Sudden Blackout in Vision: Causes and Concerns - Ophthalmology

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Sudden onset of black curtain in vision?


I would like to ask, I suddenly experienced a moment where, while looking at something, it felt like I didn't close my eyes, but suddenly a black curtain came down for less than a second, and then my eyes felt a bit uncomfortable.
What could be the issue?

Pan, 20~29 year old female. Ask Date: 2015/08/08

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your symptoms, it is possible that you are experiencing amaurosis fugax, which refers to a temporary loss of vision.
If this lasts only a few seconds, it may be caused by optic nerve edema or other ocular conditions.
However, if the blurriness persists for a longer duration, it often indicates underlying cardiovascular or hematological issues.
I recommend that you visit an ophthalmologist for an examination.
At the Puzih Hospital Eye Clinic in Taiwan, we are available Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to assist you.
Sincerely, Gao Pilin.

Reply Date: 2015/08/08

More Info


Experiencing a sudden blackout in vision, often described as a temporary loss of sight or a "black curtain" effect, can be concerning and may indicate underlying issues that should not be overlooked. The phenomenon you described, where your vision suddenly goes dark for less than a second, accompanied by discomfort, can be attributed to several potential causes.

1. Transient Visual Obscurations: This term refers to brief episodes of vision loss that can occur for various reasons. They are often temporary and can be triggered by changes in blood flow to the eye or the brain. This could be due to a sudden drop in blood pressure, which might occur when standing up too quickly or after prolonged periods of sitting or lying down.

2. Retinal Issues: Conditions affecting the retina, such as retinal detachment or retinal artery/vein occlusion, can cause sudden vision changes. Retinal detachment, for example, can present with symptoms like flashes of light, floaters, or a sudden shadow or curtain over the visual field. If you experience any of these symptoms, it is crucial to seek immediate medical attention.

3. Ocular Migraines: Some individuals experience visual disturbances due to migraines, even without a headache. These disturbances can include temporary vision loss or blackouts. Ocular migraines typically resolve quickly, but they can be alarming when they occur.

4. Vascular Issues: Conditions affecting blood flow, such as transient ischemic attacks (TIAs) or other vascular problems, can lead to temporary vision loss. TIAs are often referred to as "mini-strokes" and can cause brief episodes of neurological symptoms, including vision changes.

5. Nerve Compression or Neurological Issues: Sometimes, pressure on the optic nerve or other neurological issues can lead to sudden vision changes. This could be due to various factors, including tumors or swelling in the brain.

6. Eye Strain or Fatigue: Prolonged periods of focusing on screens or reading can lead to eye strain, which may cause temporary discomfort and visual disturbances. However, this is usually accompanied by other symptoms like dryness or fatigue rather than a complete blackout.

Given that your symptoms have persisted and are accompanied by discomfort, it is essential to consult with an eye care professional or a neurologist. They may perform a comprehensive eye examination, including tests to assess the health of your retina and optic nerve, as well as evaluate your overall neurological health.

In summary, while occasional brief episodes of vision blackout can be benign, especially if they are infrequent and resolve quickly, the combination of sudden vision loss and discomfort warrants further investigation. It is crucial to rule out any serious underlying conditions, particularly those related to the retina or vascular health. Seeking timely medical advice can help ensure that any potential issues are addressed promptly and effectively.

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