I asked my husband if he sees anything when he shuts his eyes and he sees only blackness. In generating a differential diagnosis, it is helpful to distinguish unilateral photopsias from bilateral.
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However, if you are experiencing a sudden increase of spots or flashes, it can be a sign of a detached retina, which is a medical emergency because it can lead to permanent blindness within a matter of hours. Damage of the inner plexiform layer or Mueller cells are among the pathophysiology for these autoimmune retinopathies. Similarly, transient ischemic attacks or even a cerebrovascular accident can present with temporary vision loss accompanied by photic sensations; a thorough neurologic history and exam should be taken immediately.
The blood that was in your heart all of a sudden gets pumped quickly around your body. Conversely, it could be because of an injury to the occipital lobe, a part of the brain that processes signals from the retina and produces images.
Among the auras, visual auras are the most common and are often described as having a shimmering and scintillating quality that begins in the central vision and evolves into a small scotoma with zigzag lights and colors that outline the scotoma.
The stars and flashes you sometimes see are called "phosphenes," a visual occurrence characterized by seeing light without having light actually enter into the eye. Aust Fam Physician.
The auras usually precede headaches but can also follow the onset of headaches. My exacerbation 4 weeks earlier started with optic neuritis.
I was diagnosed in 2005 and my initial diagnosis was optic neuritis. A comprehensive eye examination will be needed to determine the cause. Phosphenes and multiple sclerosis Phosphenes are considered a normal phenomenon, but they have also made a brief acquaintance with MS. The device has been approved by the FDA for clinical trial.
Interestingly, due to retinal damage, blind people can't see phosphenes caused by pressure, but they can see them when their visual cortex is electrically stimulated.
The most recognizable entoptic phenomenon can be observed by rubbing the eye or applying oculodigital pressure to the globe, eliciting a circular and perpendicular pattern of lights. Phosphenes are considered a normal phenomenon, but they have also made a brief acquaintance with MS.
Usually, they are caused by sounds, sudden movement, or pressure on the eye, all of which can aggravate or inflame the optic nerve. They may arise from opacities in the ocular media or from normal landmarks or pathologies of the ocular fundus. As time goes by, this scotoma enlarges and moves temporally into a crescent shape with the open area closest to the center of the visual field.