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Visual Field Issues: Are They Related to Floaters? - Ophthalmology

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Visual field issues


Hello doctor, I recently noticed that when I look at something with one eye, a certain point just outside the center of my vision causes that object to disappear.
Both eyes have the same condition, and the object seems to blend into the background.
Could this be related to floaters?

Nìmíng, 10~19 year old female. Ask Date: 2024/07/22

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, the phenomenon of objects disappearing at a certain point in the central vision of one eye, and both eyes experiencing the same condition, may be related to issues with the retina or optic nerve.
Floaters typically present as floating black dots or shadows in the visual field and are less likely to cause fixed visual field defects.
The symptoms you described, particularly the disappearance of objects that seem to blend into the background, suggest that this type of visual field loss may involve lesions in the macular region of the retina or other parts of the retina, such as macular degeneration, optic neuritis, or optic neuropathy.
It is advisable to seek an eye examination as soon as possible to determine the underlying issue and address it promptly.
Early diagnosis and treatment can prevent further vision loss.
Wishing you a speedy recovery.

Reply Date: 2024/07/22

More Info


Hello! Thank you for your question regarding visual field issues and their potential relationship to floaters, or "floaters" as they are commonly known.
Floaters are small specks or strands that drift through your field of vision. They are caused by tiny pieces of gel or cells inside the vitreous, the clear gel-like substance that fills the eye. As we age, the vitreous can become more liquid and shrink, leading to the formation of these floaters. While floaters are generally harmless, they can sometimes be a sign of more serious conditions, especially if they are accompanied by flashes of light or a sudden increase in their number.

Your description of a specific point in your visual field disappearing or blending into the background is concerning and warrants further investigation. This phenomenon could be related to several factors, including:
1. Visual Field Defects: The symptoms you describe may suggest a visual field defect, which can occur due to various reasons, including retinal issues, optic nerve problems, or neurological conditions. If the area of your vision is disappearing, it may not be directly related to floaters but could indicate a more serious underlying issue.

2. Retinal Issues: Conditions such as retinal tears or detachments can lead to changes in your visual field. If the retina is affected, it could cause parts of your vision to become obscured or distorted. Given that you have experienced floaters, it’s essential to monitor for any additional symptoms, such as flashes of light or a sudden increase in floaters, which could indicate a retinal issue.

3. Optic Nerve Health: Problems with the optic nerve, such as optic neuritis or glaucoma, can also lead to visual field changes. These conditions can cause specific areas of vision to be lost or altered.

4. Visual Processing Issues: Sometimes, the brain's processing of visual information can lead to perceived gaps or distortions in vision. This could be related to fatigue, stress, or other factors affecting your visual system.

Given your symptoms, it is crucial to follow up with an eye care professional, preferably a retinal specialist, who can perform a comprehensive examination, including visual field testing and imaging studies like OCT (Optical Coherence Tomography) or fundus photography. These tests can help determine if there are any underlying issues with your retina or optic nerve that need to be addressed.

In the meantime, here are some general tips to help maintain your eye health:
- Regular Eye Exams: Keep up with regular eye examinations, especially if you have a history of floaters or other visual disturbances.

- Protect Your Eyes: Wear sunglasses to protect your eyes from UV light, which can contribute to retinal damage over time.

- Manage Screen Time: If you spend long hours in front of screens, take regular breaks to reduce eye strain. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for 20 seconds.

- Stay Hydrated: Proper hydration can help maintain the health of your eyes and the vitreous gel.

- Healthy Lifestyle: A balanced diet rich in antioxidants (like vitamins C and E, lutein, and zeaxanthin) can support eye health. Regular exercise and avoiding smoking are also beneficial.

In conclusion, while floaters are common and often benign, the specific visual changes you are experiencing should be evaluated by a professional to rule out any serious conditions. Don’t hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your vision is important, and taking proactive steps can help ensure your eye health remains a priority.

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