they persist or worsen, it is advisable to consult with an eye care professional. They can perform a comprehensive eye examination, including checking your intraocular pressure, assessing the health of your retina, and ensuring that there are no underlying issues that need to be addressed.
In summary, the black spots you notice when rolling your eyes while closed are likely related to the pressure and positioning of your eyes rather than a serious condition. However, maintaining regular eye check-ups is essential, especially with your history of myopia, to ensure your overall eye health remains optimal. If you have any further concerns or if new symptoms arise, do not hesitate to seek professional advice.