Visual Distortions: Are They Signs of Macular Degeneration? - Ophthalmology

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I noticed that the color palette in the drawing software looks strange?


When I look at the color palette in drawing software, the borders of each square appear to be curved, and it seems like the squares are moving.
This phenomenon occurs more frequently when I look with my left eye compared to my right eye.
However, this occurrence is intermittent, and I do not notice any curvature in other lines.
Could this be macular degeneration, or is it due to other reasons?

Lin Zongwei, 10~19 year old female. Ask Date: 2015/12/24

Dr. He Jianxian reply Ophthalmology


If there are issues with the retina, visual abnormalities are likely to be persistent.
However, it is still recommended that you undergo dilation to confirm whether there are any lesions.

Reply Date: 2015/12/24

More Info


Visual distortions, such as the bending of lines or the perception of movement in static images, can indeed be concerning, especially when they occur intermittently and vary between eyes. Your description of seeing curved edges in a color palette while using your left eye more than your right suggests that there may be an underlying issue that warrants further investigation.

Firstly, it is important to understand that visual distortions can arise from various conditions affecting the eye, particularly those involving the macula, which is the central part of the retina responsible for sharp, detailed vision. Macular degeneration, especially age-related macular degeneration (AMD), is one of the most common causes of visual distortion in older adults. However, it can also occur in younger individuals due to other factors, such as high myopia (nearsightedness), retinal tears, or other retinal diseases.

The phenomenon you are experiencing, where lines appear bent or distorted, is known as metamorphopsia. This condition is often associated with macular issues, including macular degeneration, macular holes, or epiretinal membranes. In your case, since you mentioned that the distortion is more pronounced in your left eye, it could indicate that there is a localized issue affecting the macula of that eye.

However, it is also essential to consider other potential causes of visual distortion. For instance, if you have a history of high myopia, the structure of your eye may predispose you to certain retinal changes that can lead to visual distortions. Additionally, conditions like vitreous detachment, where the gel-like substance in the eye pulls away from the retina, can also cause similar symptoms. This is particularly relevant if you have experienced floaters or flashes of light, which can accompany vitreous changes.

Since you mentioned that the distortion is intermittent and does not occur with other lines, it may suggest that the issue is not solely related to the macula but could also involve the optical system of the eye, such as corneal irregularities or lens opacities. These factors can sometimes create visual distortions that mimic retinal issues.

Given your symptoms, it is crucial to seek a comprehensive eye examination from an ophthalmologist. They can perform specific tests, including optical coherence tomography (OCT), which provides detailed images of the retina and can help identify any macular changes. Additionally, a visual field test may be beneficial to assess if there are any peripheral vision issues that could be contributing to your symptoms.

In summary, while your symptoms could potentially indicate macular degeneration or another macular condition, they could also stem from other ocular issues. A thorough examination by an eye care professional is essential to determine the exact cause of your visual distortions and to establish an appropriate management plan. Regular follow-ups and monitoring are crucial, especially if you have risk factors such as high myopia or a family history of retinal diseases.

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