Sudden Visual Disturbances: Causes and Solutions - Ophthalmology

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Hello... regarding the issue of monocular vision..?


Hello Doctor: Recently, I have experienced sudden episodes of blurred vision around my eyes, which clear up on their own within ten minutes.
The "blurred" sensation I refer to is not a white fog, but rather a transparent ripple effect, as if I am seeing through water, making things unclear.
When it is mild, it affects the peripheral vision (for example, during this episode, it was from the upper right corner to the lower left corner of my left eye), and when it is more severe, it impacts my entire field of vision.
These episodes occur occasionally, about 3-4 times so far.
Since they don't last long, I can't quite remember if I had a headache during the last episode, but I did not have a headache this morning when it occurred.
I really want to go to the hospital for a thorough examination, but I am currently abroad and unable to do so.
Additionally, my job requires prolonged use of my eyesight, which makes me quite anxious about my eye condition.
All of these episodes have occurred during breaks or on holidays.
Thank you for your response.
WANYU

WANYU, 20~29 year old female. Ask Date: 2011/12/19

Dr. He Jianxian reply Ophthalmology


Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following advice: Your symptoms appear to resemble a type of migraine (not all migraines necessarily present with headache), characterized by visual disturbances in the eye, which can range from a few seconds to several minutes of "visual hallucinations." I recommend that you consult a physician in a medical facility for a more thorough evaluation.
Wishing you safety and happiness.

Reply Date: 2011/12/19

More Info


Dear Wanyu,
Thank you for reaching out with your concerns regarding your recent visual disturbances. It’s understandable to feel anxious about sudden changes in vision, especially when they occur intermittently and can affect your daily activities. Based on your description, it seems you are experiencing episodes of visual disturbances characterized by a "foggy" or "wavy" appearance in your vision, which can be quite alarming.

There are several potential causes for the symptoms you are describing. One possibility is that you are experiencing visual migraines, which can occur without the typical headache that many associate with migraines. Visual migraines can cause temporary disturbances in vision, such as wavy lines, shimmering lights, or even temporary blind spots. These episodes can last from a few minutes to about half an hour and often resolve on their own, which aligns with your experience of the disturbances improving after a short period.

Another potential cause could be related to changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can begin to shrink and pull away from the retina, leading to symptoms like floaters or flashes of light. While this is generally a benign condition, it can sometimes lead to more serious issues, such as retinal tears or detachments, especially if accompanied by sudden changes in vision.

Additionally, your symptoms could be indicative of a condition known as "ocular migraine" or "retinal migraine," where the blood flow to the retina is temporarily reduced, leading to visual disturbances. This can happen even in the absence of a headache and may be triggered by stress, fatigue, or prolonged eye strain, particularly relevant given your work requires extensive use of your eyes.

Given that you mentioned these episodes occur during periods of rest or on weekends, it may also be worth considering the role of eye strain or fatigue. Prolonged screen time without adequate breaks can lead to a condition known as digital eye strain, which can cause various visual symptoms, including blurred or distorted vision. It’s essential to practice the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away to help alleviate eye strain.

While these explanations may provide some insight into your symptoms, it is crucial to consult with an eye care professional for a thorough examination, especially since you are experiencing these disturbances multiple times. If you are currently abroad and unable to visit a specialist, consider seeking out local healthcare services that can provide an eye examination. It’s essential to rule out any serious conditions, particularly if you notice any changes in the frequency or intensity of your symptoms.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Take Regular Breaks: If your work involves prolonged screen time, ensure you take regular breaks to reduce eye strain.


2. Stay Hydrated: Dehydration can exacerbate visual disturbances, so ensure you are drinking enough water throughout the day.

3. Manage Stress: Stress can trigger migraines and other visual disturbances, so consider incorporating relaxation techniques such as deep breathing, meditation, or gentle exercise into your routine.

4. Monitor Symptoms: Keep a diary of your episodes, noting when they occur, their duration, and any associated symptoms. This information can be valuable for your healthcare provider.

5. Seek Professional Help: As soon as you are able, seek an eye care professional for a comprehensive eye exam to rule out any underlying conditions.

In conclusion, while your symptoms may be benign, it is always best to err on the side of caution when it comes to your vision. I hope this information helps you understand your situation better, and I encourage you to seek medical attention as soon as possible.

Take care, and I wish you the best in your health journey.

Sincerely,
Doctor Q&A Teams

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