Visual Disturbances in High Myopia: A Patient's Inquiry

Q: Visual Disturbances in High Myopia: A Patient's Inquiry

Hello, Mr. <br>Chen： The phenomena described in points 1 and 2 are also known as floaters. <br>Points 3 and 4 indicate that high myopia can lead to degeneration of the retinal nerve, which is a type of physiological functional change. <br>Sometimes, there may not be any visible s

Bright spots appear on white walls?

Hello Doctor,
I am a patient with high myopia, with my left eye at -1125 diopters and my right eye at -1175 diopters.
I would like to ask the following questions:
1.
On lighter-colored walls, I easily see light spots that are not fixed in position.
2.
On lighter-colored walls, I see "neatly arranged" black dots that continuously move downward, appearing simultaneously with the first observation, but these black dots persist and do not disappear.
This sensation is different from that of floaters.
3.
When viewing the same object with each eye separately, the colors appear different; my left eye perceives cooler tones (blue), while my right eye perceives warmer tones (orange).
4.
When using my left eye alone, I have the sensation of a thin mist in front of my vision.
I have previously asked my doctor about these issues, but they only emphasized that the structure of my eyes is normal.
I would like to know if you have any other thoughts on these matters.
Thank you, and I wish you peace and well-being.
Sincerely,
Chen Xiaoyan

Chen Xiao Yan, 20~29 year old female. Ask Date: 2015/09/15

Dr. Gao Pilin reply Ophthalmology

Hello, Mr.
Chen: The phenomena described in points 1 and 2 are also known as floaters.
Points 3 and 4 indicate that high myopia can lead to degeneration of the retinal nerve, which is a type of physiological functional change.
Sometimes, there may not be any visible signs, and if examinations show no structural issues, regular check-ups are sufficient, and there is no need for concern.
If you experience a feeling of haziness, it is advisable to check for the development of cataracts.
The Ophthalmology Department at Puzi Hospital in Taiwan is open 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 serve you.
Best regards, Gao Pilin.

Reply Date: 2015/09/15

More Info

Hello, Chen Xiaoyan,
Thank you for reaching out with your concerns regarding your visual disturbances associated with high myopia. As a patient with significant myopia (1125 and 1175 degrees), it is understandable that you are experiencing various visual symptoms that can be quite distressing. Let’s break down your observations and discuss potential explanations and considerations.

1. Seeing Light Spots on Light-Colored Walls: The phenomenon of seeing light spots, especially on light-colored surfaces, can be attributed to several factors. In high myopia, the retina can become more susceptible to visual artifacts due to structural changes. These light spots may be related to the way light interacts with the retina or could be a result of the vitreous gel's condition. In some cases, these spots might be related to the presence of floaters or even the early stages of retinal changes, which are more common in individuals with high myopia.

2. Moving Black Dots on Light-Colored Walls: The perception of "neatly arranged" black dots that move downwards could be a form of visual phenomenon known as "visual snow" or could be related to the persistence of afterimages. This is distinct from floaters, which are typically more random and transient. In high myopia, the retina may be more prone to these types of visual disturbances due to the stretching and thinning of the retinal layers. It is important to monitor these symptoms, especially if they become more pronounced or are accompanied by other visual changes.

3. Color Perception Differences Between Eyes: The discrepancy in color perception between your left and right eyes is intriguing and could be indicative of several underlying issues. It might be related to differences in the health of the retina or the optic nerve in each eye. In high myopia, the risk of retinal detachment or degeneration can lead to altered color perception. It is essential to discuss this with your ophthalmologist, as they may want to conduct further tests to assess the health of both retinas and the optic nerves.

4. Feeling of Haze in the Left Eye: The sensation of a "haze" in your left eye could be due to several factors, including changes in the vitreous body, cataract formation, or even retinal issues. In high myopia, the risk of developing cataracts at an earlier age is increased, which can lead to a hazy vision. Additionally, the vitreous gel can become more liquefied and may pull away from the retina, leading to visual disturbances.

Given your symptoms and the fact that your doctor has indicated that the structural aspects of your eyes appear normal, it is crucial to continue monitoring these symptoms closely. Here are some recommendations:
- Regular Eye Exams: Continue to have regular check-ups with your ophthalmologist, especially since you have high myopia. Regular OCT scans and visual field tests can help monitor any changes in your retinal health.

- Report Changes: If you notice any new symptoms, such as flashes of light, a sudden increase in floaters, or any significant changes in your vision, report these to your doctor immediately. These could be signs of retinal detachment or other serious conditions.

- Consider a Second Opinion: If your symptoms persist and you feel that your concerns are not being adequately addressed, consider seeking a second opinion from a retinal specialist. They may provide additional insights or testing that could be beneficial.

- Lifestyle Adjustments: Ensure you are taking care of your overall eye health by managing screen time, using proper lighting while reading, and protecting your eyes from UV exposure.

In conclusion, while some of your symptoms may be common in individuals with high myopia, it is essential to remain vigilant and proactive about your eye health. Your experiences are valid, and further evaluation may be necessary to ensure that there are no underlying issues that require attention. Please do not hesitate to reach out to your healthcare provider with any further questions or concerns.

Wishing you good health and clarity in your vision.

Best regards.

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