Noticing Changes in Your Vision?
Vision issues can arise gradually or seem to occur suddenly. In either case, changes in your eyesight should not be ignored. While some fluctuations are harmless, others may indicate an underlying condition that requires medical attention.
Being attuned to your vision and any subtle changes is important. Quick action when you notice a shadowy disturbance or other problem can lead to better outcomes if treatment is needed.
When to See Your Eye Doctor
Some common signs that warrant making an appointment with your eye doctor include:
- Blurry vision
- Seeing halos around lights
- Frequently seeing floaters or flashes of light
- Areas of shadow or distortion in your field of vision
- Pain or discomfort in one or both eyes
- Extreme light sensitivity
- Recurring headaches
An ophthalmologist can pinpoint what's causing visual changes and recommend solutions. Early intervention for some eye diseases can slow their progression.
When to Go to the ER
While most visual fluctuations can wait for a doctor's appointment, a few require emergency care. Rush to the ER or call 911 if you experience:
- Sudden loss of vision
- Drastic, rapid vision changes
- Seeing frantic, zig-zagging lines
- Very painful headache along with vision changes
- Nausea, vomiting, eye pain after blow to the head
- Curtain-like shadow falling over your field of vision
- Blurry spot that won't go away
These vision issues should not be ignored or waited out. Fast evaluation and treatment can help prevent permanent damage in some cases.
What's Causing My Vision Changes?
There are many possible reasons behind alterations in your eyesight. An eye exam is the best way to determine the specific cause. Some common reasons include:
Eye Injuries
Trauma to the eye area can lead to various vision disturbances. For example, a detached retina due to a hit or fall may produce an expanding dark shadow in your peripheral or central vision. Also watch for light flashes after head trauma.
Eye Diseases
Gradual vision changes often stem from an underlying eye condition that is progressing. Key diseases to watch out for include:
- Macular degeneration - causes central vision loss and blurred areas
- Cataracts - cloudy areas or hazy vision
- Glaucoma - peripheral vision loss over time
- Diabetic retinopathy - floaters, spots, flashes for diabetics
Ophthalmologists have various treatments available to slow or prevent further vision loss in many eye disorders.
Other Diseases
System-wide diseases with eyesight effects include:
- Multiple sclerosis (MS) - vision blurring or loss in one eye at a time
- Brain tumor - double vision, loss of peripheral vision
- Lupus - cotton-like floaters, light sensitivity
Eye issues stemming from whole-body diseases typically require collaboration between various specialists to manage symptoms.
When Are Eye Symptoms Harmless?
Dry Eyes
If the subtle vision changes you notice are more annoying than disturbing, they may simply reflect dry eyes. This common condition arises when your tears aren't able to properly lubricate your eyes, often due to reduced tear production.
Symptoms primarily include temporary blurred vision that improves with blinking. Burning, stinging, fatigue, light sensitivity or the feeling something is in your eye may occur too. Artificial tears, warm compresses, eye ointments and eyelid scrubs help ease discomfort.
Floaters and Flashes
Tiny specks drifting through your field of vision are likely floaters. These spots come from clumps of protein or collagen inside the vitreous gel in your eyes. They are especially noticeable against bright backdrops.
Flashes appear as sparkles, lightening streaks or flickering lights when you move your eyes. These result from vitreous gel tugging on your retina. If floaters and flashes are intermittent and you have no other vision changes, these are generally harmless.
Visual Migraines
Some people with migraines experience visual distortions called ophthalmic or retinal migraines. One common visual symptom is an enlarging blind spot with scintillating zigzag lines. This crescent-shaped area typically expands over 5 to 20 minutes then gradually fades.
Since actual vision loss is temporary, these migraine auras are not harmful by themselves. But recurrent events combined with other neurological symptoms may require preventive medication.
The Takeaway
Eyesight changes have a wide range of potential causes. While many fluctuations can wait for a routine eye exam, sudden loss of vision or very painful symptoms require emergency care.
Catching a shadowy disturbance early allows eye doctors to better preserve your sight. So pay attention to your vision and call your ophthalmologist promptly if you notice questionable issues.
FAQs
What are some signs I should go to the ER for eye issues?
Seek emergency care if you experience a sudden loss of vision, drastic/rapid vision changes, seeing zig-zagging lines, an extremely painful headache with vision changes, nausea/vomiting/eye pain after a head injury, a curtain-like shadow in your vision field, or a blurry spot that persists.
If I have blurry vision in the morning but it improves, do I need to see a doctor?
Blurry vision upon waking that soon clears up is generally normal. But if you continue to have blurry vision throughout the day, it likely indicates dry eyes or an underlying condition, so you should visit an eye doctor.
What causes shadowy areas or blindness in sections of vision?
An expanding dark shadow blocking out sections of your vision could signal a detached retina, stroke, brain tumor, diabetic retinopathy, macular degeneration or other disorder. Seek medical care right away if this occurs.
Is it normal to see spots and flashes sometimes when I move my eyes?
Seeing occasional spots (floaters) or flashing lights is usually harmless, typically caused by the vitreous gel pulling on your retina. But if they are constant or you have other vision changes, consult your ophthalmologist to evaluate your eyes.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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